TY - JOUR
T1 - Building Consensus on an Integrated Care Pathway in Geriatric Rehabilitation
T2 - A Modified Delphi Study Among Professional Experts
AU - Everink, Irma H. J.
AU - van Haastregt, Jolanda C. M.
AU - Kempen, Gertrudis I. J. M.
AU - Schols, Jos M. G. A.
N1 - Funding Information:
The authors would like to thank Aafke de Groot and Ron Heijnen for their critical revision of the questionnaire and the participating Delphi panel of experts for their valuable contributions to the study. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the Dutch National Care for the Elderly Program and sponsored by the Dutch Organization for Health Research and Development (ZonMw #314070401).
Publisher Copyright:
© The Author(s) 2018.
PY - 2020/4
Y1 - 2020/4
N2 - 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.
AB - 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.
KW - geriatric rehabilitation
KW - integrated care pathway
KW - interprofessional collaboration
KW - subacute care
KW - aged
KW - Delphi approach
KW - TRANSITIONAL CARE
KW - AGE
U2 - 10.1177/0733464818774629
DO - 10.1177/0733464818774629
M3 - Article
C2 - 29781358
SN - 0733-4648
VL - 39
SP - 423
EP - 434
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 4
ER -