Development of a Standard Set of Outcome Domains and Proposed Measures for Chronic Obstructive Pulmonary Disease in Primary Care Physical Therapy Practice in the Netherlands: a Modified RAND/UCLA Appropriateness Method
Arie C Verburg,1 Simone A van Dulmen,1 Henri Kiers,2,3 Jan HL Ypinga,4 Maria WG Nijhuis-van der Sanden,1 Philip J van der Wees1 1Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, Netherlands; 2Utrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, Netherlands; 3Association for Quality in Physical Therapy (SKF), Zwolle, Netherlands; 4CZ Healthcare Insurance, Tilburg, NetherlandsCorrespondence: Arie C VerburgRadboud University Medical Center, 114 IQ Healthcare, PO Box 9101, Nijmegen 6500 HB, NetherlandsTel +31-243668... Mehr ...
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Dokumenttyp: | Original Research |
Erscheinungsdatum: | 2019 |
Verlag/Hrsg.: |
Dove Press
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Schlagwörter: | International Journal of Chronic Obstructive Pulmonary Disease |
Sprache: | Englisch |
Permalink: | https://search.fid-benelux.de/Record/base-27193981 |
Datenquelle: | BASE; Originalkatalog |
Powered By: | BASE |
Link(s) : | https://www.dovepress.com/development-of-a-standard-set-of-outcome-domains-and-proposed-measures-peer-reviewed-fulltext-article-COPD |
Arie C Verburg,1 Simone A van Dulmen,1 Henri Kiers,2,3 Jan HL Ypinga,4 Maria WG Nijhuis-van der Sanden,1 Philip J van der Wees1 1Radboud University Medical Center, Radboud Institute for Health Sciences, IQ Healthcare, Nijmegen, Netherlands; 2Utrecht University of Applied Sciences, Institute of Human Movement Studies, Utrecht, Netherlands; 3Association for Quality in Physical Therapy (SKF), Zwolle, Netherlands; 4CZ Healthcare Insurance, Tilburg, NetherlandsCorrespondence: Arie C VerburgRadboud University Medical Center, 114 IQ Healthcare, PO Box 9101, Nijmegen 6500 HB, NetherlandsTel +31-243668198Fax +31-243540166Email koen.verburg@radboudumc.nlBackground: Standardization of measures in a common set opens the opportunity to learn from differences in treatment outcomes which can be used for improving the quality of care. Furthermore, a standard set can provide the basis for development of quality indicators and is therefore useful for quality improvement and public reporting purposes. The aim of this study was to develop a standard set of outcome domains and proposed measures for patients with COPD in Dutch primary care physical therapy practice, including a proposal to stratify patients in subgroups.Material and methods: A consensus-driven modified RAND-UCLA appropriateness method was conducted with relevant stakeholders (patients, physical therapists, researchers, policy makers and health insurers) in Dutch primary physical therapy care in eight steps: (1) literature search, (2) first online survey, (3) patient interviews, (4) expert meeting, resulting in a concept standard set and methods to identify subgroups’ (5) consensus meeting, (6) expert meeting (7) second online survey and (8) final approval of an advisory board resulting of the approved standard set.Results: Five outcome domains were selected for COPD: physical capacity, muscle strength, physical activity, dyspnea and quality of life. A total of 21 measures were rated and discussed. Finally, eight measures were included, of which four mandatory ...