Appropriateness of admission to rehabilitation: definition of a set of criteria and rules through the application of the Delphi method
| Autor: | Rodolfo Brianti, Silvana Castaldi, Francesca Rodà, N. Principi, L Grimoldi, Francesco Auxilia, Francesco Lombardi, M. Maini, D Carnevali, Andrea Merlo |
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| Rok vydání: | 2020 |
| Předmět: |
Rehabilitation hospital
Male 030506 rehabilitation Delphi Technique medicine.medical_treatment Population MEDLINE Delphi method Physical Therapy Sports Therapy and Rehabilitation Computer-assisted web interviewing Rehabilitation Centers Likert scale 03 medical and health sciences 0302 clinical medicine Patient Admission Health care medicine Humans education education.field_of_study Medical education Rehabilitation Evidence-Based Medicine business.industry Italy Female 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | European journal of physical and rehabilitation medicine. 56(5) |
| ISSN: | 1973-9095 |
| Popis: | Background Controlling inappropriateness of care is an essential issue, especially in rehabilitation medicine. In fact, admitting a patient to a rehabilitation hospital or unit is a complex decision also due to the absence of shared and objective admission criteria. Aim The aim was to define clinical admission criteria and rules in rehabilitation medicine. Design Survey based on the application of the Delphi method on a sample of rehabilitation medicine experts. Setting Administration of electronic online questionnaires concerning appropriateness of admission to intensive rehabilitation. Population Volunteer sample of 53 experts with the following inclusion criteria: being members of the Italian Society of Physical and Rehabilitation Medicine, having practical experience in the research field, agreeing to the confidentiality of the information and being skilled in both rehabilitation and healthcare organization. Methods A three-round Delphi survey was conducted according to international guidelines. The two initial rounds consisted of an electronic online questionnaire while in the third one a report of the results was provided to the participants. The experts had to score their agreement with each item in the questionnaires, based on either a Likert scale or a dichotomous statement. Consensus between the experts was assessed. Results A total of 53 health professionals completed the Delphi survey. 19 out of 20 Italian regions were represented. The first round consisted of 8 multiple-choice questions. The second round was designed according to the suggestions provided by the panelists in the previous one and consisted of a twelve items questionnaire. At the end of the survey, seven criteria of appropriateness of admission to rehabilitation were identified and five rules defining an appropriate admission to a rehabilitation facility were elaborated. Conclusions This study represents an attempt to create a worthwhile and reliable tool for a more conscious clinical practice in admission to rehabilitation, based on a set of shared criteria and rules. Clinical rehabilitation impact To increase appropriateness of admission to rehabilitation. Improving appropriateness in healthcare delivery must be a primary goal in order to improve healthcare quality, save money and ensure system sustainability. |
| Databáze: | OpenAIRE |
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