Clinical data were collected at each visit by the counsellor using a standardised client file following MSF guidelines [ 17].
This inconsistency may be linked to differences in satisfaction instruments used (i.e. standardised vs. non-standardised), client profiles (e.g. the larger study included men only) and the small sample sizes in the two studies that found no differences in satisfaction ratings (N < 50).
COPM is a standardised individualised, client-centred measure that evaluates client's self-perception of occupational performance.
Indeed the standardised STI client record form used in government health facilities in PNG only asks men if they have had anal intercourse and does not specify with whom, and if with another male, it does not stipulate if it was receptive, insertive or both receptive and insertive.
Among the reasons, argues Ms Scholl, were an absence of a large "founder client" and an attempt to win economies of scale by persuading reluctant clients to accept standardised solutions to their problems.There is still plenty of potential.
The core problem is commodification, the fragmentation of the care relationship into standardised tasks that objectify the client.
Data are continuously collected in each service using standardised data forms, regarding: the number of new clients and returning clients, gender, substance(s) of abuse and, where available, results of the HIV, HBV and HCV screening tests.
Learning activities that used a standardised patient format to address key client-centred activities were created by course coordinators.
Semi-standardised questions with randomly-selected sample of clients.
With regards to the latter, however, the Ophelia approach to development of health literacy interventions emphasises customising care to individual client needs rather than applying a standardised intervention.
