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[神经康复诊所的结构质量]

[Structural quality of neurologic rehabilitation clinics].

作者信息

Glattacker M, Klein K, Farin E, Jäckel W H

机构信息

Abteilung Qualitätsmanagement und Sozialmedizin, Universitätsklinikum Freiburg.

出版信息

Nervenarzt. 2005 Apr;76(4):453-61. doi: 10.1007/s00115-004-1794-4.

Abstract

BACKGROUND

In 2003, criteria for assessing the structural quality of rehabilitation units for inpatient treatment were developed in cooperation with the German statutory pension insurance and health insurance. The aim of this study was to assess this quality using predefined valuation criteria and to test their applicability.

METHODS

In the context of the Quality Assurance Programme for Rehabilitation provided by the German statutory health insurance, the structural quality of 18 neurological rehabilitation units was assessed applying the criteria for the first time.

RESULTS

On average, the 18 rehabilitation units fulfilled 93.9% of the basic criteria. Despite this high proportion, variability in the degree of realisation in the individual rehabilitation units could be demonstrated. The basic criteria are realistic in respect to the structural requirements, without leveling out the differences between the centres.

CONCLUSION

Assessing the structural quality of rehabilitation units on the basis of defined standards allows for a benchmark between units as well as for improvements within the individual units.

摘要

背景

2003年,与德国法定养老保险和健康保险合作制定了住院治疗康复单元结构质量评估标准。本研究的目的是使用预先定义的评估标准评估这种质量,并测试其适用性。

方法

在德国法定健康保险提供的康复质量保证计划的背景下,首次应用这些标准对18个神经康复单元的结构质量进行评估。

结果

平均而言,18个康复单元满足了93.9%的基本标准。尽管这一比例很高,但可以证明各个康复单元在实现程度上存在差异。基本标准在结构要求方面是现实的,并没有消除各中心之间的差异。

结论

根据既定标准评估康复单元的结构质量,既可以在各单元之间进行基准比较,也可以促进单个单元的改进。

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