Muscat Francesca, Camilleri Liberato, Attard Conrad, Lungaro Mifsud Stephen
Department of Physiotherapy, Faculty of Health Sciences, University of Malta, MSD 2090 Msida, Malta.
Statistics and Operations Research, Faculty of Science, University of Malta, MSD 2080 Msida, Malta.
J Clin Med. 2022 Dec 5;11(23):7230. doi: 10.3390/jcm11237230.
(1) Background: The importance of having an appropriate admissions system for geriatric rehabilitation is on the increase. However, the process of admitting patients to inpatient rehabilitation is a complex process. This is yet to be standardised across the European Union, as the approach to geriatric rehabilitation tends to vary from one Member State to another. (2) Objective: To discuss evidence-based practice with clinical experts, in order to define geriatric rehabilitation and admission criteria based on the Maltese population. (3) Method: The study entailed conducting four panel sessions using a purposive sample of thirteen local clinicians with extensive knowledge in clinical rehabilitation and healthcare management. A total of 48 items, based on the literature and clinical experience, were presented to the panel. Data analysis was done quantitatively and qualitatively, using IBM SPSS Statistics Version 24 and thematic analysis. (4) Results: The panel formulated a definition of rehabilitation, which shared common elements with the definition provided by the World Health Organization (WHO) and other sources/literature. The panel agreed on a list of eight criteria for appropriate inpatient geriatric rehabilitation admission in Malta. Consensus was also reached on: the need for a consultant-led multidisciplinary approach to assessment; the adoption of a standardised assessment processes for an equitable chance for all older adults assessed; the benefit of digital health in assessments; and the consideration that most patients would have some form of rehabilitation potential, depending on availability of resources. (5) Conclusion: Inpatient geriatric rehabilitation hospitals should have a unified strategy for rehabilitation services. The conclusions reached by the panel, could be useful in supporting the clinical evidence and establishing future rehabilitation guidelines and standards for inpatient rehabilitation.
(1) 背景:建立合适的老年康复住院系统的重要性日益增加。然而,将患者收治到住院康复机构的过程是一个复杂的过程。由于老年康复方法在欧盟各成员国之间往往存在差异,这一过程在整个欧盟尚未标准化。(2) 目的:与临床专家讨论循证实践,以便根据马耳他人口确定老年康复及收治标准。(3) 方法:该研究包括使用13名在临床康复和医疗管理方面具有丰富知识的当地临床医生的目的抽样进行4次小组会议。基于文献和临床经验,向小组提出了总共48项内容。使用IBM SPSS Statistics 24版进行定量和定性数据分析以及主题分析。(4) 结果:小组制定了康复的定义,该定义与世界卫生组织(WHO)及其他来源/文献提供的定义有共同要素。小组就马耳他合适的住院老年康复收治的八项标准达成了一致。还就以下方面达成了共识:需要采用由顾问主导的多学科评估方法;采用标准化评估流程,为所有接受评估的老年人提供公平机会;数字健康在评估中的益处;以及考虑到大多数患者根据资源可用性会有某种形式的康复潜力。(5) 结论:住院老年康复医院应制定统一的康复服务策略。小组得出的结论有助于支持临床证据,并为住院康复制定未来的康复指南和标准。