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Table 2 Main themes of quality and corresponding quality domains. Results of the first two voting rounds

From: A quality indicator set for use in rehabilitation team care of people with rheumatic and musculoskeletal diseases; development and pilot testing

Main themes of quality and corresponding references

Proposed quality domains

Ratinge

Cate-gory

Facilities and equipment [15] [25, 29,30,31]

Arena, universal design

 

Sa

Environment

  

focus on rehabilitation

 

S

stimulating, supportive, accessible

 

S

Equipment

  

appropriate and sufficient

 

S

of high quality

 

S

Rehabilitation professionals; education, training and experience, skills, dedication and motivation, staffing ratio [15, 25, 29,30,31,32]

Minimum number of professions

 

S

Access to professions outside ordinary staff

 

S

Adequate staffing

 

Pb

Admission an discharge criteria [15, 25, 31, 33]

Admission criteria

 

S

Discharge criteria

 

S

Defined patient target group

*

S

Systematic biopsychosocial assessment of the patient [15, 20, 25, 29,30,31, 34, 35]

Use of

  

validated assessment instruments

*

S

instruments covering physical, mental and social aspects

*

P

Multi professional assessment at

  

admission

 

S

discharge

 

S

Bio-psycho-social assessment at

  

admission

 

S

discharge

 

S

Initial bio-psycho-social assessment

**

P

The intervention; patient education, exercises, assistive devices, medication. User involvement in the rehabilitation process [15, 20, 25, 29,30,31, 34,35,36]

Procedure for patient participation in

  

planning and evaluating the

**

S

rehabilitation process

  

goal setting

**

S

Patient participated in

  

planning the intervention

**

P

goal setting

**

P

Procedure for

  

individual written rehabilitation plan

**

S

regular team meetings with patients

*

S

written individual plan for follow-up

*

S

Patient received

  

a written rehabilitation plan

**

P

a written individual plan for follow-up

*

P

Weekly evaluation of the rehabilitation plan

 

P

Team meetings with possibility for the patient, next of kin and external personnel to participate

*

P

Length of rehabilitation stay

 

P

Health Related Quality of Life

Restored or improved function in ADL

Ability to return to pre-event dwelling

Successful involvement in school, work, leisure and social activities [25, 29, 31, 34, 37, 38]

Improvement in HRQoLd

*

Oc

Improvement in function

**

O

Goal attainment

**

O

Satisfied with the rehabilitation

*

O

Health complications or negative events

*

O

  1. aStructure b Process c Outcome d Health Related Quality of Life e the quality domains are marked according to the results of the ratings, round 1 and 2: ** Appropriate * Uncertain. Not marked: Inappropriate