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Findings among the highest quality occupational cohort studies are largely null, the positive findings are inconsistent in terms of strength and specificity of association, and there are only isolated instances of exposure response relations.
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Accurate documentation reflecting high-quality occupational therapy serves as the foundation for validating the value of our services.
Failure of the profession to clearly demarcate what constitutes high-quality occupational therapy and demonstrate its contribution to the broader patient outcomes that value-based care will measure may marginalize occupational therapy in the rapidly changing health care environment.
Continued follow-up of the established high-quality occupational cohorts would be worthwhile, although the scientific yield may be limited because exposure and health outcome misclassification limitations can probably not be remedied.
For the profession to have the evidence base needed to advocate for high-quality occupational therapy in the era of value-based reimbursement, we need not only to produce more research, but also to develop a critical mass of trained researchers who can evaluate the quality, access, timing, and utilization of occupational therapy services.
Furthermore, as a team, researchers and clinicians can integrate current evidence with the pragmatics of clinical practice to define high-quality occupational therapy practice using the standardized quality measure development methods of the PCPI, AHRQ, and NQF (Min et al., 2011; Rubenstein et al., 2004; Wenger et al., 2010).
As the focus in health care shifts toward supporting higher quality, the occupational therapy profession needs to develop quality measures that will allow practitioners to provide, document, and evaluate our valuable contribution to optimal patient outcomes.
The clinical consortium partners, supplemented by experts in psychiatry, pulmonary medicine, otolaryngology, industrial hygiene, and epidemiology, collaborated in protocol development to provide high quality standardized occupational health screening examinations and gather information for a research database to enable scientific assessment of the full health impact of the disaster.
Highest quality piroshki!
Highest quality.
The other data come from Finland, a high-income country with high quality and coverage of occupational health services and mandatory workers' compensation for employees.
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