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首页> 外文期刊>International Journal for Quality in Health Care >Evaluating quality indicators for physical therapy in primary care
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Evaluating quality indicators for physical therapy in primary care

机译：评估初级保健中物理治疗的质量指标

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Objective. To evaluate measurement properties of a set of public quality indicators on physical therapy. Design. An observational study with web-based collected survey data (2009 and 2010). Setting. Dutch primary care physical therapy practices. Participants. In 3743 physical therapy practices, 11 274 physical therapists reporting on 30 patients each. Main Outcome Measure(s). Eight quality indicators were constructed: screening and diagnostics (n = 2), setting target aim and subsequent of intervention (n= 2), administrating results (n = 1), global outcome measures (n = 2) and patient's treatment agreement (n= 1). Measurement properties on content and construct validity, reproducibility, floor and ceiling effects and interpret- ability of the indicators were assessed using comparative statistics and multilevel modeling. Results. Content validity was acceptable. Construct validity (using known group techniques) of two outcome indicators was acceptable; hypotheses on age, gender and chronic vs. acute care were confirmed. For the whole set of indicators reproducibility was approximated by correlation of 2009 and 2010 data and rated moderately positive (Spearman's ρ between 0.3 and 0.42 at practice level) and interpretability as acceptable, as distinguishing between patient groups was possible. Ceiling effects were assessed negative as they were high to extremely high (30% for outcome indicator 6-95% for administrating results). Conclusion. Weaknesses in data collection should be dealt with to reduce bias and to reduce ceiling effects by randomly extracting data from electronic medical records. More specificity of the indicators seems to be needed, and can be reached by focusing on most prevalent conditions, thus increasing usability of the indicators to improve quality of care.
机译：目的。评估一套有关物理治疗的公共质量指标的测量属性。设计。一项基于网络的收集调查数据的观察性研究（2009年和2010年）。设置。荷兰初级保健物理治疗实践。参加者在3743种物理疗法中，有11 274名物理治疗师，每人报告30例患者。主要观察指标）。构建了八个质量指标：筛查和诊断（n = 2），设定目标目标和随后的干预（n = 2），管理结果（n = 1），总体疗效指标（n = 2）和患者的治疗协议（n = 1）。使用比较统计和多级建模评估了含量和结构有效性，可重复性，地板和天花板效应以及指标的可解释性的测量特性。结果。内容有效性是可以接受的。两种结果指标的构建效度（使用已知的分组技术）是可以接受的;证实了关于年龄，性别和慢性与急性护理的假设。对于整个指标集，可重复性是通过2009年和2010年数据的相关性近似得出的，并被评为中度阳性（在实践水平上，Spearman的ρ在0.3到0.42之间）和可解释性可接受，因为可以区分患者组。天花板效果因其高到极高而被评估为阴性（对于结果指标，结果指标为30％，对于给药结果为6-95％）。结论。应通过从电子病历中随机抽取数据来处理数据收集中的不足，以减少偏差并减少上限影响。似乎需要指标的更多特异性，并且可以通过关注最普遍的状况来达到指标的更高的特异性，从而提高指标的可用性以改善护理质量。

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