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A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study

AIM: To estimate the comparability and discriminability of outcome-based quality indicators by performing a practice test in Dutch physical therapy primary care, and to select a core set of outcome-based quality indicators that are well accepted by physical therapists based on their perceived added...

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Autores principales: Verburg, Arie C., van Dulmen, Simone A., Kiers, Henri, Nijhuis-van der Sanden, Maria W.G., van der Wees, Philip J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Respiratory Society 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379355/
https://www.ncbi.nlm.nih.gov/pubmed/35983539
http://dx.doi.org/10.1183/23120541.00008-2022
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author Verburg, Arie C.
van Dulmen, Simone A.
Kiers, Henri
Nijhuis-van der Sanden, Maria W.G.
van der Wees, Philip J.
author_facet Verburg, Arie C.
van Dulmen, Simone A.
Kiers, Henri
Nijhuis-van der Sanden, Maria W.G.
van der Wees, Philip J.
author_sort Verburg, Arie C.
collection PubMed
description AIM: To estimate the comparability and discriminability of outcome-based quality indicators by performing a practice test in Dutch physical therapy primary care, and to select a core set of outcome-based quality indicators that are well accepted by physical therapists based on their perceived added value as a quality improvement tool. METHODS: First, a list of potential quality indicators was defined, followed by determination of the comparability (case-mix adjusted multilevel analysis) and discriminability (intraclass correlation coefficient (ICC)). Second, focus group meetings were conducted with stakeholders (physical therapists and senior researchers) to select a core set of quality indicators. RESULTS: Overall, 229 physical therapists from 137 practices provided 2651 treatment episodes. Comparability: in 10 of the 11 case-mix adjusted models, the ICC increased compared with the intercept-only model. Discriminability: the ICC ranged between 0.01 and 0.34, with five of the 11 ICCs being >0.10. The majority of physical therapists in each focus group preferred the inclusion of seven quality indicators in the core set, including three process and four outcome indicators based upon the 6-min walk test (6MWT), the Clinical COPD Questionnaire (CCQ), and the determination of quadriceps strength using a hand-held dynamometer. CONCLUSION: This is the first study to describe the comparability and discriminability of the outcome-based quality indicators selected for patients with COPD treated in primary care physical therapy practices. Future research should focus on increasing data collection in daily practice and on the development of tangible methods to use as the core set of a quality improvement tool.
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spelling pubmed-93793552022-08-17 A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study Verburg, Arie C. van Dulmen, Simone A. Kiers, Henri Nijhuis-van der Sanden, Maria W.G. van der Wees, Philip J. ERJ Open Res Original Research Articles AIM: To estimate the comparability and discriminability of outcome-based quality indicators by performing a practice test in Dutch physical therapy primary care, and to select a core set of outcome-based quality indicators that are well accepted by physical therapists based on their perceived added value as a quality improvement tool. METHODS: First, a list of potential quality indicators was defined, followed by determination of the comparability (case-mix adjusted multilevel analysis) and discriminability (intraclass correlation coefficient (ICC)). Second, focus group meetings were conducted with stakeholders (physical therapists and senior researchers) to select a core set of quality indicators. RESULTS: Overall, 229 physical therapists from 137 practices provided 2651 treatment episodes. Comparability: in 10 of the 11 case-mix adjusted models, the ICC increased compared with the intercept-only model. Discriminability: the ICC ranged between 0.01 and 0.34, with five of the 11 ICCs being >0.10. The majority of physical therapists in each focus group preferred the inclusion of seven quality indicators in the core set, including three process and four outcome indicators based upon the 6-min walk test (6MWT), the Clinical COPD Questionnaire (CCQ), and the determination of quadriceps strength using a hand-held dynamometer. CONCLUSION: This is the first study to describe the comparability and discriminability of the outcome-based quality indicators selected for patients with COPD treated in primary care physical therapy practices. Future research should focus on increasing data collection in daily practice and on the development of tangible methods to use as the core set of a quality improvement tool. European Respiratory Society 2022-08-15 /pmc/articles/PMC9379355/ /pubmed/35983539 http://dx.doi.org/10.1183/23120541.00008-2022 Text en Copyright ©The authors 2022 https://creativecommons.org/licenses/by-nc/4.0/This version is distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. For commercial reproduction rights and permissions contact permissions@ersnet.org (mailto:permissions@ersnet.org)
spellingShingle Original Research Articles
Verburg, Arie C.
van Dulmen, Simone A.
Kiers, Henri
Nijhuis-van der Sanden, Maria W.G.
van der Wees, Philip J.
A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study
title A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study
title_full A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study
title_fullStr A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study
title_full_unstemmed A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study
title_short A practice test and selection of a core set of outcome-based quality indicators in Dutch primary care physical therapy for patients with COPD: a cohort study
title_sort practice test and selection of a core set of outcome-based quality indicators in dutch primary care physical therapy for patients with copd: a cohort study
topic Original Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9379355/
https://www.ncbi.nlm.nih.gov/pubmed/35983539
http://dx.doi.org/10.1183/23120541.00008-2022
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