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Building Consensus on an Integrated Care Pathway in Geriatric Rehabilitation: A Modified Delphi Study Among Professional Experts.
Journal of Applied Gerontology ( IF 2.645 ) Pub Date : 2018-05-21 , DOI: 10.1177/0733464818774629
Irma H J Everink 1 , Jolanda C M van Haastregt 1 , Gertrudis I J M Kempen 1 , Jos M G A Schols 1
Affiliation  

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.

中文翻译:

在老年康复的综合护理途径上建立共识:专业专家之间的德尔菲修正研究。

为了改善老年康复中护理的连续性和协调性,荷兰南部开发了一条综合护理途径。这项研究旨在通过由专门的老年护理医生(n = 37)进行的为期两轮的德尔菲研究,在全国范围内就这种局部发展途径的内容和结构达成共识。在第一轮中,专家表示他们对代表5点Likert型量表的路径的65条陈述的共识程度。在第2轮中,未达成共识(四分位数范围> 1)的语句重新分配给参与者。在第1轮之后,对56项声明(86%)和第二轮之后的60项声明(92%)达成了共识。被认为是相关的,有七份陈述被认为是不相关的,有五份陈述没有达成共识。
更新日期:2020-04-01
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