Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Inpatient Rehabilitation Facility Change in Self-Care and Change in Mobility Quality Measures: Development and Reliability and Validity Testing (2022) |
Auteurs : | Anne Deutsch ; Lauren Palmer ; Molly Vaughan ; Tara McMullen ; Amol Karmarkar ; Sophia Kwon ; Melvin J. Ingber |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 6, 2022) |
Article en page(s) : | p. 1105-1112 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.12.031 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Ajustement du risque ; Réadaptation ; Résultat thérapeutique |
Résumé : |
Objective
To describe the development, implementation and reliability and validity testing of the inpatient rehabilitation facility (IRF) Change in Self-Care and Change in Mobility quality measures. Design We describe the activities involved in developing and implementing the 2 facility-level quality measures, including public comment opportunities. We examined facility-level reliability using split-half testing and Pearson product-moment correlations, Spearman rank correlations, and intraclass correlation coefficients (ICC2,1). We examined validity by comparing facility-level quality measure scores and facility disease-specific certification status. Setting All 1117 IRFs in the United States with at least 20 Medicare stays that ended in 2017. Participants Facility-level quality measure scores (N=1117) were derived from data from 427,517 (self-care) and 427,956 (mobility) Medicare fee-for-service and Medicare Advantage IRF patient stays in 2017. Interventions Not applicable. Main Outcome Measures Facility-level Change in Self-Care and Change in Mobility quality measure scores and facility Disease-Specific Certification for Stroke Rehabilitation from The Joint Commission were used in validity analysis. Results The split-half quality measure scores showed strong, positive correlations for the facility-level self-care (Pearson=0.903, Spearman=0.884, ICC=0.903, P<.0001 and mobility spearman="0.884," icc="0.903," p quality measure scores providing evidence of reliability. iccs remained strong when stratifying by provider volume. irfs with stroke certification had slightly higher mean median than without the tended to have a percentage certified irfs.> Conclusions Our analyses support the reliability and validity of the Change in Self-Care and Change in Mobility quality measure scores in IRFs. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999322002040#! |