Khosravi, Sepehr;
Khayyamfar, Amirmahdi;
Shemshadi, Milad;
Koltapeh, Masoud Pourghahramani;
Sadeghi-Naini, Mohsen;
Ghodsi, Zahra;
Shokraneh, Farhad;
... Rahimi-Movaghar, Vafa; + view all
(2021)
Indicators of Quality of Care in Individuals With Traumatic Spinal Cord Injury: A Scoping Review.
Global Spine Journal
, 12
(1)
, Article 2192568220981988. 10.1177/2192568220981988.
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Abstract
Study Design: Scoping review. Objectives: To identify a practical and reproducible approach to organize Quality of Care Indicators (QoCI) in individuals with traumatic spinal cord injury (TSCI). Methods: A comprehensive literature review was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL) (Date: May 2018), MEDLINE (1946 to May 2018), and EMBASE (1974 to May 2018). Two independent reviewers screened 6092 records and included 262 full texts, among which 60 studies were included for qualitative analysis. We included studies, with no language restriction, containing at least 1 quality of care indicator for individuals with traumatic spinal cord injury. Each potential indicator was evaluated in an online, focused group discussion to define its categorization (healthcare system structure, medical process, and individuals with Traumatic Spinal Cord Injury related outcomes), definition, survey options, and scale. Results: A total of 87 indicators were identified from 60 studies screened using our eligibility criteria. We defined each indicator. Out of 87 indicators, 37 appraised the healthcare system structure, 30 evaluated medical processes, and 20 included individuals with TSCI related outcomes. The healthcare system structure included the impact of the cost of hospitalization and rehabilitation, as well as staff and patient perception of treatment. The medical processes included targeting physical activities for improvement of health-related outcomes and complications. Changes in motor score, functional independence, and readmission rates were reported as individuals with TSCI-related outcomes indicators. Conclusion: Indicators of quality of care in the management of individuals with TSCI are important for health policy strategists to standardize healthcare assessment, for clinicians to improve care, and for data collection efforts including registries.
| Type: | Article |
|---|---|
| Title: | Indicators of Quality of Care in Individuals With Traumatic Spinal Cord Injury: A Scoping Review |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/2192568220981988 |
| Publisher version: | https://doi.org/10.1177/2192568220981988 |
| Language: | English |
| Additional information: | © The Author(s) 2021. Creative Commons License (CC BY-NC-ND 4.0) This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Clinical Neurology, Orthopedics, Neurosciences & Neurology, quality indicators, health care, spinal cord injuries, Iran, review, quality of health care, registries, health policy, PHYSICAL-ACTIVITY GUIDELINES, URINARY-TRACT-INFECTION, SURGICAL DECOMPRESSION, LIFE SATISFACTION, ADVERSE EVENTS, REHABILITATION, PEOPLE, MANAGEMENT, OUTCOMES, SURGERY |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Health Informatics |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10179698 |
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