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dc.contributor.authorJohansen, Inger
dc.contributor.authorKlokkerud, Mari
dc.contributor.authorAnke, Audny
dc.contributor.authorBørke, Janne-Birgitte
dc.contributor.authorGlott, Thomas
dc.contributor.authorHauglie, Uno
dc.contributor.authorHøyem, Audhild
dc.contributor.authorKlovning, Atle
dc.contributor.authorLande, Karin Anna
dc.contributor.authorLarsen, Mona
dc.contributor.authorNordvik, Jan Egil
dc.contributor.authorWigers, Sigrid Hørven
dc.contributor.authorØyeflaten, Irene Larsen
dc.contributor.authorHagen, Kåre Birger
dc.contributor.authorKjeken, Ingvild
dc.date.accessioned2019-10-07T14:51:55Z
dc.date.available2019-10-07T14:51:55Z
dc.date.issued2019-04-29
dc.description.abstract<p><i>Background - </i>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. <p><i>Methods - </i>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. <p><i>Results - </i>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. <p><i>Conclusion - </i>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.en_US
dc.description.sponsorshipNorwegian Health Directorateen_US
dc.descriptionSource at <a href=https://doi.org/10.1186/s12913-019-4091-4>https://doi.org/10.1186/s12913-019-4091-4</a>.en_US
dc.identifier.citationJohansen, I., Klokkerud, M., Anke, A., Børke, J.B., Glott, T., Hauglie, U., ... Kjeken, I. (2019). A quality indicator set for use in rehabilitation team care of people with rheumatic and musculoskeletal diseases; Development and pilot testing. <i>BMC Health Services Research, 19</i>, 265. https://doi.org/10.1186/s12913-019-4091-4en_US
dc.identifier.cristinIDFRIDAID 1705546
dc.identifier.doi10.1186/s12913-019-4091-4
dc.identifier.issn1472-6963
dc.identifier.urihttps://hdl.handle.net/10037/16347
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Health Services Research
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Physical medicine and rehabilitation: 764en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Fysikalsk medisin og rehabilitering: 764en_US
dc.subjectRehabilitationen_US
dc.subjectMusculoskeletal diseasesen_US
dc.subjectQuality indicatorsen_US
dc.subjectHealth careen_US
dc.subjectDelphi techniqueen_US
dc.titleA quality indicator set for use in rehabilitation team care of people with rheumatic and musculoskeletal diseases; development and pilot testingen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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