title: Development of quality indicators for physiotherapy for patients with PAOD in the Netherlands: a Delphi study.
abstract: OBJECTIVE
  The aim of the study was to develop quality indicators (QIs) for physiotherapy management of patients with intermittent claudication (IC) in the Netherlands.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Rehabilitation, Academic Medical Centre, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands. Electronic address: h.j.gijsbers@amc.uva.nl.
authors.forename: H J H
authors.initials: HJ
authors.lastname: Gijsbers
authors.affiliation: 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.
authors.forename: G J
authors.initials: GJ
authors.lastname: Lauret
authors.affiliation: Gezondheidscentrum Withuis, Straelseweg 193, 5914 AL Venlo, The Netherlands. Electronic address: arnevanhofwegen@yahoo.com.
authors.forename: A
authors.initials: A
authors.lastname: van Hofwegen
authors.affiliation: Fysiotherapeuten Maatschap Woerden, Terschellingkade 1, 3446 BK Woerden, The Netherlands. Electronic address: tvdockum@gmail.com.
authors.forename: T A
authors.initials: TA
authors.lastname: van Dockum
authors.affiliation: 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.
authors.forename: J A W
authors.initials: JA
authors.lastname: Teijink
authors.affiliation: FysioMaesstaete, Kerkeland 9-F, 6651 KN Druten, The Netherlands. Electronic address: hjm.hendriks@hetnet.nl.
authors.forename: H J M
authors.initials: HJ
authors.lastname: Hendriks
mesh_terms: D000328:Adult; D003697:Delphi Technique; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D026741:Physical Therapy Modalities / Q000592:standards*; D017410:Practice Guidelines as Topic; D019984:Quality Indicators, Health Care / Q000592:standards*
keywords: Delphi study; Health care; Peripheral arterial disease; Physiotherapy modalities; Quality indicators