Person-Centeredness and Timeliness in the Process of Organizing Intensive Medical Rehabilitation in Public Health Care
Yasumatsu, Anneli (2021)
Yasumatsu, Anneli
2021
All rights reserved. This publication is copyrighted. You may download, display and print it for Your own personal use. Commercial use is prohibited.
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2021052310505
https://urn.fi/URN:NBN:fi:amk-2021052310505
Tiivistelmä
The increased focus on quality of care has led to quality assessments now being increasingly common practice in health care settings, generally advising to target such structures or processes of care that have been associated with positive health outcomes and measures that are under the control of the health care organization responsible for care. In pediatric care, quality measurement generally refers to the assessment of the extent to which children receive quality of care in any of the six quality domains, being person-centeredness, timeliness, effectiveness, efficiency, equitability, and safety of care.
This research was undertaken as an extension to the development days held at the Helsinki Outpatient clinic for the Developmentally and Intellectually Disabled in October 2019, for the purpose of collecting baseline information regarding the organizing of intensive medical rehabilitation for pediatric customers. As a result, a quantitative study, based on historical, routinely collected data from 2018-2019 was chosen as the research method. Data collection was done using personnel data entries found in free writing format in the Pegasos data repository. Before data analysis, the data was manually converted into quantified data. It was the interest of the author to accurately describe the process and its different stages, while finding evidence of person-centeredness and timeliness of care in the process. The analyzed data sample consisted of 50 randomized processes of a pediatric pool of customers, who all had previously been through the process from start to end.
The results show evidence of person-centeredness and timeliness in the process of organizing intensive medical rehabilitation, although the level of these subcomponents of quality varied to some extent from process to another, in between the occupational groups, and in the different phases of the process. This variation was particularly reflected in the degree of direct rehabilitee involvement in the rehabilitation needs´ assessments, which was affected by the assessment method used by the different occupational groups. Caregiver involvement was rather low in all assessments made, as well as the degree of interdisciplinary teamwork. There were elements of cross-organizational collaboration in all assessments made, although the collaborative partner and the level of co-operation varied to some degree. Overall, the implementation of the rehabilitation negotiations indicated a higher level of person-centeredness throughout all processes, including high degree of rehabilitee and caregiver participation, interdisciplinary collaboration, and co-operation over organizational boundaries. In the timeliness measures, there was again more fluctuation.
Further research would be needed to gain more in-depth information about the true realization of person-centeredness and timeliness during the different stages of the rehabilitation planning process, especially from the rehabilitee and their caregiver perspectives.
This research was undertaken as an extension to the development days held at the Helsinki Outpatient clinic for the Developmentally and Intellectually Disabled in October 2019, for the purpose of collecting baseline information regarding the organizing of intensive medical rehabilitation for pediatric customers. As a result, a quantitative study, based on historical, routinely collected data from 2018-2019 was chosen as the research method. Data collection was done using personnel data entries found in free writing format in the Pegasos data repository. Before data analysis, the data was manually converted into quantified data. It was the interest of the author to accurately describe the process and its different stages, while finding evidence of person-centeredness and timeliness of care in the process. The analyzed data sample consisted of 50 randomized processes of a pediatric pool of customers, who all had previously been through the process from start to end.
The results show evidence of person-centeredness and timeliness in the process of organizing intensive medical rehabilitation, although the level of these subcomponents of quality varied to some extent from process to another, in between the occupational groups, and in the different phases of the process. This variation was particularly reflected in the degree of direct rehabilitee involvement in the rehabilitation needs´ assessments, which was affected by the assessment method used by the different occupational groups. Caregiver involvement was rather low in all assessments made, as well as the degree of interdisciplinary teamwork. There were elements of cross-organizational collaboration in all assessments made, although the collaborative partner and the level of co-operation varied to some degree. Overall, the implementation of the rehabilitation negotiations indicated a higher level of person-centeredness throughout all processes, including high degree of rehabilitee and caregiver participation, interdisciplinary collaboration, and co-operation over organizational boundaries. In the timeliness measures, there was again more fluctuation.
Further research would be needed to gain more in-depth information about the true realization of person-centeredness and timeliness during the different stages of the rehabilitation planning process, especially from the rehabilitee and their caregiver perspectives.