Evaluación y mejora de la calidad asistencial en fisioterapia a pacientes con cefalea
- José Ángel del-Blanco-Muñiz 1
- S. Laguarta-Val 2
- C. Fernández de-las-Peñas 2
- 1 Universidad Rey Juan Carlos. Madrid
- 2 Departamento de Fisioterapia, Terapia Ocupacional, Rehabilitación y Medicina Física. Universidad Rey Juan Carlos
ISSN: 1137-6627
Year of publication: 2018
Volume: 41
Issue: 1
Pages: 57-68
Type: Article
More publications in: Anales del sistema sanitario de Navarra
Abstract
Background. To evaluate the effects on healthcare quality following implementation of a program to improve care for individuals with headache in two physical therapy clinics and its association with outcomes and self-perceived improvement. Methods. We assessed healthcare quality by creating a questionnaire on fulfilment of fifteen quality criteria included in the clinical history of individuals suffering from tension-type, cervicogenic or migraine headaches seeking physical therapy between 2010 and 2014. In 2015, after applying a program to improve care in one center (C1), we reassessed the same fulfilment questionnaire in both centers, using the other center (C2) as control. Results. In the first evaluation there was a huge number of cases of non-compliance of all the criteria in both centers. After implementation of the care improvement program in C1 a significant improvement was observed in some items, as use of a headache diary, which rose from 0 to 100%, or use of the HIT-6 disability questionnaire, which rose from 30 to 100%. In addition, there was a significant improvement in self-perceived health status after implementation of the care program in C1. Conclusions. The implementation of a care improvement program was effective in improving healthcare quality for individuals with headache attending physical therapy services.
Funding information
Incluirá el análisis del movimiento tanto activo como pa-sivo de dichas articulaciones y la presencia o no de dolor Como elección, se realizarán movilizaciones grado III y IV de Maitland en las articulaciones rígidas. Para cumplir el criterio, deberá anotarse en la historia Se aplicarán técnicas de amasamiento y estiramiento en prono y/o supino. Para cumplir el criterio, deberá anotar-se en la historiaFunders
- Indian Health Service United States
- Institute of Infection and Immunity Canada