Standardized referral form: Restricting client-centered practice?

Scandinavian Journal of Occupational Therapy
Annie CarrierJohanne Desrosiers

Abstract

To increase homecare efficiency, the Ministry of Health and Social Services in Québec, Canada, encourages standardization of practices, including those of community occupational therapists (COTs). The impact of standardization is not known and might reduce client-centeredness. Aim/objectives. To explore the content and use of a referral form to standardize COTs' practice. An institutional ethnography inquiry was conducted through observations of work and interviews with 10 COTs working in three homecare programs. Secondary informants were also interviewed and documents collected. Data were analyzed using institutional ethnography procedures. The referral form, completed by the COTs' colleagues, includes categories primarily related to safety or autonomy in personal care and mobility. The form organizes COTs' work, including information collection and interactions with clients and caregivers. Seen as consultants, COTs assess needs and make recommendations to keep clients at home safely for as long as possible, an important element of the homecare discourse. The impact on COTs' potential to be truly client-centered revealed by these findings merits serious consideration by other health professionals. Concerted efforts by professi...Continue Reading

References

Feb 21, 2002·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Michèle HébertLouise Potvin
Apr 23, 2003·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Gayle RestallMarlene Stern
Jul 29, 2006·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Thelma Sumsion, Mary Law
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Sep 22, 2010·Australian Occupational Therapy Journal·Lynne QuickKaren Stagnitti
Jan 28, 2011·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Florence A Clark
Jan 10, 2012·Journal of Evaluation in Clinical Practice·Joachim P SturmbergCarmel M Martin
May 3, 2012·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Marian Arbesman, Letha J Mosley
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May 24, 2014·Social Science & Medicine·M R Eissens van der LaanJ P J Slaets

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Citations

Apr 24, 2018·Scandinavian Journal of Occupational Therapy·Anette Enemark LarsenJeanette Reffstrup Christensen
Jan 1, 2019·Occupational Therapy in Health Care·Andrew Freeman, Nathalie Jauvin
Mar 5, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Pier-Luc TurcotteMélanie Levasseur
Dec 21, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Rebecca M Aldrich, Debbie Laliberte Rudman
Feb 1, 2020·Health & Social Care in the Community·Annie CarrierMélanie Levasseur
Apr 16, 2020·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Marie-Hélène RaymondLouise Demers
Jun 14, 2019·Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie·Janie GobeilMélanie Levasseur

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