The illusion of client-centred practice.
Scand J Occup Ther
; 22(4): 244-51, 2015 Jul.
Article
in En
| MEDLINE
| ID: mdl-25761608
ABSTRACT
AIM:
A critical analysis of occupational therapy practice in the corporate health care culture in a free market economy was undertaken to demonstrate incongruence with the profession's philosophical basis and espoused commitment to client-centred practice.FINDINGS:
The current practice of occupational therapy in the reimbursement-driven practice arena in the United States is incongruent with the profession's espoused philosophy and values of client-centred practice. Occupational therapy differentiates itself from medicine's expert model aimed at curing disease and remediating impairment, by its claim to client-centred practice focused on restoring health through occupational enablement. Practice focused on impairment and function is at odds with the profession's core tenet, occupation, and minimizes the lasting impact of interventions on health and well-being. The profession cannot unleash the therapeutic power of human occupation in settings where body systems and body functions are not occupation-ready at the requisite levels for occupational participation.CONCLUSION:
Client-centred practice is best embodied by occupation-focused interventions in the natural environment of everyday living. Providing services that are impairment-focused in unfamiliar settings is not a good fit for client-centred practice, which is the unique, authentic, and sustainable orientation for the profession.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Professional Practice
/
Occupational Therapy
/
Patient-Centered Care
Type of study:
Prognostic_studies
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Scand J Occup Ther
Journal subject:
REABILITACAO
Year:
2015
Document type:
Article
Affiliation country: