Primary care occupational therapist’s methods of outcome evaluation: Do they align to value-based healthcare?

Ingham, Laura, Cooper, Alison ORCID: https://orcid.org/0000-0001-8660-6721 and Purcell, Catherine ORCID: https://orcid.org/0000-0002-0301-2555 2025. Primary care occupational therapist’s methods of outcome evaluation: Do they align to value-based healthcare? British Journal of Occupational Therapy 10.1177/03080226251320185

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Abstract

Introduction: Occupational therapy roles are increasing across General Practice in primary care. The evidence base is growing; however, the best way to evaluate outcomes and the impact of practice in this setting remains unclear. Consideration for how methods used align to ambitions of value-based healthcare is also required. This study explored evaluation methods used by occupational therapists, providing services to General Practice in Wales within the context of value-based healthcare. Method: An online focus group was conducted with 13 members of a Welsh Primary Care Occupational Therapy network. Mixed methods were used and Mentimeter results and findings from group discussion were analysed through content and framework analysis. Results: A multifaceted but inconsistent approach to evaluation was reported. Methods used, strengthened by professional core values, broadly aligned practice to shared ambitions of value-based healthcare. The use of validated patient rated scales were most commonly used to evaluate patient experience, whilst cost-effectiveness was least well considered. Conclusion: Further research is required to understand occupational therapy evaluation in this setting to identify what is needed by stakeholders to determine impact and establish value. This could inform care at both an individual level and across populations if consistent data are collected at scale.

Item Type:	Article
Date Type:	Published Online
Status:	In Press
Schools:	Schools > Healthcare Sciences
Publisher:	SAGE Publications
ISSN:	0308-0226
Funders:	Elizabeth Casson Trust, Swansea Bay University Health Board
Date of First Compliant Deposit:	5 February 2025
Date of Acceptance:	28 January 2025
Last Modified:	06 Mar 2025 15:24
URI:	https://orca.cardiff.ac.uk/id/eprint/175974

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