Table 3 Expected and observed change scores for quality indicators
a. Changes in median total pass rates | |||||
Hypo-theses | Confirmed direction1 of change | Expected magnitude of change | Observed magnitude of change | Confirmed hypothesis | |
Structural QIs (center-reported, n = 8) | Htotal 1 | yes | moderate to high | high | 1/1 |
Process and outcome QIs (patient-reported, n = 132–161) | Htotal 2 | yes | small to moderate | small | 1/1 |
Process QIs in subgroups (subgroup1 = inflammatory rheumatic disease, n = 74–114) (subgroup2 = fibromyalgia or chronic widespread pain, n = 14–40) | Htotal 3 | yes | small to moderate (both groups) | small (both groups) | 1/1 |
Outcome QIs in subgroups (subgroup1 = inflammatory rheumatic disease, n = 74–114) (subgroup2 = fibromyalgia or chronic widespread pain, n = 14–40) | Htotal 4 | yes | zero to small | zero (subgroup1) moderate (subgroup2) | 0/1 |
IN TOTAL (changes in median total pass rates) | 3/4 confirmed | ||||
b. Changes in single items pass rates | |||||
Structural QIs (center-reported, marked C) Process QIs (patient-reported, marked P) | Hypo-theses | Confirmed direction1 of change | Expected magnitude of change | Observed magnitude of change | Confirmed hypothesis |
Patient participation in goal setting and rehabilitation process | |||||
C01. P shall participate in setting rehab goals. | Hsingle 1 | yes | All (100%) | All (100%) | |
Hsingle 2 | yes | small to moderate | moderate | 2/2 | |
P04. Were you actively involved in setting goals for the rehab period? | Hsingle 3 | Yes | Similar or small | small | 1/1 |
C02. P shall participate in planning his/her own rehab process. | Hsingle 4 | yes | All (100%) | All (100%) | |
Hsingle 6 | yes | small to moderate | moderate | 2/2 | |
C03. A template is used to prepare an individual rehab plan for P. | Hsingle 5 | yes | All (100%) | All (100%) | |
Hsingle 7 | yes | small to moderate | high | 1/2 | |
P03. Was a written plan developed for the rehab period (comprising your rehab goals, what you should practice, etc.)? | Hsingle 8 | Yes | moderate | small | 0/1 |
P05. Were you actively involved in preparing the written rehab plan? | Hsingle 9 | Yes | moderate | small | 0/1 |
C04. P shall participate in evaluating his/her ongoing process. | Hsingle 13 | yes | All (100%) | All (100%) | |
Hsingle 14 | yes | small to moderate | high | 1/2 | |
C05. There are at least two meetings between P and the teama. | Hsingle 10 | yes | All (100%) | All (100%) | |
Hsingle 11 | yes | small to moderate | small | 2/2 | |
P06. Did you participate in at least two meetings with the teama at which your goal(s) and goal attainment so far were discussed? | Hsingle 12 | Yes | moderate | small | 0/1 |
Follow-up plan and continuity across levels of care | |||||
C09. P shall participate in preparing a specific written follow-up plan (aside from the epicrisis) for the follow-up process after the rehab period. This plan shall also include P’s own efforts to maintain or improve function/health. | Hsingle 15 | yes | All (100%) | All (100%) | |
Hsingle 16 | yes | small to moderate | high | 1/2 | |
C10. If there is a need for health care support after the rehab period, the relevant personnel are to be informed about the plan or participate in the development of the follow-up plan. | Hsingle 17 | yes | All (100%) | All (100%) | |
Hsingle 18 | yes | moderate to high | high | 2/2 | |
P09. Was a written plan developed for the period after rehab, including what you were expected to work on yourself? | Hsingle 19 | Yes | small to moderate | moderate | 1/1 |
P10. (if “yes” to q. 7): Did you participate in developing the plan (in q. 7)? | Hsingle 20 | Yes | small to moderate | small | 1/1 |
P11. As part of this plan, were you consulted about whether you needed follow-up from external personnel after the rehab period? | Hsingle 21 | Yes | small to moderate | moderate | 1/1 |
C06. P is asked before meetings if he/she wants his/her next of kin to attend any of the meetings. | Hsingle 22 | yes | All (100%) | All (100%) | |
Hsingle 23 | yes | zero to small | zero | 2/2 | |
P07. Were you asked if you wanted your next of kin to attend any of the meetings? | Hsingle 24 | Yes | zero to small | small | 1/1 |
C07. P is asked before meetings if he/she wants some of the professionalsb he/she will relate to after the rehab to attend any of the meetings. | Hsingle 25 | n.a. | All (100%) | n.a. | n.a. |
Hsingle 26 | yes | zero to small | small | 1/1 | |
P08. Were you asked if you wanted external personnelb to attend any of the meetings? | Hsingle 27 | Yes | zero to small | small | 1/1 |
Structural QIs (center-reported, marked C) Process QIs (patient-reported, marked P) | Hypo-theses | Confirmed direction1 of change | Expected magnitude of change | Observed magnitude of change | Confirmed hypothesis |
Assessment, outcomes, and time-points of evaluation | |||||
P01. Were your health condition and life situation assessed during the first days of your rehab period? | Hsingle 28 | Yes | zero to small | small | 1/1 |
P02. (if “yes” to q. 1): Did the assessments (in q. 1) include both a physical examination, and q.about mental, and social conditions, network, home situation and – if relevant – your work situation? | Hsingle 29 | Yes | zero to small | small | 1/1 |
C08. The rehab unit uses reliablec questionnaires and/or functional tests to assess physical, mental, and/or social conditions. | Hsingle 30 | yes | All (100%) | All (100%) | 1/1 |
Hsingle 34 | n.a. | All (100%) | n.a. | n.a. | |
Hsingle 38 | n.a. | small to moderate | n.a. | n.a. | |
P’s goal/goal attainment is to be assessed … | |||||
C11. … with a reliable instrument | Hsingle 31 | yes | All (100%) | All (100%) | |
Hsingle 35 | yes | All (100%) | All (100%) | ||
Hsingle 39 | yes | moderate to high | high | 3/3 | |
C12. … at the beginning and the end of the rehab period | Hsingle 42 | yes | All (100%) | All (100%) | |
Hsingle 45 | yes | All (100%) | All (100%) | ||
Hsingle 48 | yes | moderate to high | small | 2/3 | |
C13. … 3–6 months after the rehab period | Hsingle 51 | yes | All (100%) | All (100%) | |
Hsingle 54 | yes | All (100%) | All (100%) | ||
Hsingle 57 | yes | moderate to high | high | 3/3 | |
P’s function is to be registered … | |||||
C14. … using a reliable instrument | Hsingle 32 | yes | All (100%) | All (100%) | 1/1 |
Hsingle 36 | n.a. | All (100%) | n.a. | n.a. | |
Hsingle 40 | n.a. | small | n.a. | n.a. | |
C15. … at the beginning and the end of the rehab period | Hsingle 43 | yes | All (100%) | All (100%) | 1/1 |
n.a. | |||||
Hsingle 46 | n.a. | All (100%) | n.a. | n.a. | |
Hsingle 49 | small | n.a. | n.a. | ||
C16. … 3–6 months after the rehab period | Hsingle 52 | n.a. | All (100%) | n.a. | n.a. |
Hsingle 55 | yes | All (100%) | All (100%) | ||
Hsingle 58 | yes | moderate to | high | 2/2 | |
P’s health-related quality of life is to be assessed … | |||||
C17. … using a reliable instrument | Hsingle 33 | yes | All (100%) | All (100%) | |
Hsingle 37 | yes | All (100%) | All (100%) | 3/3 | |
Hsingle 41 | yes | moderate to high | high | ||
C18. … at the beginning and the end of the rehab period | Hsingle 44 | yes | All (100%) | All (100%) | |
Hsingle 47 | yes | All (100%) | All (100%) | ||
Hsingle 50 | yes | moderate to high | high | 3/3 | |
C19. … 3–6 months after the rehabperiod | Hsingle 53 | n.a. | All (100%) | n.a. | n.a. |
Hsingle 56 | yes | All (100%) | All (100%) | ||
Hsingle 59 | yes | moderate to high | high | 2/2 | |
As a result of the rehab | |||||
P12. … have you achieved one or several goals that are important to you? | Hsingle 60 | No | zero to small | small | 0/1 |
P13. … have you achieved an improvement in your physical, mental, and/or social functioning that is important to you? | Hsingle 61 | Yes | zero to small | small | 1/1 |
P14. … do you think your quality of life has improved? | Hsingle 62 | No | zero to small | small | 0/1 |
IN TOTAL (changes in single item scores) | 44/53 confirmed | ||||