Rehabilitation Medicine, Institute for Neuroscience and Physiology,, University of Gothenburg, Per Dubbsgatan 14 3rd Floor, SU/Sahlgrenska, SE-413 45 Gothenburg, Sweden.
J Rehabil Med. 2014 Nov;46(10):958-62. doi: 10.2340/16501977-1886.
The healthcare sector needs to deliver evidence-based care and be cost-effective. This can be monitored in part via a national quality registry containing individualized data concerning patient problems, medical interventions, outcomes of treatment, and patient-reported outcomes. With this aim, WebRehab Sweden was launched in 1997 and has been available online since 2007. The aim of this paper is to discuss the design, some results, and possible use of such a registry.
Data entered into the registry online since 2007 were used in this paper. The registry contains information from 7,458 patients. Data from the first 3 years were used to show differences between genders and among diagnostic groups. Non-parametric statistics were used to analyse the differences between groups.
The registry coverage of the country is 95%, and completeness is 81%. Data from hospitals/units have been accessible to the general public since 2009, but no data from individuals can be accessed. Length of stay has varied over the years, becoming significantly shorter between 2007 and 2012.
A quality registry presents an opportunity to improve rehabilitation processes at participating units, provides data for use in benchmarking between units, and enables hospital management to utilize resources wisely.
医疗保健行业需要提供基于证据的护理并具有成本效益。这可以通过包含有关患者问题、医疗干预、治疗结果和患者报告结果的个体数据的国家质量登记处部分监测。为此，WebRehab Sweden 于 1997 年成立，并自 2007 年以来一直在线提供服务。本文旨在讨论此类登记处的设计、部分结果和可能的用途。
本文使用了自 2007 年以来在线输入到登记处的数据。该登记处包含来自 7458 名患者的信息。使用前 3 年的数据来显示性别和诊断组之间的差异。使用非参数统计来分析组间差异。
该登记处对全国的覆盖率为 95%，完整性为 81%。自 2009 年以来，公众可以访问医院/单位的数据，但无法访问个人数据。住院时间多年来有所变化，2007 年至 2012 年间显著缩短。
质量登记处为改善参与单位的康复过程提供了机会，为单位之间的基准比较提供了数据，并使医院管理层能够明智地利用资源。
