Appropriateness of admission to rehabilitation: definition of a set of criteria and rules through the application of the Delphi method.
Journal
European journal of physical and rehabilitation medicine
ISSN: 1973-9095
Titre abrégé: Eur J Phys Rehabil Med
Pays: Italy
ID NLM: 101465662
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
pubmed:
16
7
2020
medline:
3
3
2021
entrez:
16
7
2020
Statut:
ppublish
Résumé
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. The aim was to define clinical admission criteria and rules in rehabilitation medicine. Survey based on the application of the Delphi method on a sample of rehabilitation medicine experts. Administration of electronic online questionnaires concerning appropriateness of admission to intensive rehabilitation. 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. 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. 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. 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. 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.
Sections du résumé
BACKGROUND
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
OBJECTIVE
The aim was to define clinical admission criteria and rules in rehabilitation medicine.
DESIGN
METHODS
Survey based on the application of the Delphi method on a sample of rehabilitation medicine experts.
SETTING
METHODS
Administration of electronic online questionnaires concerning appropriateness of admission to intensive rehabilitation.
POPULATION
METHODS
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
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
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
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
CONCLUSIONS
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.
Identifiants
pubmed: 32667147
pii: S1973-9087.20.06148-1
doi: 10.23736/S1973-9087.20.06148-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM