Quality assessment in rehabilitation centres: the indicator system ‘Quality Profile’

Abstract

The indicator system presented is a starting-point for comprehensive, comparative measurement of the quality of in-patient rehabilitation centres that, with regard to its principles, also appears applicable to other areas of health care.

Agreement of patient and physician ratings on mobility and self-care in neurological diseases

“…For this study, detailed data on the organizational features of the centers included in the study were not available, so no hypotheses on the causes of the differences found between the centers can be tested. However, existing publications on the differences among German neurology rehabilitation centers with respect to organizational features and quality criteria (e.g., the existence of guidelines, patient-staff ratio) show that there is a rather high degree of heterogeneity [49,50]. This finding is consistent with the assumption that these features may be potential causes of differences among centers with respect to agreement between patient and provider.…”

Changing quality initiative – does the quality profile really change?

“…Zusman and Slawson (1972) used the term in a service context when they created a quality profile based on an agency's scores as a guide for allocating resources. Farin, Follert, Gerdes, Jäckel, and Thalau (2004) used quality profiles to ensure quality in rehabilitation conditions in healthcare services. Their quality profile consisted of four principles: (i) comprehensive measurement of all relevant quality dimensions, (ii) reporting on three analysis levels and systematic comparisons of centres on the basis of risk adjustment, (iii) agreement and further development of the assessment procedures with the co-operation of clinical experts from the centres involved, and (iv) use of generic and disease-specific measurement instruments.…”

Qualitätssicherung und Qualitätsmanagement in der medizinischen Rehabilitation

“…Im Programm der DRV, das von den Initiatoren als "Reha-Qualitätssicherung der Rentenversicherung" bezeichnet wird [14], sind aktuell bis zu zirka 950 Fachabteilungen beteiligt, am "QS-Reha®-Verfahren" der GKV zirka 280 Fachabteilungen [15]. Zu beiden Programmen liegen nationale Publikationen vor, die einen Überblick bieten (zum Beispiel [14,16] beziehungsweise [15,17]), das QS-Reha®-Verfahren wurde auch international vorgestellt [18].…”