Rehabilitation Medicine, Umeå University, Umeå, Sweden.
J Rehabil Med. 2011 Jan;43(1):50-7. doi: 10.2340/16501977-0631.
In order to facilitate comparisons of pain rehabilitation programmes in Sweden and to enable audit spirals for single programmes as well as outcome studies, the Swedish Association for Rehabilitation Medicine initiated a national quality registry in 1995.
Referred for rehabilitation due to pain-related disability.
The registry collects standardized self-reports before assessment, after rehabilitation and one year later, covering demographic, educational and psychometric data, pain intensity, physical disability and life satisfaction. Sick leave data are collected from the National Insurance Board before and up to two years after rehabilitation. At each programme unit self-reports are processed into individual assessment profiles relevant to plan rehabilitation. Data are sent annually to the central registry for analysis and compared with "return to work" data. Each unit can compare its results with national means.
The organization of the registry is described. Data indicating that contextual factors, but not pain characteristics, depression or activity limitations vary between patients referred to different centres, makes comparisons difficult. As of 2007, data from the multidisciplinary assessment of 19,833 patients have been collected. A total of 7289 patients attended a rehabilitation programme, generating two more self-reports. A limitation of the study is a lack of follow-up data from some units.
为了便于比较瑞典的疼痛康复计划，并能够对单个计划进行审核循环和结果研究，瑞典康复医学协会于 1995 年启动了一个国家质量登记处。
因疼痛相关残疾而转介进行康复。
该登记处收集评估前、康复后和一年后的标准化自我报告，涵盖人口统计学、教育和心理计量学数据、疼痛强度、身体残疾和生活满意度。病假数据从国家保险委员会收集，在康复前和康复后两年内。在每个计划单位，自我报告被处理成与计划康复相关的个人评估档案。数据每年发送到中央登记处进行分析，并与“重返工作”数据进行比较。每个单位都可以将其结果与国家平均值进行比较。
描述了登记处的组织情况。数据表明，转介到不同中心的患者之间存在差异，而不是疼痛特征、抑郁或活动限制等因素，这使得比较变得困难。截至 2007 年，已经收集了来自 19833 名患者的多学科评估数据。共有 7289 名患者参加了康复计划，又产生了两份自我报告。该研究的一个局限性是一些单位缺乏随访数据。
