Abstract：
Physical function is associated with important outcomes, yet there is often a lack of continuity in routine assessment. The purpose of this study was to determine data elements and instruments for longitudinal measurement of physical function in routine care among patients transitioning from acute care hospital setting to home with home health care.
A 4-round modified Delphi process was conducted with 13 participants with expertise in physical therapy, health care administration, health services research, physiatry/medicine, and health informatics. Three anonymous rounds identified important and feasible data elements. A fourth in-person round finalized the recommended list of individual data elements. Next, 2 focus groups independently provided additional perspectives from other stakeholders.
Response rates were 100% for online rounds 1, 3, and 4 and 92% for round 2. In round 1, 9 domains were identified: physical function, participation, adverse events, behavioral/emotional health, social support, cognition, complexity of illness/disease burden, health care utilization, and demographics. Following the fourth round, 27 individual data elements were recommended. Of these, 20 (74%) are \"administrative\" and available from most hospital electronic medical records. Additional focus groups confirmed these selections and provided input on standardizing collection methods. A website has been developed to share these results and invite other health care systems to participate in future data sharing of these identified data elements.
A modified Delphi consensus process was used to identify critical data elements to track changes in patient physical function in routine care as they transition from acute hospital to home with home health.
Expert consensus on comprehensive and feasible measurement of physical function in routine care provides health care professionals and institutions with guidance in establishing discrete medical records data that can improve patient care, discharge decisions, and future research.
A 4-round modified Delphi process was conducted with 13 participants with expertise in physical therapy, health care administration, health services research, physiatry/medicine, and health informatics. Three anonymous rounds identified important and feasible data elements. A fourth in-person round finalized the recommended list of individual data elements. Next, 2 focus groups independently provided additional perspectives from other stakeholders.
Response rates were 100% for online rounds 1, 3, and 4 and 92% for round 2. In round 1, 9 domains were identified: physical function, participation, adverse events, behavioral/emotional health, social support, cognition, complexity of illness/disease burden, health care utilization, and demographics. Following the fourth round, 27 individual data elements were recommended. Of these, 20 (74%) are \"administrative\" and available from most hospital electronic medical records. Additional focus groups confirmed these selections and provided input on standardizing collection methods. A website has been developed to share these results and invite other health care systems to participate in future data sharing of these identified data elements.
A modified Delphi consensus process was used to identify critical data elements to track changes in patient physical function in routine care as they transition from acute hospital to home with home health.
Expert consensus on comprehensive and feasible measurement of physical function in routine care provides health care professionals and institutions with guidance in establishing discrete medical records data that can improve patient care, discharge decisions, and future research.
摘要：
身体功能与重要结果相关，然而，常规评估往往缺乏连续性。这项研究的目的是确定数据元素和工具，用于从急性护理医院过渡到家庭和家庭保健的患者在常规护理中对身体功能进行纵向测量。
对13名具有物理治疗专业知识的参与者进行了4轮改良Delphi过程，卫生保健管理，卫生服务研究，理疗/医学，和健康信息学。三个匿名轮确定了重要且可行的数据元素。第四轮亲自完成了建议的单个数据元素列表。接下来,2个焦点小组独立提供了其他利益相关者的额外观点。
在线第1、3和4轮的反应率为100%，第2轮的反应率为92%。在第1轮中，确定了9个结构域：身体功能，参与,不良事件,行为/情绪健康，社会支持,认知，疾病/疾病负担的复杂性，医疗保健利用，和人口统计。第四轮之后,建议使用27个单独的数据元素。其中,20（74％）是“行政”，可从大多数医院电子病历中获得。其他焦点小组确认了这些选择，并提供了有关标准化收集方法的输入。已经开发了一个网站来分享这些结果，并邀请其他医疗保健系统参与这些已识别数据元素的未来数据共享。
使用改进的Delphi共识过程来识别关键数据元素，以跟踪患者在常规护理中从急性医院过渡到家庭健康时身体功能的变化。
关于在常规护理中全面可行地测量身体机能的专家共识，为卫生保健专业人员和机构提供了建立离散医疗记录数据的指导，这些数据可以改善患者护理，出院决定，和未来的研究。
对13名具有物理治疗专业知识的参与者进行了4轮改良Delphi过程，卫生保健管理，卫生服务研究，理疗/医学，和健康信息学。三个匿名轮确定了重要且可行的数据元素。第四轮亲自完成了建议的单个数据元素列表。接下来,2个焦点小组独立提供了其他利益相关者的额外观点。
在线第1、3和4轮的反应率为100%，第2轮的反应率为92%。在第1轮中，确定了9个结构域：身体功能，参与,不良事件,行为/情绪健康，社会支持,认知，疾病/疾病负担的复杂性，医疗保健利用，和人口统计。第四轮之后,建议使用27个单独的数据元素。其中,20（74％）是“行政”，可从大多数医院电子病历中获得。其他焦点小组确认了这些选择，并提供了有关标准化收集方法的输入。已经开发了一个网站来分享这些结果，并邀请其他医疗保健系统参与这些已识别数据元素的未来数据共享。
使用改进的Delphi共识过程来识别关键数据元素，以跟踪患者在常规护理中从急性医院过渡到家庭健康时身体功能的变化。
关于在常规护理中全面可行地测量身体机能的专家共识，为卫生保健专业人员和机构提供了建立离散医疗记录数据的指导，这些数据可以改善患者护理，出院决定，和未来的研究。
