A social assessment of post-discharge adjustment : an exploratory rating of the social functioning of patients after discharge from the Activation Ward of the Vancovuer General Hospital .
Notice bibliographique
Résumé
The mounting increase in the number of chronically ill and disabled citizens is a cause of much concern. Accordingly, many different approaches are being taken towards rehabilitation. A vital step in measuring their success is the evaluation of patients' progress after a period of treatment. The present study applies to patients who have received service in the new Activation Ward of the Vancouver General Hospital. Many previous studies have focused upon the measurement of physical and social rehabilitation, but this is an exploratory measurement of the social functioning of such "post-discharge" disabled adults. Specifically, this study is directed to the assessment of the contributions of the social worker, as one member of the treatment team, to the disabled patient and his family. A small sample of patients were selected for the study; all were interviewed, arid material from medical and social service records was collected. A rating scale was worked out, to indicate components of general social functioning. This was used to rate each patient at time of study, and compared with ratings at time of discharge from the ward. The results were tabulated and evaluated according to the criteria established of (a) physical, (b) material, (c) individual and (d) social factors (twenty items in all). "Movement" in social functioning of each patient during the post-discharge period could thus be assessed. Overall as well as individual results are examined, and some case illustrations utilized to supplement the assessment. The evidence is that assessment of the patients' physical and material factors was adequately made on the ward. There is a relatively poor record of progress after discharge, however. Social factors appear among the more significant reasons. There is evidently need for more thorough evaluation of the personal and social factors, without which the goals of comprehensive rehabilitation cannot be achieved. It is the social worker's function to assess these factors. Further responsibilities of the social worker include the treatment of emotional and social factors, the appropriate use of community resources and social action measures. In further research directed to the development of a comprehensive assessment plan for a comprehensive rehabilitation service, the rating scale initiated here may contribute some guidelines.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,001 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».