@article{ref1,
title="Towards the implementation of clinical quality management at the national level. Describing current types of rehabilitation services for Spinal Cord Injury/ Disorder in Switzerland using an interdisciplinary consensus process",
journal="European journal of physical and rehabilitation medicine",
year="2021",
author="Scheel-Sailer, Anke and Selb, Melissa and Gmünder, Hans P. and Baumberger, Michael and Curt, Armin and Hund-Georgiadis, Margret and Jordan, Xavier and Stucki, Gerold",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Aligned with WHO's Global Disability Action Plan 2014-2021, the Section and Board of the European Union of Medical Specialists (UEMS-PRM) set up a plan to strengthen rehabilitation and support International Classification for Functioning, Disability and Health-based clinical quality management. Accordingly, the UEMS-PRM developed the European Framework of Rehabilitation Service Types (&quot;European Framework&quot;). The specifications of these service types may differ across countries and for specific application areas. <br><br>AIM: The objective of this paper is to report on the development of a framework of rehabilitation service types for spinal cord injury/disorder (SCI/D) in Switzerland (&quot;SCI/D Framework&quot;). <br><br>DESIGN: Quality improvement in health care. SETTING: Switzerland. POPULATION: Representatives of medical societies. <br><br>METHODS: A multistage consensus process was conducted and involved representatives of national medical and rehabilitation societies recruited based on a situational analysis of existing national quality management documents. The process comprised the development of an initial framework based on the European Framework, a survey, a face-to-face consensus meeting, and a confirmatory feedback round on the version of the SCI/D Framework resulting from the meeting. <br><br>RESULTS: Representatives of 12 national medical societies, one political body in rehabilitation, one national interprofessional rehabilitation society, the Swiss representative of two international rehabilitation societies and heads of four SCI/D specialized centers participated in the multistage consensus process. After the modifications based on the results of the survey, the consensus meeting and confirmatory feedback round were made, the resulting SCI/D Framework version encompassed 19 rehabilitation service types, structured in nine different clusters, of which six were subdivided into general, other specific or SCI/D-specific rehabilitation service types. <br><br>CONCLUSIONS: Developing the SCI/D Framework for Switzerland was a further step toward refining existing quality criteria and national quality standards for rehabilitation and toward scaling up SCI/D rehabilitation in Switzerland. CLINICAL REHABILITATION IMPACT: The SCI/D Framework can support national efforts to address any gaps in health care provision and guide an optimal response to meet the rehabilitation needs of persons with SCI/D in Switzerland. Furthermore, the development of the SCI/D Framework illustrates an outline that can be used to develop a similar framework for other health conditions and for other countries to follow in adapting the European Framework for their own country context.<p /> <p>Language: en</p>",
language="en",
issn="1973-9087",
doi="10.23736/S1973-9087.21.06923-9",
url="http://dx.doi.org/10.23736/S1973-9087.21.06923-9"
}