Design of a urodynamic questionnaire.
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Biomedical subjects
Publications and source records attributed to A E Bennett.
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Current methods of ranking or scoring disability tend to be arbitrary. A new method is put forward on the hypothesis that disability progresses in regular, cumulative patterns. A model of disability is defined and tested with the use of Guttman scale analysis. Its validity is indicated on data from a survey in the community and from postsurgical patients, and some factors involved in scale variation are identified. The model provides a simple measurement technique and has implications for the assessment of individual disadvantage, for the prediction of progress in recovery or deterioration, and for evaluation of the outcome of treatment regimes.
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The new management structure of the National Health Service leaves a gap between multidisciplinary management at district level and the multiprofessional clinical teams caring for patients. This gap is not satisfactorily bridged by single-profession sector management or existing advisory machinery. This is most clearly seen for community services, and experience of a possible solution in an experimental community hospital setting is described.
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