Department of Vascular Surgery, Catharina Hospital, Eindhoven, the Netherlands.
ClaudicatioNet, Eindhoven, the Netherlands.
Phys Ther. 2022 Jan 1;102(1). doi: 10.1093/ptj/pzab249.
Routinely collected outcomes data can be used to improve physical therapy care through benchmarking, personalization, continued education, and treatment optimization. This article describes how a nationwide infrastructure to routinely collect data from daily practice was created and how these data were used through a support system (called the ClaudicatioNet Quality system) to improve physical therapy care for patients with intermittent claudication in the Netherlands. ClaudicatioNet is a nationwide network of 2100 specialized physical therapists, providing high-quality supervised exercise therapy in combination with lifestyle counseling. The ClaudicatioNet Quality system uses a large national registry in which specific relevant health outcomes have been routinely collected since 2015. These data have then been used in turn to assess quality of care and provide transparency to therapists and other stakeholders. The Quality system is intended to serve as a learning health system, to support continuous learning at the therapist, practice, and network level. In this approach, individual patients and physical therapists are provided with opportunities to personalize, benchmark, and evaluate (and possibly alter) a treatment plan using routinely collected data from historical patients. The Quality system is described based on the essential elements of a learning health system. The challenges and lessons learned in developing the Quality system also are described.
The use of routinely collected health outcomes can, if implemented correctly, facilitate continuous learning among physical therapists and contribute to person-centered care. This example of a learning health system might serve as a blueprint for physical therapists on how to optimally implement and distill meaning from routinely collected clinical data.
通过基准测试、个性化、继续教育和治疗优化，常规收集的结果数据可用于改善物理治疗护理。本文介绍了如何创建一个全国性的基础设施，以便从日常实践中常规收集数据，以及如何通过支持系统（称为 ClaudicatioNet 质量系统）来改善荷兰间歇性跛行患者的物理治疗护理。 ClaudicatioNet 是一个由 2100 名专业物理治疗师组成的全国性网络，提供高质量的监督运动治疗，并结合生活方式咨询。 ClaudicatioNet 质量系统自 2015 年以来一直在使用一个大型全国性登记处，其中常规收集了特定相关的健康结果。然后，这些数据用于评估护理质量，并为治疗师和其他利益相关者提供透明度。该质量系统旨在作为一个学习型健康系统，支持治疗师、实践和网络层面的持续学习。在这种方法中，为个体患者和物理治疗师提供了机会，通过来自历史患者的常规收集数据来个性化、基准测试和评估（并可能改变）治疗计划。本文基于学习型健康系统的基本要素来描述质量系统。还描述了在开发质量系统方面遇到的挑战和经验教训。
如果正确实施，常规收集的健康结果的使用可以促进物理治疗师之间的持续学习，并有助于实现以患者为中心的护理。这种学习型健康系统的示例可以作为物理治疗师的蓝图，说明如何最佳地实施并从常规收集的临床数据中得出意义。
