Many concepts derived from quality-of-life measurement research have been deemed appropriate for use in health-care research. However, available life-quality measurement instruments developed for use with chronically ill and disabled populations have limited research utility because of their relatively narrow foci. Development of a more widely applicable measure was undertaken, and the resultant instruments is described. Potential uses are also discussed.
The concepts underlying rehabilitation efforts have gradually evolved over many years and became crystallized into a coherent process following World War II. The evolution Is reflected in the various definitions or descriptions that have been used to describe the process. However, the idealized definitions do not adequately fit the role that rehabilitation has come to fulfill. From a more encompassing systems perspective, rehabilitation efforts are serving to mediate conflicts arising between the various system constituents. There appears to be considerable fallout from the failure to accept the systems-based mediational role as a major component of rehabilitation practice, education and research, ranging from professional ethical conflicts to burnout.
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