Cooperative leadership as a condition for patient-reported rehabilitation success

Meyer T, Kleineke V, Stamer M (2023)
Frontiers in Rehabilitation Sciences 4: 1114666.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Meyer, ThorstenUniBi; Kleineke, Vera; Stamer, Maren
Abstract / Bemerkung
Introduction: Rehabilitation is a complex intervention that takes place in a complex setting. The MeeR project (characteristics of successful rehabilitation facilities) aims to identify complex conditions of successful rehabilitation outcomes.; Methods: A project with a sequential mixed-methods study design with a quantitative prestudy and a qualitative main study was applied. In the quantitative study, quality assurance data of the German Pension Insurance was used to (1) develop and compute a multifacet z-standardized outcome index based on patient-reported outcome data, (2) rank k=273 orthopedic rehabilitation facilities comprising n=112,895 patients and k=86 cardiac rehabilitation institutions comprising n=30,299 patients based on their outcome index score by means of a league table, and (3) adjust the ranking by basic patient characteristics (age, gender, diagnosis, weeks out of work prior to rehabilitation, application for pension). In the qualitative main study, k=6 rehabilitation facilities (orthopedic and cardiac rehabilitation centers) were recruited based on the results of the quantitative analysis: three facilities that ranked top 10% and three facilities that ranked lowest 10% of the adjusted league table. All six rehabilitation facilities were visited each for 1 week by two researchers. We conducted participant observations, expert interviews with medical and administrative leaders, group discussions with rehab team members, and group discussions with patients. Subsequently, a systematic comparison of the results of the upper and lower 10% facilities was conducted to identify those characteristics that distinguished those institutions from one another.; Results: One of the three clusters of characteristics that distinguished the above and below 10% facilities related to teamwork or interdisciplinary cooperation: among others, the extent of interdisciplinary cooperation was higher in the rehabilitation facilities with a higher degree of success, the leading medical doctors were less dominant in these institutions, and there was also a more comprehensive representation of the team within team meetings, i.e., the quality and amount of interdisciplinary cooperation were higher in these institutions compared to rehabilitation facilities with a lower level of success.; Discussion: This project provided qualitative evidence for the role of interdisciplinary cooperation and collaborative leadership and its different facets for patient-related successful rehabilitation in orthopedic and cardiac rehabilitation. It provides valuable insights into the fabric and structure of a rehabilitation institution and a variety of target points for team development and group-leading interventions. © 2023 Meyer, Kleineke and Stamer.
Erscheinungsjahr
2023
Zeitschriftentitel
Frontiers in Rehabilitation Sciences
Band
4
Art.-Nr.
1114666
eISSN
2673-6861
Page URI
https://pub.uni-bielefeld.de/record/2978074

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Meyer T, Kleineke V, Stamer M. Cooperative leadership as a condition for patient-reported rehabilitation success. Frontiers in Rehabilitation Sciences. 2023;4: 1114666.
Meyer, T., Kleineke, V., & Stamer, M. (2023). Cooperative leadership as a condition for patient-reported rehabilitation success. Frontiers in Rehabilitation Sciences, 4, 1114666. https://doi.org/10.3389/fresc.2023.1114666
Meyer, Thorsten, Kleineke, Vera, and Stamer, Maren. 2023. “Cooperative leadership as a condition for patient-reported rehabilitation success”. Frontiers in Rehabilitation Sciences 4: 1114666.
Meyer, T., Kleineke, V., and Stamer, M. (2023). Cooperative leadership as a condition for patient-reported rehabilitation success. Frontiers in Rehabilitation Sciences 4:1114666.
Meyer, T., Kleineke, V., & Stamer, M., 2023. Cooperative leadership as a condition for patient-reported rehabilitation success. Frontiers in Rehabilitation Sciences, 4: 1114666.
T. Meyer, V. Kleineke, and M. Stamer, “Cooperative leadership as a condition for patient-reported rehabilitation success”, Frontiers in Rehabilitation Sciences, vol. 4, 2023, : 1114666.
Meyer, T., Kleineke, V., Stamer, M.: Cooperative leadership as a condition for patient-reported rehabilitation success. Frontiers in Rehabilitation Sciences. 4, : 1114666 (2023).
Meyer, Thorsten, Kleineke, Vera, and Stamer, Maren. “Cooperative leadership as a condition for patient-reported rehabilitation success”. Frontiers in Rehabilitation Sciences 4 (2023): 1114666.
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