Orthotists' and physical therapists' perspectives on quality of care indicators for persons with custom ankle-foot orthoses
Orthotists' and physical therapists' perspectives on quality of care indicators for persons with custom ankle-foot orthoses
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DOI：
10.1080/10400435.2019.1610814
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发表时间：
2019-05-16
影响因子：
1.8
通讯作者：
McPherson, Vari
中科院分区：
文献类型：
--
作者：
Heinemann, Allen W.;Fatone, Stefania;McPherson, Vari
目的：描述矫形师和物理治疗师对质量测量主题的优先级，以及从使用定制afo的人那里收集数据的可行性和实用性，这些数据可以为质量测量的开发提供信息。材料和方法：在线调查评估受访者的观点和经验。一个代表专业、组织和认证团体的咨询委员会分发调查邀请。结果：461名矫形师和153名物理治疗师完成了部分或全部调查；60%的受访者认为9个质量主题和20个护理质量主题极其重要，12个标准工具可行且易于用于质量测量。患者是方便安排、器械重量、易于穿戴和脱下、器械使用依从性、有益效果、活动水平和独立性以及生活质量的首选信息来源。临床医生是材料质量、器械可修改性和关节活动范围的首选来源。设施记录是设备交付及时性和临床医生随访的首选来源。受访者报告说，步态速度和步行耐力最好通过患者的表现获得。结论：结果提供了主题的见解矫形师和物理治疗师认为优先定义医疗质量的人使用定制踝足矫形器和仪器的数据收集。
Purpose: To describe the priorities of orthotists and physical therapists about quality measurement themes, and the feasibility and utility of collecting data from persons using custom AFOs that could inform quality measure development. Materials and Methods: Online survey assessed respondents' perspectives and experiences. An Advisory Committee representing professional, organizational, and accreditor groups distributed survey invitations. Results: 461 orthotists and 153 physical therapists completed part or all of the survey; 60% rated 9 quality themes and 20 quality of care topics as extremely important, and 12 standard instruments as feasible and good to use for quality measurement. Patients were the preferred source of information for ease of scheduling, device weight, ease of donning and doffing, adherence to device use, beneficial effects, activity level and independence, and quality of life. Clinicians were the preferred source for material quality, device modifiability, and joint range of motion. Facility records were the preferred source for timeliness of device delivery and clinician follow-up. Respondents reported that gait speed and walking endurance were best obtained by patient performance. Conclusions: Results provide insight on the topics orthotists and physical therapists regard as priorities for defining healthcare quality for persons using custom ankle-foot orthoses and instruments for data collection.