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Table 6 Results and secular trend on five general CR processes all centres received feedback upon: using MICE including correction for case mix and results on availability of five organizational structures

From: Effect of a web-based audit and feedback intervention with outreach visits on the clinical performance of multidisciplinary teams: a cluster-randomized trial in cardiac rehabilitation

Care processes and organizational structures

Type

Crude baseline performance

Crude follow-up performance

Performance trend [OR (95% CI)]

N (centres)

Indicators referring to general practices (both study groups)

ā€ƒ18. Median time between hospital discharge and needs assessment procedure

Process

68.0% (1983/2915)

61.6% (7355/11,932)

0.7 (0.54 to 0.91)

14,847 (18)

ā€ƒ19. Patients are offered a rehabilitation plan tailored to their needs

Process

85.0% (2479/2915)

85.4% (10,191/11,932)

0.89 (0.72 to 1.09)

14,847 (18)

ā€ƒ20. Rehabilitation evaluated at discharge

Process

39.0% (1137/2915)

34.0% (4059/11,932)

0.43 (0.28 to 0.64)

14,847 (18)

ā€ƒ21. Cardiologist and GP receive a report after CR

Process

42.5% (1239/2915)

57.7% (6879/11,932)

3.42 (2.24 to 5.24)

14,847 (18)

Availability of five organizational structures (both study groups)

ā€ƒ22. Professionals work with a multidisciplinary patient record

Yes/no

94.4% (17/18)

100% (18/18)

N.A.

18

ā€ƒ23. Availability of specialized education for patients with chronic heart failure

Yes/no

55.6% (10/18)

61.1% (11/18)

N.A.

18

ā€ƒ24. Assessment of long-term patients outcomes

Yes/no

33.3% (6/18)

33.3% (6/18)

N.A.

18

ā€ƒ25. Performing internal evaluation and quality improvement

Yes/no

83.3% (15/18)

94.4% (17/18)

N.A.

18

ā€ƒ26. Performing patient satisfactory research

Yes/no

44.4% (8/18)

55.6% (10/18)

N.A.

18

  1. We used Multiple Imputation by Chained Equations to handle missing data. Baseline period: first 3Ā months of study period; follow-up period: complete study period minus the baseline period. Performance trends: odds ratios associated with a 1-year study follow-up, adjusted for patientsā€™ age, gender, indication for CR, and centresā€™ type and size
  2. Abbreviations: CI confidence interval, CR cardiac rehabilitation, GP general practitioner, OR odds ratio, NA. not applicable