Assignment: Professional Stability

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Assignment: Professional Stability

Assignment: Professional Stability

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1980 Eleanor Clarke Slagle Lecture

Time is a problem for all of us. However, well designed and funded research projects should provide resources to support the clinician and educator in research activities. We have to organize and order our priorities to accom- plish basic research for the sake of professional stability. Looking outside the profession, I find that similar conflicts between education and practice are not uncommon. Survival of the profession is an issue whether one is from the university structure or a clinical facility. The missing link in destroying this conflict is collaborative research with a commitment to the growth of our profession. Some persons might not agree that the social or biological scientist must enter the picture, but I am now convinced that the skills and attitude of those individuals are critical for the process to proceed. Now we must develop a treatment plan for the second problem.

Problem II. The Health Services Delivery Primarily Within the Acute Care Model

GOAL: Expand the delivery of occupational therapy service from the acute care model of service.Hospitals initially were a shelter for the socially unfit whether due to severe disability, mental illness, or indigence. The hospital was set apart from the medical community. This was the population served when occupational therapy was initi- ated as a profession. Private patients were not treated in hospitals until the turn of the century. Insurance did not pay for hospital care until the 1930s and then for only a few. Not until the late 1950s was there a major breakthrough in third party reimbursement. Social forces and the scientific revolution have produced many changes in hospital care. These forces have grown so strong coupled with government regulations and escalat- ing costs that a new organizational structure for hospital systems has been mandated. Hospitals are being forced to become more and more responsive to community health needs, and more accountable to the community for their performance (14). The economic forces of high cost, capital equipment obsolescence, cost containment directives, reimbursement,

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