Department of Rehabilitation Medicine, Hannover Medical School, 30625-Hannover, Germany.
Research Centre for Habilitation and Rehabilitation Models and Services (CHARM), Institute of Health and Society, Faculty of Medicine.
J Rehabil Med. 2022 May 11;54:jrm00265. doi: 10.2340/jrm.v54.2033.
To identify the most important categories of the International Classification of Service Organization in Rehabilitation (ICSO-R 2.0) for a minimum reporting data set.
A 2-step Delphi survey was used. Rehabilitation experts from all world regions including physicians, nurses, neuropsychologists, physiotherapists, and others, were invited to participate. In the first round, all participants were asked to rate the categories and subcategories of the ICSOR 2.0 with the following criteria: Being relevant for study outcomes; Being distinctive among different rehabilitation settings; Being feasible to use and reported by objective figures or other clear characterization. All categories that were rated relevant, distinctive and feasible by more than 60% of respondents from the first round were included in the second round.
The most important and relevant factors for the minimum reporting set in rehabilitation services regarding the provider were: human resources, context, technical resources, quality assurance and management, location of provider, and ownership. Regarding the service delivery, the most important and relevant factors were: target group, rehabilitation team, aspect of time and intensity, setting, location of service delivery, modes of referral, facility and reporting and documentation.
Several categories were identified, and reduction in these through discussions and iterative voting at workshops and consensus conferences is needed before finalizing the reporting set.
确定康复服务组织国际分类（ICSO-R 2.0）中对于最小报告数据集最重要的类别。
采用了两步德尔菲调查法。邀请了来自世界各地的康复专家，包括医生、护士、神经心理学家、物理治疗师等参与。在第一轮中，要求所有参与者根据以下标准对 ICSOR 2.0 的类别和子类别进行评分：与研究结果相关；在不同的康复环境中有区别；使用客观数据或其他明确特征具有可行性并可报告。在第一轮中，有超过 60%的受访者认为相关、有区别且可行的所有类别都被纳入了第二轮。
在康复服务方面，对于提供商来说，最小报告集中最重要和最相关的因素是：人力资源、背景、技术资源、质量保证和管理、提供商的位置和所有权。在服务提供方面，最重要和最相关的因素是：目标群体、康复团队、时间和强度方面、设置、服务提供地点、转诊方式、设施以及报告和文件。
已经确定了一些类别，在最终确定报告集之前，需要通过研讨会和共识会议进行讨论和迭代投票来减少这些类别。
