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Publication type: Article in scientific journal
Type of review: Open peer review
Title: Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC) : a systematic review
Authors: Wagner, Aylin
Schaffert, René
Möckli, Nathalie
Zúñiga, Franziska
Dratva, Julia
et. al: No
DOI: 10.1186/s12913-020-05238-x
Published in: BMC Health Services Research
Volume(Issue): 20
Issue: 366
Issue Date: 29-Apr-2020
Publisher / Ed. Institution: BioMed Central
ISSN: 1472-6963
Language: English
Subjects: Home care; Home-based care; InterRAI; Nursing; Quality indicators; Reliability; Systematic review; Validity
Subject (DDC): 362: Health and social services
Abstract: Background: One way of measuring the quality of home care are quality indicators (QIs) derived from data collected with the Resident Assessment Instrument-Home Care (RAI-HC). In order to produce meaningful results for quality improvement and quality comparisons across home care organizations (HCOs) and over time, RAI-HC QIs must be valid and reliable. The aim of this systematic review was to identify currently existing RAI-HC QIs and to summarize the scientific knowledge on the validity and reliability of these QIs. Methods: A systematic review was performed using the electronic databases PubMed, CINAHL, Embase, PsycINFO and Cochrane Library. Studies describing the development process or the psychometric characteristics of RAI-HC QIs were eligible. The data extraction involved a general description of the included studies as well as the identified RAI-HC QIs and information on validity and reliability. The methodological quality of the identified RAI-HC QI sets was assessed using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. Results: Four studies out of 659 initial hits met the inclusion criteria. The included studies described the development and validation process of three RAI-HC QI sets comprising 48 unique RAI-HC QIs, which predominantly refer to outcome of care. Overall, the validity and reliability of the identified RAI-HC QIs were not sufficiently tested. The methodological quality of the three identified RAI-HC QI sets varied across the four AIRE instrument domains. None of the QI sets reached high methodological quality, defined as scores of 50% and higher in all four AIRE instrument domains. Conclusions: This is the first review that systematically summarized and appraised the available scientific evidence on the validity and reliability of RAI-HC QIs. It identified insufficient reporting of RAI-HC QIs validation processes and reliability as well as missing state-of-the-art methodologies. The review provides guidance as to what additional validity and reliability testing are needed to strengthen the scientific soundness of RAI-HC QIs. Considering that RAI-HC QIs are already implemented and used to measure and compare quality of home care, further investigations on RAI-HC QIs reliability and validity is recommended.
Fulltext version: Published version
License (according to publishing contract): CC BY 4.0: Attribution 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Public Health (IPH)
Published as part of the ZHAW project: Swiss Home Care Data: Bessere Daten zur Qualität der häuslichen Pflege (Spitex)
Appears in collections:Publikationen Gesundheit

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