Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study
<strong>Objective: </strong>To describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health se...
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doaj-f674381a875648cc872071b743bc4cc22020-11-24T21:33:09ZengUbiquity PressInternational Journal of Integrated Care1568-41562015-12-0115410.5334/ijic.22002071Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation studyMarije S. HolstegeMonique A.A. CaljouwIneke G. ZekveldRomke van BalenAafke J. de GrootJolanda C.M. van HaastregtJos M.G.A. ScholsCees M.P.M HertoghJacobijn GusseklooWilco P. Achterberg<strong>Objective: </strong>To describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health service delivery processes. <strong>Study setting: </strong>Sixteen skilled nursing facilities. <strong>Study design: </strong>Prospective study, comparing three consecutive cohorts. <strong>Data collection: </strong>Professionals (elderly care physicians, physiotherapists and nursing staff) rated four domains of health service delivery at admission and at discharge of 1075 patients. In addition, these patients [median age 79 (Interquartile range 71–85) years, 63% females] and their informal caregivers rated their experiences on these domains 4 weeks after discharge. <strong>Principal findings: </strong>During the three consecutive cohorts, professionals reported improvement on the domain team cooperation, including assessment for intensive treatment and information transfer among professionals. Fewer improvements were reported within the domains alignment with patients’ needs, care coordination and care quality. Between the cohorts, according to patients (<span class="italic">n</span> = 521) and informal caregivers (<span class="italic">n</span> = 319) there were no changes in the four domains of health service delivery. <strong>Conclusion: </strong>This national programme resulted in small improvements in team cooperation as reported by the professionals. No effects were found on patients’ and informal caregivers’ perceptions of health service delivery.http://www.ijic.org/articles/2200geriatric rehabilitationhealth service deliverynational programmequality of carecare process |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marije S. Holstege Monique A.A. Caljouw Ineke G. Zekveld Romke van Balen Aafke J. de Groot Jolanda C.M. van Haastregt Jos M.G.A. Schols Cees M.P.M Hertogh Jacobijn Gussekloo Wilco P. Achterberg |
spellingShingle |
Marije S. Holstege Monique A.A. Caljouw Ineke G. Zekveld Romke van Balen Aafke J. de Groot Jolanda C.M. van Haastregt Jos M.G.A. Schols Cees M.P.M Hertogh Jacobijn Gussekloo Wilco P. Achterberg Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study International Journal of Integrated Care geriatric rehabilitation health service delivery national programme quality of care care process |
author_facet |
Marije S. Holstege Monique A.A. Caljouw Ineke G. Zekveld Romke van Balen Aafke J. de Groot Jolanda C.M. van Haastregt Jos M.G.A. Schols Cees M.P.M Hertogh Jacobijn Gussekloo Wilco P. Achterberg |
author_sort |
Marije S. Holstege |
title |
Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study |
title_short |
Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study |
title_full |
Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study |
title_fullStr |
Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study |
title_full_unstemmed |
Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study |
title_sort |
changes in geriatric rehabilitation: a national programme to improve quality of care. the synergy and innovation in geriatric rehabilitation study |
publisher |
Ubiquity Press |
series |
International Journal of Integrated Care |
issn |
1568-4156 |
publishDate |
2015-12-01 |
description |
<strong>Objective: </strong>To describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health service delivery processes. <strong>Study setting: </strong>Sixteen skilled nursing facilities. <strong>Study design: </strong>Prospective study, comparing three consecutive cohorts. <strong>Data collection: </strong>Professionals (elderly care physicians, physiotherapists and nursing staff) rated four domains of health service delivery at admission and at discharge of 1075 patients. In addition, these patients [median age 79 (Interquartile range 71–85) years, 63% females] and their informal caregivers rated their experiences on these domains 4 weeks after discharge. <strong>Principal findings: </strong>During the three consecutive cohorts, professionals reported improvement on the domain team cooperation, including assessment for intensive treatment and information transfer among professionals. Fewer improvements were reported within the domains alignment with patients’ needs, care coordination and care quality. Between the cohorts, according to patients (<span class="italic">n</span> = 521) and informal caregivers (<span class="italic">n</span> = 319) there were no changes in the four domains of health service delivery. <strong>Conclusion: </strong>This national programme resulted in small improvements in team cooperation as reported by the professionals. No effects were found on patients’ and informal caregivers’ perceptions of health service delivery. |
topic |
geriatric rehabilitation health service delivery national programme quality of care care process |
url |
http://www.ijic.org/articles/2200 |
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