Value-based outcome evaluation methods used by occupational therapists in primary care: a scoping review

Ingham, Laura, Cooper, Alison ORCID: https://orcid.org/0000-0001-8660-6721, Edwards, Deborah ORCID: https://orcid.org/0000-0003-1885-9297 and Purcell, Catherine ORCID: https://orcid.org/0000-0002-0301-2555 2024. Value-based outcome evaluation methods used by occupational therapists in primary care: a scoping review. JBI Evidence Synthesis 10.11124/JBIES-23-00183 Item availability restricted.

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Abstract

Objective: This scoping review aimed to map how occupational therapists are evaluating the outcomes of services they provide within primary care. This evidence has been considered in relation to how identified outcome evaluation methods align to principles of value-based healthcare. Introduction: Primary care services are experiencing unprecedented demands and occupational therapy is an allied health profession supporting health and care provision in primary care, using a timely and proactive approach. There has been a notable increase in occupational therapy roles across primary care services in the last decade, however the mechanisms used to evaluate outcomes and the wider impact of these services remain under researched. Value-based healthcare, a global transformative approach, has ambitions to establish better health outcomes for individuals and communities through addressing value in system wide care. However, it is not yet clear how evaluation methods used within occupational therapy align to the principles of a value-based agenda. Inclusion criteria: Peer reviewed journal articles and gray literature written in the English language were included to identify outcome evaluation methods being used by occupational therapists to evaluate the effectiveness and impact of occupational therapy services provided in primary care. Outcome evaluation methods used exclusively for the purpose of conducting research and not capturing data within an occupational therapy primary care setting as part of routine clinical practice were excluded. Methods: This review, undertaken during June and July 2022 used JBI scoping review methodology and included from their earliest dates of availability until date of search, sources from; Cochrane, MEDLINE via Ovid, Embase via Ovid, CINAHL via EBSCOhost, Scopus, AMED and Web of science electronic databases and gray literature. Two reviewers extracted data and were supported by use of a template. Findings have been mapped using a framework developed on value-based healthcare key principles. Results: From 2396 articles, 16 eligible studies were included in the review. Of these nine were quantitative and seven were of mixed method design. Occupational therapy services represented were mainly heterogeneous and presented from seven countries. Four services were part of multidisciplinary programmes of care and 12 were providing occupational therapy specific services. Identified outcome evaluation methods broadly aligned to principles of value-based healthcare, with most alignment noted for measures evidencing the aim of establishing better health. A wide range of evaluation methods were described to address both individual and service level outcomes with the use of patient reported outcome measures identified in 13 studies. To capture patient experience, most studies reported doing this in a variety of ways whilst the aim of reducing the per capita cost of healthcare was least represented in the literature. Conclusion: This scoping review has highlighted a multifaceted but inconsistent approach to measuring the outcomes of occupational therapy provided in primary care. This has implications for establishing effectiveness and capturing data at scale to assist with wider planning of care and to enable the profession to evidence its contribution to value-based healthcare.

Item Type:	Article
Status:	In Press
Schools:	Healthcare Sciences
Publisher:	Lippincott, Williams & Wilkins
ISSN:	2689-8381
Date of First Compliant Deposit:	15 October 2024
Date of Acceptance:	24 July 2024
Last Modified:	06 Nov 2024 11:00
URI:	https://orca.cardiff.ac.uk/id/eprint/172895

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