Development of quality indicators for physiotherapy for patients with PAOD in the Netherlands: a Delphi study

H J H Gijsbers; G J Lauret; A van Hofwegen; T A van Dockum; J A W Teijink; H J M Hendriks

doi:10.1016/j.physio.2015.06.001

Development of quality indicators for physiotherapy for patients with PAOD in the Netherlands: a Delphi study

Physiotherapy. 2016 Jun;102(2):196-201. doi: 10.1016/j.physio.2015.06.001. Epub 2015 Jun 19.

Authors

H J H Gijsbers¹, G J Lauret², A van Hofwegen³, T A van Dockum⁴, J A W Teijink⁵, H J M Hendriks⁶

Affiliations

¹ Department of Rehabilitation, Academic Medical Centre, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands. Electronic address: h.j.gijsbers@amc.uva.nl.
² Department of Epidemiology, School for Public Health and Primary Care (CAPHRI), Centre for Evidence Based Physiotherapy Maastricht University, Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Surgery, Catharina Hospital, P.O. Box 1350, 5602 ZA Eindhoven, The Netherlands. Electronic address: gert-jan.lauret@cze.nl.
³ Gezondheidscentrum Withuis, Straelseweg 193, 5914 AL Venlo, The Netherlands. Electronic address: arnevanhofwegen@yahoo.com.
⁴ Fysiotherapeuten Maatschap Woerden, Terschellingkade 1, 3446 BK Woerden, The Netherlands. Electronic address: tvdockum@gmail.com.
⁵ Department of Epidemiology, School for Public Health and Primary Care (CAPHRI), Centre for Evidence Based Physiotherapy Maastricht University, Medical Centre, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Surgery, Catharina Hospital, P.O. Box 1350, 5602 ZA Eindhoven, The Netherlands. Electronic address: joep.teijink@cze.nl.
⁶ FysioMaesstaete, Kerkeland 9-F, 6651 KN Druten, The Netherlands. Electronic address: hjm.hendriks@hetnet.nl.

PMID: 26626054
DOI: 10.1016/j.physio.2015.06.001

Abstract

Objectives: The aim of the study was to develop quality indicators (QIs) for physiotherapy management of patients with intermittent claudication (IC) in the Netherlands.

Design: As part of an international six-step method to develop QIs, an online survey Delphi-procedure was completed. After two Delphi-rounds a validation round was performed.

Participants: Twenty-six experts were recruited to participate in this study. Twenty-four experts completed two Delphi-rounds. A third round was conducted inviting 1200 qualified and registered physiotherapists of the Dutch integrated care network 'Claudicationet' to validate a draft set of quality indicators.

Results: Out of 83 potential QIs in the Dutch physiotherapy guideline on 'Intermittent claudication', consensus among the experts selected nine indicators. All nine quality indicators were validated by 300 physiotherapists.

Conclusion: A final set of nine indicators was derived from (1) a Dutch evidence-based physiotherapy guideline, (2) an expert Delphi procedure and (3) a validation by 300 physiotherapists. This set of indicators should be validated in clinical practice.

Keywords: Delphi study; Health care; Peripheral arterial disease; Physiotherapy modalities; Quality indicators.

MeSH terms

Adult
Delphi Technique
Female
Humans
Intermittent Claudication / rehabilitation*
Male
Middle Aged
Netherlands
Physical Therapy Modalities / standards*
Practice Guidelines as Topic
Quality Indicators, Health Care / standards*