A framework to improve quality of hospital-based physiotherapy: a design-based research study

BMC Health Services Research

Research

Marjo J. M. Maas¹  Paul L. P. Brand²  Thomas J. Hoogeboom³  Philip J. van der Wees³  Rudi A. Steenbruggen⁴ 

[1] Institute of Allied Health Studies, HAN University of Applied Sciences, Nijmegen, the Netherlands Nijmegen, the Netherlands, Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Nijmegen, the Netherlands;Isala Hospital, Zwolle, the Netherlands, University of Groningen and University Medical Centre, Groningen, the Netherlands;Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Nijmegen, the Netherlands;School of Health, Physiotherapy, Saxion University of Applied Sciences, Enschede, the Netherlands, Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Nijmegen, the Netherlands, p/a Saxion, University of Applied Sciences, Postbus 70.000, 7500, Enschede, KB, the Netherlands;

关键词: Physiotherapy;    Hospital;    Quality;    Quality improvement;    Design-based research;   

DOI  :  10.1186/s12913-023-09062-x

 received in 2022-06-05, accepted in 2023-01-11,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundA quality framework for hospital-based physiotherapy is lacking. This study aims to design a framework, building on the currently available literature, to improve the quality of hospital-based physiotherapy.MethodsA multidisciplinary panel of six representatives of hospital-based physiotherapy and their key stakeholders (patients, medical specialists, hospital management and professional association) was set up. We used brainwriting to sample ideas and the ‘decision-matrix’ to select the best ideas.ResultsThe first round of brainwriting with an online panel of six experienced participants yielded consensus on seven possible methods for quality improvement of hospital-based physiotherapy [1]: continuing education [2] ,feedback on patient reported experience measures and patient reported outcome measures [3] ,a quality portfolio [4] ,peer observation and feedback [5] ,360 degree feedback [6] ,a management information system, and [7] intervision with intercollegiate evaluation. Placing these methods in a decision matrix against four criteria (measurability, acceptability, impact, accessibility) resulted in a slight preference for a management information system, with almost equal preference for five other methods immediately thereafter. The least preference was given to a 360-degree feedback.ConclusionsIn the design of a framework for improving the quality of hospital-based physiotherapy, all seven suggested methods were perceived as relevant but differed in terms of advantages and disadvantages. This suggests that, within the framework, a mixture of these methods may be desirable to even out respective advantages and disadvantages.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 1