[Subjective concepts of patients, physicians and social workers about quality in cardiac and orthopaedic rehabilitation].
It is supposed that subjective concepts influence disease-related behaviour and health care utilization. But until now systematic knowledge of the importance of quality related subjective beliefs is lacking. To analyse subjective views of quality in rehabilitation and between-group differences, 625 patients, 203 physicians and 101 social workers were asked in a questionnaire to rate various indicators for their importance in judging the quality of a rehabilitation program. Based on a factor analysis seven quality dimensions were identified. "Skills of rehabilitation staff" is consistently judged as most significant dimension of quality, while "Psychosocial outcome quality" received the second highest importance score. Dedication and motivation of rehabilitation staff and the successful restoration of general functioning in every day life were regarded as the most important single indicators of good quality in rehabilitation programs. Differences in views of quality between groups mirror differing interests and tasks in relation to rehabilitation. Subjective views on the quality of health care should be taken into consideration by doctors in counselling and referring their patients. The role of quality indicators compared to other pragmatic or individual preferences remains unclear.
Grande
Gesine
G
Hochschule für Technik, Wirtschaft und Kultur Leipzig, Fachbereich Sozialwesen, Leipzig. grande@sozwes.htwk-leipzig.de
Romppel
Matthias
M
D000368:Aged; D001291:Attitude of Health Personnel; D005260:Female; D006331:Heart Diseases / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D010361:Patients; D010820:Physicians; D011787:Quality of Health Care; D012947:Social Work; D016896:Treatment Outcome