A quality indicator set for use in rehabilitation team care of people with rheumatic and musculoskeletal diseases; development and pilot testing
| Autor: | Audny Anke, Jan Egil Nordvik, Audhild Høyem, Kåre Birger Hagen, Karin Anna Lande, Atle Klovning, Janne-Birgitte Børke, Ingvild Kjeken, Mona Larsen, Inger Johansen, Thomas Glott, Irene Øyeflaten, Uno Hauglie, Mari Klokkerud, Sigrid Hørven Wigers |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Quality management Consensus medicine.medical_treatment Delphi method Pilot Projects VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Physical medicine and rehabilitation: 764 Quality indicators Health informatics Health administration 03 medical and health sciences VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Fysikalsk medisin og rehabilitering: 764 0302 clinical medicine Rheumatic Diseases Delphi technique Health care medicine Humans 030212 general & internal medicine Face validity Quality Indicators Health Care Rehabilitation business.industry lcsh:Public aspects of medicine 030503 health policy & services Health Policy Nursing research Musculoskeletal diseases Reproducibility of Results lcsh:RA1-1270 Quality Improvement Physical therapy Feasibility Studies 0305 other medical science business Research Article |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 19, Iss 1, Pp 1-12 (2019) |
| Popis: | Background: Systems for monitoring effectiveness and quality of rehabilitation services across health care levels are needed. The purpose of this study was to develop and pilot test a quality indicator set for rehabilitation of rheumatic and musculoskeletal diseases. Methods: The set was developed according to the Rand/UCLA Appropriateness Method, which integrates evidence review, in-person multidisciplinary expert panel meetings and repeated anonymous ratings for consensus building. The quality indicators were pilot-tested for overall face validity and feasibility in 15 specialist and 14 primary care rehabilitation units. Pass rates (percentages of “yes”) of the indicators were recorded in telephone interviews with 29 unit managers (structure indicators), and 164 patients (process and outcome indicators). Time use and participants’ numeric rating of face validity (0–10, 10 = high validity) were recorded. Results: Nineteen structure, 12 process and five outcome indicators were developed and piloted. Mean (range) sum pass rates for the structure, process and outcome indicators were 59%(84%), 66%(100%) and 84%(100%), respectively. Mean (range) face validity score for managers/patients was 8.3 (8)/7.9 (9), and mean answering time was 6.0/5.5 min. The final indicator set consists of 19 structure, 11 process and three outcome indicators. Conclusion: To our knowledge this is the first quality indicator set developed for rehabilitation of rheumatic and musculoskeletal diseases. Good overall face validity and a feasible format indicate a set suitable for monitoring quality in rehabilitation. The variation in pass rates between centers indicates a potential for quality improvement in rheumatic and musculoskeletal rehabilitation in Norway. Keywords: Rehabilitation, Musculoskeletal diseases, Quality indicators, Health care, Delphi technique © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
| Databáze: | OpenAIRE |
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