TY  - JOUR
PY  - 2021//
TI  - 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
JO  - European journal of physical and rehabilitation medicine
A1  - Scheel-Sailer, Anke
A1  - Selb, Melissa
A1  - Gmünder, Hans P.
A1  - Baumberger, Michael
A1  - Curt, Armin
A1  - Hund-Georgiadis, Margret
A1  - Jordan, Xavier
A1  - Stucki, Gerold
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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 ("European Framework"). 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 ("SCI/D Framework"). <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>
LA  - en
SN  - 1973-9087
UR  - http://dx.doi.org/10.23736/S1973-9087.21.06923-9
ID  - ref1
ER  -