The influence and added value of a Standardized Assessment and Reporting System for functioning outcomes upon national rehabilitation quality reports

Autor: Birgit Prodinger, Cristina Ehrmann, Alan Tennant, Gerold Stucki, Roxanne Maritz
Rok vydání: 2020
Předmět:
psychometrics
Adult
Male
Gerontology
030506 rehabilitation
Activities of daily living
medicine.medical_treatment
Psychological intervention
Standardized test
international classification of functioning
disability and health
rehabilitation
Disability Evaluation
03 medical and health sciences
0302 clinical medicine
quality of health care
International Classification of Functioning
Disability and Health
Activities of Daily Living
Added value
medicine
Humans
AcademicSubjects/MED00860
Disabled Persons
Musculoskeletal Diseases
Aged
public reporting of healthcare data
outcome assessment (health care)
Aged
80 and over
Rehabilitation
business.industry
Health Policy
Public Health
Environmental and Occupational Health
General Medicine
Middle Aged
Treatment Outcome
Scale (social sciences)
Female
Metric (unit)
Nervous System Diseases
0305 other medical science
business
Psychology
Switzerland
030217 neurology & neurosurgery
Research Article
Zdroj: International Journal for Quality in Health Care
ISSN: 1464-3677
1353-4505
DOI: 10.1093/intqhc/mzaa058
Popis: ObjectiveTo demonstrate the influence and added value of a Standardized Assessment and Reporting System (StARS) upon the reporting of functioning outcomes for national rehabilitation quality reports. A StARS builds upon an ICF-based (International Classification of Functioning, Disability and Health) and interval-scaled common metric.DesignComparison of current ordinal-scaled Swiss national rehabilitation outcome reports including an expert-consensus-based transformation scale with StARS-based reports through descriptive statistical methods and content exploration of further development areas of the reports with relevant ICF Core Sets.SettingSwiss national public rehabilitation outcome quality reports on the clinic level.ParticipantsA total of 29 Swiss rehabilitation clinics provided their quality report datasets including 18 047 patients.InterventionsNeurological or musculoskeletal rehabilitation.Main outcome measuresFunctional Independence Measure™ or Extended Barthel Index.ResultsOutcomes reported with a StARS tended to be smaller but more precise than in the current ordinal-scaled reports, indicating an overestimation of achieved outcomes in the latter. The comparison of the common metric’s content with ICF Core Sets suggests to include ‘energy and drive functions’ or ‘maintaining a basic body position’ to enhance the content of functioning as an indicator.ConclusionsA StARS supports the comparison of outcomes assessed with different measures on the same interval-scaled ICF-based common metric. Careful consideration is needed whether an ordinal-scaled or interval-scaled reporting system is applied as the magnitude and precision of reported outcomes is influenced. The StARS’ ICF basis brings an added value by informing further development of functioning as a relevant indicator for national outcome quality reports in rehabilitation.
Databáze: OpenAIRE
Externí odkaz: