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Invited Commentary on Quality of Care Indicators for the Rehabilitation of Children With Traumatic Brain Injury, and Quality of Care Indicators for the Structure and Organization of Inpatient Rehabilitation Care of Children With Traumatic Brain Injury

https://doi.org/10.1016/j.apmr.2011.11.016Get rights and content

Abstract

Whyte J. Invited commentary on quality of care indicators for the rehabilitation of children with traumatic brain injury, and quality of care indicators for the structure and organization of inpatient rehabilitation care of children with traumatic brain injury.

Measures of structure and process in health care have been shown to be associated with care outcomes in prior research. Two articles in this issue propose measures of structure and process that may be relevant to pediatric traumatic brain injury rehabilitation. This commentary considers how these potential measures may be related to the actual treatments and services that ultimately affect patient outcomes.

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Cited by (8)

  • Toward spanning the quality chasm: An examination of team functioning measures

    2014, Archives of Physical Medicine and Rehabilitation
    Citation Excerpt :

    However, there is no consensus on the characteristics of team functioning pivotal to patient outcome, nor is there agreement that team functioning, itself, is necessarily a primary and causal influence in patient outcome. In the absence of empirical evidence to the contrary, Whyte11 argues that team functioning is, at best, an indirect indicator of quality, not an active ingredient of quality. To our knowledge, this study differs from the previous literature to evaluate the effect on patient outcome of changes in components of team functioning that can be reliably measured.

  • Rehabilitation treatment taxonomy: Establishing common ground

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  • Treatment taxonomy for rehabilitation: Past, present, and prospects

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  • Describing what we do: A qualitative study of clinicians' perspectives on classifying rehabilitation interventions

    2014, Archives of Physical Medicine and Rehabilitation
    Citation Excerpt :

    However, unless these coordination efforts are translated into actual work for and with the patient, they have no treatment effect in and of themselves. As Whyte37 has argued, the physical and social structure of the rehabilitation facility only set limits to what can be delivered; actual delivery of effective treatments may or may not take place. Consequently, while team rounds and the many other coordinative activities that are needed to turn a small or large group of individuals into an efficient team may be useful in describing processes, they do not by themselves explain results.

  • The author responds

    2012, Archives of Physical Medicine and Rehabilitation
  • Can quality of care indicators measure quality of care?

    2012, Archives of Physical Medicine and Rehabilitation
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