目的:展示标准化评估和报告系统(StARS)对国家康复质量报告功能结果报告的影响和附加值。AStARS建立在基于ICF的(国际功能分类,残疾和健康)和间隔缩放的通用度量。
方法:通过描述性统计方法和对报告的进一步发展领域的内容探索,比较当前按顺序缩放的瑞士国家康复结果报告,包括基于专家共识的转化量表与基于StARS的报告。相关ICF核心集。
方法:瑞士国家公共康复结果质量报告。
方法:共有29家瑞士康复诊所提供了他们的质量报告数据集,包括18.047名患者。
方法:神经或肌肉骨骼康复。
方法:功能独立性测量™或扩展Barthel指数。
结果:用StARS报告的结果往往比当前的序数级报告更小但更精确,表明高估了后者取得的成果。将通用指标的内容与ICF核心集进行比较,建议包括“能量和驱动功能”或“保持基本身体位置”,以增强作为指标的功能。
结论:AStARS支持在相同的基于区间缩放ICF的通用度量上使用不同度量评估结果的比较。当报告结果的幅度和精度受到影响时,需要仔细考虑是否应用序数缩放或间隔缩放报告系统。StARS的ICF基础通过为进一步发展作为国家康复成果质量报告的相关指标的功能提供信息,从而带来了附加值。
OBJECTIVE: To demonstrate the influence and added value of a Standardized Assessment and Reporting System (StARS) upon the reporting of functioning outcomes for national rehabilitation quality
reports. A StARS builds upon an ICF-based (International Classification of Functioning, Disability and Health) and interval-scaled common metric.
METHODS: Comparison of current ordinal-scaled Swiss national rehabilitation outcome
reports including an expert-consensus-based transformation scale with StARS-based
reports through descriptive statistical methods and content exploration of further development areas of the
reports with relevant ICF Core Sets.
METHODS: Swiss national public rehabilitation outcome quality
reports on the clinic level.
METHODS: A total of 29 Swiss rehabilitation clinics provided their quality report datasets including 18 047 patients.
METHODS: Neurological or musculoskeletal rehabilitation.
METHODS: Functional Independence Measure™ or Extended Barthel Index.
RESULTS: Outcomes reported with a StARS tended to be smaller but more precise than in the current ordinal-scaled reports, indicating an overestimation of achieved outcomes in the latter. The comparison of the common metric\'s content with ICF Core Sets suggests to include \'energy and drive functions\' or \'maintaining a basic body position\' to enhance the content of functioning as an indicator.
CONCLUSIONS: A StARS supports the comparison of outcomes assessed with different measures on the same interval-scaled ICF-based common metric. Careful consideration is needed whether an ordinal-scaled or interval-scaled reporting system is applied as the magnitude and precision of reported outcomes is influenced. The StARS\' ICF basis brings an added value by informing further development of functioning as a relevant indicator for national outcome quality reports in rehabilitation.