Download
s12883-021-02092-0.pdf 1,06MB
WeightNameValue
1000 Titel
  • Quality measurement of out-patient neuropsychological therapy after stroke in Germany: definition of indicators and retrospective pilot study
1000 Autor/in
  1. Padberg, Inken |
  2. Heel, S. |
  3. Thiem, P. |
  4. Diebel, A. |
  5. Mordhorst, E. |
  6. Strohmeyer, U. |
  7. Meisel, A. |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-02-17
1000 Erschienen in
1000 Quellenangabe
  • 21(1):76
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s12883-021-02092-0 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888117/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!In contrast to the hospital setting, today little work has been directed to the definition, measurement, and improvement of the quality of out-patient medical and therapeutic care. We developed a set of indicators to measure the quality of out-patient neuropsychological therapy after stroke.!##!Methods!#!The indicators cover core and interdisciplinary aspects of out-patient neuropsychological work such as mediation of patients into social care in case of need. Selection of the quality-indicators was done together with a consensus group of out-patient therapists and supported by evidence, validity, reliability as well as estimated relevance and variability with the quality of care. The set of indicators was further tested in a retrospective cohort study. Anonymous data of 104 patients were collected from out-patient clinical records of five clinics between November 2017 and April 2018. Associations between process and outcome quality were estimated exploitatively.!##!Results!#!Results allowed for the identification of areas with greater variability in the quality of process care and indicated that attention training as recommended by current guidelines had the lowest overall rate for meeting the quality-aim (met in 44% of the cases). This was followed by time < 1 month until the start of therapy (63% met) and mediation into social care in case of need (65% met). We further observed that overall quality and involving relatives in the therapy was associated with higher rates of professional reintegration (p-value = 0.03). However, the need for mediation into social care was associated with a reduced chance for successful professional reintegration (p-value = 0.009).!##!Conclusion!#!In conclusion, we describe a first set of quality indicators which cover different aspects of out-patient neuropsychological therapy and sufficient variability with care. First data further suggests that meeting the specified quality aims may indeed have relevant effects on outcomes.
1000 Sacherschließung
lokal Cerebrovascular disease and stroke
lokal Aged, 80 and over [MeSH]
lokal Stroke Rehabilitation/standards [MeSH]
lokal Aged [MeSH]
lokal Quality-indicators
lokal Professional-reintegration
lokal Stroke
lokal Psychotherapy/standards [MeSH]
lokal Male [MeSH]
lokal Out-patient
lokal Neuropsychology [MeSH]
lokal Research Article
lokal Ambulatory Care/standards [MeSH]
lokal Female [MeSH]
lokal Stroke/therapy [MeSH]
lokal Interdisciplinary work
lokal Adult [MeSH]
lokal Stroke/psychology [MeSH]
lokal Humans [MeSH]
lokal Retrospective Studies [MeSH]
lokal Middle Aged [MeSH]
lokal Quality Indicators, Health Care [MeSH]
lokal Social work
lokal Reproducibility of Results [MeSH]
lokal Neuropsychology
lokal Germany [MeSH]
lokal Pilot Projects [MeSH]
lokal Stroke/physiopathology [MeSH]
lokal Outcome and Process Assessment, Health Care [MeSH]
lokal Consensus [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0002-3656-5682|https://frl.publisso.de/adhoc/uri/SGVlbCwgUy4=|https://frl.publisso.de/adhoc/uri/VGhpZW0sIFAu|https://frl.publisso.de/adhoc/uri/RGllYmVsLCBBLg==|https://frl.publisso.de/adhoc/uri/TW9yZGhvcnN0LCBFLg==|https://frl.publisso.de/adhoc/uri/U3Ryb2htZXllciwgVS4=|https://frl.publisso.de/adhoc/uri/TWVpc2VsLCBBLg==
1000 Hinweis
  • DeepGreen-ID: 865e67b25d44423fbea9ca3ee05fdb52 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
1000 Label
1000 Dateien
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6462705.rdf
1000 Erstellt am 2023-11-15T14:02:16.154+0100
1000 Erstellt von 322
1000 beschreibt frl:6462705
1000 Zuletzt bearbeitet 2023-11-30T20:18:24.014+0100
1000 Objekt bearb. Thu Nov 30 20:18:24 CET 2023
1000 Vgl. frl:6462705
1000 Oai Id
  1. oai:frl.publisso.de:frl:6462705 |
1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
1000 Gegenstand von

View source