提高老年康复护理的连续性和协调性,在荷兰南部开发了综合护理途径.这项研究旨在使用由专业老年护理医生(n=37)作为专家进行的两轮Delphi研究,就这种本地开发的途径的内容和结构达成全国共识。在第一轮中,专家们在5点Likert型量表上对代表该途径的65项陈述表示了他们的共识水平。未达成共识的陈述(四分位数范围>1)被重新分配给第2轮的参与者。在第一轮之后就56项声明(86%)和第二轮之后的60项声明(92%)达成了共识。总的来说,53个陈述被评估为相关的,七个陈述被认为是无关紧要的,五项声明没有达成共识。我们得出的结论是,全国范围内对这一途径有广泛的共识,因此,它有可能在更广泛的范围内传播和实施。
To improve continuity and coordination of care in geriatric rehabilitation, an integrated care pathway was developed in the south of the Netherlands. This study aims to reach nationwide
consensus on the content and structure of this locally developed pathway using a two-round Delphi study with specialized elderly care physicians (n = 37) as experts. In the first round, experts indicated their level of agreement on 65 statements representing the pathway on a 5-point Likert-type scale. Statements that did not gain
consensus (interquartile range > 1) were redistributed to participants in Round 2.
Consensus was reached on 56 statements (86%) after Round 1 and on 60 statements (92%) after Round 2. In total, 53 statements were assessed as relevant, seven statements were considered irrelevant, and five statements did not reach
consensus. We conclude that there is broad nationwide
consensus on the pathway, which therefore has the potential to be disseminated and implemented on a wider scale.