ORIGINAL ARTICLE   Free access

European Journal of Physical and Rehabilitation Medicine 2020 October;56(5):537-46

DOI: 10.23736/S1973-9087.20.06148-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Appropriateness of admission to rehabilitation: definition of a set of criteria and rules through the application of the Delphi method

Andrea MERLO ^{1, 2, 3}, Francesca RODÀ ^{2, 4}, Davide CARNEVALI ⁵ ✉, Niccolò PRINCIPI ⁵, Ludovico GRIMOLDI ⁵, Francesco AUXILIA ^{6, 7}, Francesco LOMBARDI ⁸, Maurizio MAINI ⁹, Rodolfo BRIANTI ², Silvana CASTALDI ^{6, 7}

¹ LAM-Motion Analysis Laboratory, Department of Neuromotor and Rehabilitation, San Sebastiano di Correggio Hospital, USL-IRCCS of Reggio Emilia, Reggio Emilia, Italy; ² Rehabilitation Medicine Service, Department of Rehabilitation Geriatrics, NHS-University Hospital of Parma, Parma, Italy; ³ Gait and Motion Analysis Laboratory, Sol et Salus Hospital, Rimini, Italy; ⁴ Department of Medicine and Surgery, University of Parma, Italy; ⁵ Postgraduate School in Public Health, Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; ⁶ Department of Biomedical Sciences for Health, University of Milan, Milan, Italy; ⁷ Maggiore Polyclinic Hospital, IRCCS Ca’ Granda Foundation, Milan, Italy; ⁸ Unit of Neurorehabilitation, Department of Neuromotor and Rehabilitation, San Sebastiano di Correggio Hospital, USL-IRCCS of Reggio Emilia, Reggio Emilia, Italy; ⁹ San Giacomo Hospital, Ponte dell’Olio, Piacenza, Italy

BACKGROUND: Controlling inappropriateness of care is an essential issue, especially in rehabilitation medicine. In fact, admitting a patient to a rehabilitation hospital or unit is a complex decision also due to the absence of shared and objective admission criteria.
AIM: The aim was to define clinical admission criteria and rules in rehabilitation medicine.
DESIGN: Survey based on the application of the Delphi method on a sample of rehabilitation medicine experts.
SETTING: Administration of electronic online questionnaires concerning appropriateness of admission to intensive rehabilitation.
POPULATION: Volunteer sample of 53 experts with the following inclusion criteria: being members of the Italian Society of Physical and Rehabilitation Medicine, having practical experience in the research field, agreeing to the confidentiality of the information and being skilled in both rehabilitation and healthcare organization.
METHODS: A three-round Delphi survey was conducted according to international guidelines. The two initial rounds consisted of an electronic online questionnaire while in the third one a report of the results was provided to the participants. The experts had to score their agreement with each item in the questionnaires, based on either a Likert scale or a dichotomous statement. Consensus between the experts was assessed.
RESULTS: A total of 53 health professionals completed the Delphi survey. 19 out of 20 Italian regions were represented. The first round consisted of 8 multiple-choice questions. The second round was designed according to the suggestions provided by the panelists in the previous one and consisted of a twelve items questionnaire. At the end of the survey, seven criteria of appropriateness of admission to rehabilitation were identified and five rules defining an appropriate admission to a rehabilitation facility were elaborated.
CONCLUSIONS: This study represents an attempt to create a worthwhile and reliable tool for a more conscious clinical practice in admission to rehabilitation, based on a set of shared criteria and rules.
CLINICAL REHABILITATION IMPACT: To increase appropriateness of admission to rehabilitation. Improving appropriateness in healthcare delivery must be a primary goal in order to improve healthcare quality, save money and ensure system sustainability.

KEY WORDS: Patient admission; Rehabilitation; Delphi technique