Evidence map›Paper›PMID 27118962›Full record

ArticleInternational journal of integrated care

Changes in geriatric rehabilitation: a national programme to improve quality of care. The Synergy and Innovation in Geriatric Rehabilitation study.

Marije S Holstege, Monique A A Caljouw, Ineke G Zekveld, Romke van Balen, Aafke J de Groot, Jolanda C M van Haastregt, Jos M G A Schols, Cees M P M Hertogh, Jacobijn Gussekloo, Wilco P Achterberg

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Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. The Role of Nursing Staff Regarding Goal Setting and Achieving in Geriatric Rehabilitation: A Focus Group Study.Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marije S HolstegeDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands; Department of Research and Development, Evean, Purmerend, The Netherlands.
Monique A A CaljouwDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Ineke G ZekveldDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Romke van BalenDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Aafke J de GrootDepartment of General Practice and Elderly Care Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Jolanda C M van HaastregtDepartment of Health Services Research, Maastricht University, Maastricht, The Netherlands.
Jos M G A ScholsDepartment of Health Services Research, Maastricht University, Maastricht, The Netherlands; Department of Family Medicine, Maastricht University, Maastricht, The Netherlands.
Cees M P M HertoghDepartment of General Practice and Elderly Care Medicine, VU University Medical Center, Amsterdam, The Netherlands.
Jacobijn GusseklooDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.
Wilco P AchterbergDepartment of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe changes in the health service delivery process experienced by professionals, patients and informal caregivers during implementation of a national programme to improve quality of care of geriatric rehabilitation by improving integration of health service delivery processes. STUDY

settingSixteen skilled nursing facilities. STUDY

designProspective study, comparing three consecutive cohorts. DATA COLLECTION: Professionals (elderly care physicians, physiotherapists and nursing staff) rated four domains of health service delivery at admission and at discharge of 1075 patients. In addition, these patients [median age 79 (Interquartile range 71-85) years, 63% females] and their informal caregivers rated their experiences on these domains 4 weeks after discharge. PRINCIPAL

findingsDuring the three consecutive cohorts, professionals reported improvement on the domain team cooperation, including assessment for intensive treatment and information transfer among professionals. Fewer improvements were reported within the domains alignment with patients' needs, care coordination and care quality. Between the cohorts, according to patients (n = 521) and informal caregivers (n = 319) there were no changes in the four domains of health service delivery.

conclusionThis national programme resulted in small improvements in team cooperation as reported by the professionals. No effects were found on patients' and informal caregivers' perceptions of health service delivery.

Indexed as

care processgeriatric rehabilitationhealth service deliverynational programmequality of care

Identifiers

PMID27118962
PMCPMC4843176

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.