Universität zu Köln

Lukasczik, M., Gerlich, C., Musekamp, G., Saupe-Heide, M., Loebmann, R., Vogel, H. and Neuderth, S. (2014). External Quality Assurance in Inpatient Medical Rehabilitation and Prevention Centers for Mothers, Fathers and Children: Comparative Outcome Quality Analyses across Rehabilitation/Prevention Centers. Gesundheitswesen, 76 (1). S. 56 - 65. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-4421

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Abstract

To date, there are no programs for external quality assurance for inpatient prevention and rehabilitation programs for mothers, fathers and children. Instruments for outcome quality assessment were evaluated with the goal of determining their ability to document differences between prevention/rehabilitation centers in quality-relevant outcome parameters. Referring to the ICF, relevant outcome variables were specified and operationalized using established questionnaires. Data from 45 inpatient prevention and rehabilitation centers for mothers, fathers and children were analyzed using multilevel modeling with risk adjustment. Intra-class correlations were computed to determine in which parameters differences between institutions could be found. The percentage of variability accounted for by patient vs. institution characteristics was computed while statistically controlling for relevant confounders. For prevention centers, substantial variation on the institutional level was found in 9 out of 15 parameters. Almost all institutions did not deviate significantly from the grand mean of the respective parameter. For rehabilitation centers, significant variability was found in 2 out of 10 parameters. The differences between most institutions remained within a range of expectable variability. The results imply that comparative analyses across hospitals are better suited to identify institutions with low quality rather than establish quality-based rankings of institutions.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lukasczik, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Gerlich, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Musekamp, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Saupe-Heide, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Loebmann, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Vogel, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Neuderth, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-451082
DOI:	10.1055/s-0033-1337994
Journal or Publication Title:	Gesundheitswesen
Volume:	76
Number:	1
Page Range:	S. 56 - 65
Date:	2014
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-4421
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LIFE SATISFACTION; QUESTIONNAIRE; CONFLICT; HEALTH; ICF Multiple languages Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/45108