Queensland Aphasia Research Centre, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia.
Centre for Applied Health Economics, Menzies Health Institute Queensland, Griffith University, Brisbane, Australia.
Clin Rehabil. 2023 Sep;37(9):1248-1259. doi: 10.1177/02692155231157181. Epub 2023 Feb 13.
To explore how stakeholders in rehabilitation conceptualise 'successful rehabilitation', to inform the development of a minimum dataset and core outcomes for sub-acute rehabilitation.
Qualitative consensus study using the nominal group technique.
Online focus groups.
Consumer representatives ( = 7), clinicians ( = 15), and health service managers ( = 9) from Australia.
Participants responded to the question, 'What does successful rehabilitation look like?'. Following item generation, they prioritised their top five responses, allocating 100 points across items to denote relative importance.
Prioritised responses were analysed across stakeholder groups using qualitative content analysis.
Ten themes were identified. 'Successful rehabilitation' is: (1) person and family centred; (2) effective; (3) inter-professional; (4) accessible; (5) goal oriented with meaningful outcomes; (6) connected to the continuum of care; (7) evidence-based and supportive of innovation and research; (8) appropriately funded and skilled; (9) satisfying and engaging; and (10) safe.
Stakeholder-defined 'successful rehabilitation' aligned with principles of value-based care and evidence-based rehabilitation. Provision and receipt of person and family centred care was the most important indicator of successful rehabilitation. Measures of success should include indicators of structure, process, outcome, and experience, and be conducted at multiple time-points.
探讨康复利益相关者如何概念化“成功的康复”，以为亚急性康复制定最小数据集和核心结局提供信息。
使用名义群体技术的定性共识研究。
在线焦点小组。
来自澳大利亚的消费者代表（7 人）、临床医生（15 人）和卫生服务经理（9 人）。
参与者回答了“成功的康复是什么样子的？”这个问题。在项目生成后，他们对前五个回应进行了优先排序，为每个项目分配 100 分，以表示相对重要性。
使用定性内容分析对利益相关者群体的优先事项进行了分析。
确定了十个主题。“成功的康复”是：（1）以患者和家庭为中心；（2）有效；（3）跨专业；（4）可及；（5）以目标为导向，具有有意义的结果；（6）与连续护理相连接；（7）基于证据，支持创新和研究；（8）适当的资金和技能支持；（9）令人满意和参与；（10）安全。
利益相关者定义的“成功康复”与基于价值的护理和基于证据的康复原则一致。以患者和家庭为中心的护理的提供和接受是成功康复的最重要指标。成功的衡量标准应包括结构、过程、结果和体验的指标，并在多个时间点进行。
