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European Journal of Physical and Rehabilitation Medicine 2020 Jul 15

DOI: 10.23736/S1973-9087.20.06148-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Appropriateness of admission to rehabilitation: definition of a set of criteria and rules through the application of the Delphi method

Andrea MERLO 1, 2, 3, Francesca RODÀ 2, 4, Davide CARNEVALI 5 , Niccolò PRINCIPI 5, Ludovico GRIMOLDI 5, Francesco AUXILIA 6, 7, Francesco LOMBARDI 8, Maurizio MAINI 9, Rodolfo BRIANTI 2, Silvana CASTALDI 6, 7

1 Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, LAM-Motion Analysis Laboratory, San Sebastiano Hospital, Correggio, Reggio Emilia, Italy; 2 Rehabilitation Medicine Service, Rehabilitation Geriatrics Department of the NHS-University Hospital of Parma, Parma, Italy; 3 Gait and Motion Analysis Laboratory, Sol et Salus Hospital, Rimini, Italy; 4 Department of Medicine and Surgery, University of Parma, Parma, Italy; 5 Postgraduate School in Public Health, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; 6 Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; 7 Fondazione IRCCS Ca’ Granda Ospedale Maggiore di Milano, Milan, Italy; 8 Neuromotor and Rehabilitation Department, Azienda USL-IRCCS di Reggio Emilia, Neurorehabilitation Unit, San Sebastiano Hospital, Correggio, Reggio Emilia, Italy; 9 San Giacomo Hospital, Ponte dell'Olio, Piacenza, Italy


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BACKGROUND: Controlling inappropriateness of care is an essential issue, especially in rehabilitation medicine. In fact, admitting a patient to a rehabilitation hospital or unit is a complex decision also due to the absence of shared and objective admission criteria.
AIM: To define clinical admission criteria and rules in rehabilitation medicine.
DESIGN: Survey based on the application of the Delphi method on a sample of rehabilitation medicine experts.
SETTING: Administration of electronic on-line questionnaires concerning appropriateness of admission to intensive rehabilitation.
POPULATION: Volunteer sample of 53 experts with the following inclusion criteria: being members of the Italian Society of Physical Medicine and Rehabilitation, having practical experience in the research field, agreeing to the confidentiality of the information and being skilled in both rehabilitation and healthcare organization.
METHODS: A three-round Delphi survey was conducted according to international guidelines. The two initial rounds consisted of an electronic online questionnaire while in the third one a report of the results was provided to the participants. The experts had to score their agreement with each item in the questionnaires, based on either a Likert scale or a dichotomous statement. Consensus between the experts was assessed.
RESULTS: A total of 53 health professionals completed the Delphi survey. 19 out of 20 Italian regions were represented. The first round consisted of 8 multiple-choice questions. The second round was designed according to the suggestions provided by the panelists in the previous one and consisted of a twelve items questionnaire. At the end of the survey, seven criteria of appropriateness of admission to rehabilitation were identified and five rules defining an appropriate admission to a rehabilitation facility were elaborated.
CONCLUSIONS: This study represents an attempt to create a worthwhile and reliable tool for a more conscious clinical practice in admission to rehabilitation, based on a set of shared criteria and rules.
CLINICAL REHABILITATION IMPACT: To increase appropriateness of admission to rehabilitation. Improving appropriateness in healthcare delivery must be a primary goal in order to improve healthcare quality, save money and ensure system sustainability.


KEY WORDS: Patient admission; Rehabilitation; Delphi Method

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