The History of Quality Assessment in Spine Care

2018 ◽  
pp. 29-49
Author(s):  
Eric J. Feuchtbaum ◽  
Catherine H. MacLean ◽  
Todd J. Albert
Keyword(s):  
Quality Assessment ◽  
History Of ◽  
Spine Care

scholarly journals Improving consultations for persistent musculoskeletal low back pain in orthopaedic spine settings: an intervention development

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Kathrin Braeuninger-Weimer ◽  
Naffis Anjarwalla ◽  
Alison McGregor ◽  
Lisa Roberts ◽  
Philip Sell ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Intervention Development ◽  
Self Management ◽  
Low Back ◽  
Care Seeking ◽  
Listening Skills ◽  
History Of ◽  
Spine Care ◽  
Interactive Workshop

Abstract Background There is a need to improve consultations between patients with persistent musculoskeletal low back pain and orthopaedic spine clinicians when surgery is not indicated. Poor communication and lack of education about self- management in these consultations have been shown to be associated with increased distress and higher subsequent health care seeking. Aim To develop a standardised intervention to improve spine care consultations for patients for whom surgery is not beneficial. Method The intervention was developed in six stages. The first three stages included: interviews with patients, an interactive workshop with clinicians from a mix of disciplines, and interviews with spine clinicians about their perspective of the recommendations, their perceived difficulties and potential improvements. Information from these stages was synthesised by an expert panel, creating a draft intervention structure and content. The main features of the intervention and the materials developed were then reviewed by patients and spine clinicians. Finally, the research team incorporated the recommended amendments to produce the intervention. Results In total, 36 patients and 79 clinicians contributed to the development of the intervention. The final intervention includes three components: a pre-consultation letter with information suggesting that surgery is one possible intervention amongst many, introducing the staff, and alerting patients to bring with them a potted history of interventions tried previously. The intervention includes short online training sessions to improve clinicians’ communication skills, during the consultation, in reference to listening skills, validation of patients’ pain, and use of appropriate language. Clinicians are also supplied with a list of evidence-based sources for advice and further information to share with patients. Finally, post consultation, a follow up letter includes a short summary of the patients’ clinical journey, the results of their examination and tests, and a reminder of recommendations for self-management. Conclusion The intervention includes aspects around patient education and enhanced clinician skills. It was developed with input from a multitude of stakeholders and is based on patients’ perceptions of what they would find reassuring and empowering when surgery is excluded. The intervention has the potential to improve the patients care journey and might lead to changes in practice in spine clinicians.

Physical Sciences

2017 ◽  
Author(s):  
Robert P. Crease
Keyword(s):  
Quality Assessment ◽  
Case Studies ◽  
Natural Sciences ◽  
Physical Sciences ◽  
Research Issues ◽  
Trading Zones ◽  
History Of

The physical sciences present excellent case studies of interdisciplinarity, its problems, and its prospects. The physical sciences present clear examples of the inheriting, adapting, and transforming of disciplines in ways that can transform our understanding not only of science but also of all research. Issues raised include the history of interdisciplinarity in the natural sciences and the reasons for its recent upsurge, as well as issues such as communication, expertise, trust, problems raised by the different culture of disciplines, practical issues, quality assessment, trading zones, and the nature of disciplines.

scholarly journals Why are patients dissatisfied following a total knee replacement? A systematic review

2020 ◽  
Vol 44 (10) ◽  
pp. 1971-2007
Author(s):  
Naoki Nakano ◽  
Haitham Shoman ◽  
Fernando Olavarria ◽  
Tomoyuki Matsumoto ◽  
Ryosuke Kuroda ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Patient Satisfaction ◽  
Total Knee Replacement ◽  
Quality Assessment ◽  
Knee Replacement ◽  
Mental Health Problems ◽  
Factors Affecting ◽  
History Of ◽  
Total Knee

Abstract Background Although total knee replacement (TKR) is an effective intervention for end-stage arthritis of the knee, a significant number of patients remain dissatisfied following this procedure. Our aim was to identify and assess the factors affecting patient satisfaction following a TKR. Materials and methods In accordance with the PRISMA guidelines, two reviewers searched the online databases for literature describing factors affecting patient satisfaction following a TKR. The research question and eligibility criteria were established a priori. Any clinical outcome study that described factors relating to overall satisfaction after primary TKR was included. Quality assessment for the included studies was performed by two accredited orthopaedic surgeons experienced in clinical research. Results The systematic review identified 181 relevant articles in total. A history of mental health problems was the most frequently reported factor affecting patient satisfaction (13 reportings). When the results of the quality assessment were taken into consideration, a negative history of mental health problems, use of a mobile-bearing insert, patellar resurfacing, severe pre-operative radiological degenerative change, negative history of low back pain, no/less post-operative pain, good post-operative physical function and pre-operative expectations being met were considered to be important factors leading to better patient satisfaction following a TKR. Conclusion Surgeons performing a TKR should take these factors into consideration prior to deciding whether a patient is suitable for a TKR. Secondarily, a detailed explanation of these factors should form part of the process of informed consent to achieve better patient satisfaction following TKR. There is a great need for a unified approach to assessing satisfaction following a TKR and also the time at which satisfaction is assessed.

Perceptual Assessment of Voice Quality: Past, Present, and Future

2010 ◽  
Vol 20 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Jody Kreiman ◽  
Bruce R. Gerratt
Keyword(s):  
Quality Assessment ◽  
Voice Quality ◽  
Know How ◽  
Alternative Approach ◽  
History Of ◽  
Vocal Quality ◽  
Perceptual Assessment

Despite many years of research, we still do not know how to measure vocal quality. This paper reviews the history of quality assessment, describes some reasons why current approaches are unlikely to be fruitful, and proposes an alternative approach that addresses the primary difficulties with existing protocols.

scholarly journals A Policy Review on Chinese Compulsory Education Quality Assessment: What We Learned From Official Reports Released in 2018 and 2019

2020 ◽  
pp. 209653112094452
Author(s):  
Danqing Yin
Keyword(s):  
Quality Assessment ◽  
Compulsory Education ◽  
Holistic Education ◽  
Quality Monitoring ◽  
Education Quality ◽  
Policy Documents ◽  
Policy Review ◽  
Education And Health ◽  
History Of ◽  
Monitoring Report

Purpose: This article intended to introduce the recent Chinese compulsory education quality assessment. Design/Approach/Methods: The article summarized education policy documents relevant to the recent Chinese compulsory education quality assessment, especially from the three reports: The Chinese Compulsory Education Quality Monitoring Report, The Chinese Compulsory Education Quality Monitoring Report on Mathematical Learning, and The Chinese Compulsory Education Quality Monitoring Report on Physical Education and Health. Findings: The article examined the development of Chinese education quality assessment in the context of the nation’s pursuit of holistic education. It first reviewed a brief history of the education quality monitoring work in China that bore the fruits a few recent reports. Second, findings and the framework of the assessment are demonstrated. Finally, I discuss the significance, limitations, and special issues of the assessment. Originality/Value: The article is among the earliest to present findings of the recent quality assessment in Chinese compulsory education in English critically.

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