Affordable Access

deepdyve-link
Publisher Website

Building Consensus on an Integrated Care Pathway in Geriatric Rehabilitation: A Modified Delphi Study Among Professional Experts.

Authors
  • Everink, Irma H J1
  • van Haastregt, Jolanda C M1
  • Kempen, Gertrudis I J M1
  • Schols, Jos M G A1
  • 1 Maastricht University, The Netherlands. , (Netherlands)
Type
Published Article
Journal
Journal of applied gerontology : the official journal of the Southern Gerontological Society
Publication Date
Apr 01, 2020
Volume
39
Issue
4
Pages
423–434
Identifiers
DOI: 10.1177/0733464818774629
PMID: 29781358
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

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.

Report this publication

Statistics

Seen <100 times