Qualitätsprofil einer Rehabilitationsfachklinik für Naturheilverfahren – Teil 1: Struktur, Qualitätssicherung und Interventionen

Abstract

To present a patient care evaluation program exemplified by a rehabilitation clinic for complementary and alternative medicine (CAM) with focus on aspects of structure quality, steps of quality assurance and interventions administered. Methods: Assessment of previously defined criteria of structure (general characteristics of the facility, staff, medical equipment and constructional features, medical concept, continuing care, internal communication) and measures of quality assurance with the aid of a questionnaire filled in by the management of the hospital. Development of internal guidelines for diagnostics and therapy with respect to relevant diseases. Results: The clinic’s structure profile describes the indications and contraindications in effect, the quantity and qualification structure of staff, and the constructional and medical equipment details. Based on a multidimensional bio-psycho-social concept the general objectives of rehabilitation are derived. According to the medical concept the corresponding diagnostic and therapeutic methods are presented. Guidelines for treatment were exemplified by patients with migraine. Conclusion: The structural features do not fully meet the preconditions valid for the various indications in rehabilitation. As CAM hospitals define themselves by the methods of intervention they apply rather than by the indications to be treated they demand for an exceptional position.

Results of a 2-Week Inpatient Stay at the Department for Internal and Integrative Medicine: An Observational Study

“…Patients in these other observational trials also showed improved symptoms and health, as well as improved quality of life. The effect sizes were also comparable between these studies, for example, Melchart et al [47] found effects around d = 0.5 for changes to patients' PCS and MCS after 6 months, changes only marginally larger than those found in the present study. More than two fifths of the patients in the present study (42%) reported improvements of >5 points in the SF-36, which is considered clinically relevant [49].…”

“…Another problem resulted from the followup response rate the loss of 50% of the patients at 12 months generating much missing data. Whilst other quality assurance programs have experienced similar response rates [41, 42], some have lost only 25% of their participants [47]. The followup losses experienced in the present study may mean that the reported results reflect a bias in patients' response behaviours.…”

A pilot study on the effects of a team building process on the perception of work environment in an integrative hospital for neurological rehabilitation

“…According to Melchart et al [10], structural features like facility characteristics, medical equipment, constructional features or internal communication play an important role in the quality profile of integrative rehabilitation clinics. Thus, the above mentioned aspects may play a more central role in neurological or other critical care units with an integrative medical care program than conventional medical care programs.…”

Ergebnis einer integrativen Behandlung bei stationären Patienten mit chronischen Leiden - eine Beobachtungsstudie

“…Diverse klinische Studien konnten belegen, dass stationäre Behandlungen mit einem naturheilkundlichen [10,11,12,13,14,15] oder integrativen [16,17,18,19] Ansatz zu einer wesentlichen und nachhaltigen Verbesserung der gesamten LQ führen.…”