Delphi法在筛选就医期望评价指标体系的应用
|
摘要
目的筛选就医期望评价指标体系。方法采用Delphi法对就医期望指标条目进行3轮的专家咨询,共邀请专家和居民代表各25名参加。结果预调查、第1轮、第2轮咨询的积极系数均大于70%;专家的权威系数平均为0.803;最后1轮咨询意见一致性系数也均大于0.7,3轮咨询专家意见趋于集中,意见的一致性水平达到了研究预期。最后筛选出52个指标进入后面的分析与测试。结论咨询结果达到预期,所筛选指标具有较高的代表性和科学性。
Objective To screen the in indicator for expectation of health care. Method Three rounds Delphi consultations were conducted for selected indicators of expectation of health care.25 experts and 25 residents were selected for the three rounds' consultations. Results The participation coefficient of Pre-survey, first round and second round consultation are greater than 70%. The average coefficient of experts' authority were 0.803. The consistency coefficients of experts were all more than 0.7 in the last round. The advice of experts were more and more consistency in the three rounds. The level of consistency reached the level, which research requested. Finally, 52 items were contained for further analysis. Conclusion The result of the consultation as the previous expected and the indicators have a high reprehensive and scientificity.
Objective To screen the in indicator for expectation of health care. Method Three rounds Delphi consultations were conducted for selected indicators of expectation of health care.25 experts and 25 residents were selected for the three rounds' consultations. Results The participation coefficient of Pre-survey, first round and second round consultation are greater than 70%. The average coefficient of experts' authority were 0.803. The consistency coefficients of experts were all more than 0.7 in the last round. The advice of experts were more and more consistency in the three rounds. The level of consistency reached the level, which research requested. Finally, 52 items were contained for further analysis. Conclusion The result of the consultation as the previous expected and the indicators have a high reprehensive and scientificity.
引文
[1]魏亚男,雷宁,张绍蓉.患者对医院健康服务期望的研究现状及进展[J].中国煤炭工业医学杂志,2016,3(19):472-5.
[2]Bowling A,Rowe G,Lambert N,et al.The measurement of patients’expectations for health care:a review and psychometric testing of a measure of patients’expectations[J].Health Technol Assess,2012,16(30):1-6.
[3]Auer CJ,Glombiewski JA,Doering BK,et al.Patients’expectations predict surgery outcomes:a Meta-Analysis[J].Int J Behav Med,2016,23(1):49-62.
[4]Donaldson M,Learman K,O’halloran BA,et al.The role of patients’expectation of appropriate initial manual therapy treatment in outcomes for patients with low back pain[J].J Manipulative Physiol Ther,2013,36(5):276-83.
[5]Ekberg S,Barnes RK,Kessler DS,et al.Managing clients’expectations at the outset of online cognitive behavioural therapy(CBT)for depression[J].Health Expectations,2016,19(3):557-69.
[6]吴光哲,周俭平,刘宝军.患者期望值管理及医患关系改善对策[J].解放军医院管理杂志,2015,25(7):612-4.
[7]伍吉云,肖凤,刘旭阳.新医改下患者期望的医疗服务质量发展观调查研究[J].生产力研究,2011,34(12):111-2,156.
[8]Dolovich L,Kalpana N,Sellors C,et al.Do patients’expectations influence their use of medications[J].Can Fam Physician,2008,24(54):384-93.
[9]Shearer FM,Bailey PM,Hicks BL,et al.Why do patients choose to attend a private emergency department[J].Emergen Med Australas,2015,27(1):62-5.
[10]Younger J,Gandhi V,Hubbard E,et al.Development of the Stanford expectations of treatment scale(SETS):A tool for measuring patient outcome expectancy in clinical trials[J].Clinical Trials,2012,9(6):767-76.
[11]王其琳,郑军华,王晚晴,等.基于Delphi法构建临床发展能力评价指标[J].中国卫生质量管理,2016,36(4):61-4.
[12]冰泉.基于Delphi法的评价量表的研制[J].教育现代化,2016,13(8):178-81.
[13]平卫伟,谭红专.Delphi法的研究进展及其在医学中的应用[J].疾病控制杂志,2003,7(3):243-6.
[14]王高玲,别如娥.基于Delphi法的居民健康素养评价指标体系的研究[J].中国卫生统计,2013,30(5):676-9.
[15]夏萍,吴大嵘,卢传坚,等.Delphi法在医疗质量评价指标体系中的可靠性分析[J].现代预防医学,2012,39(14):3488-90.
[16]叶芳.改进德尔菲(Delphi)法研究亚健康的描述性定义及评价标准[D].北京:中国协和医科大学;北京协和医学院;北京协和医学院;中国医学科学院;清华大学医学部,2008.
[17]丁晋飞,谈立峰,郝东平,等.应用Delphi法构建区域性大型活动卫生保障住宿场所卫生监督量化评价指标体系[J].现代预防医学,2013,40(2):365-7,369.
[18]李丹.医院教学能力评价与管理模式研究[D].武汉:华中科技大学,2008.
[19]Bin B.Delphi process:a methodology using for the elicitation of opinions of experts[J].Rand Corporation,1987,12(9):3925-34.
[20]Gans BM,Haley SM.Description and interobserver reliabillty of the tifts assessment of motor performance[J].J Phys Med Rehabil,1988,67(5):202-10.
[21]林清然.应用德尔菲法构建预防住院患者跌倒的护士培训课程[D].广州:暨南大学,2014.
[22]马宁,刘民.应用改良Delphi法建立亚健康状态评价指标体系[J].中华疾病控制杂志,2013,17(1):77-81.
[23]郝敏,廖家智,李亚东,等.基于Delphi法对医疗质量中非技术因素评价指标体系的构建[J].中国社会医学杂志,2015,17(1):70-2.
[24]程琮,刘一志,王如德.Kendall协调系数W检验及其SPSS实现[J].泰山医学院学报,2010,28(7):487-90.
[25]Gisev N,Bell JS,Chen TF.Interrate agreement and interrater reliability:Key concepts,approaches,and applications[J].Rea Social Adm Pharm,2012,9(3):330-8.
[26]孙振球.医学统计学[M].北京:人民卫生出版社,2009:409-10.
[2]Bowling A,Rowe G,Lambert N,et al.The measurement of patients’expectations for health care:a review and psychometric testing of a measure of patients’expectations[J].Health Technol Assess,2012,16(30):1-6.
[3]Auer CJ,Glombiewski JA,Doering BK,et al.Patients’expectations predict surgery outcomes:a Meta-Analysis[J].Int J Behav Med,2016,23(1):49-62.
[4]Donaldson M,Learman K,O’halloran BA,et al.The role of patients’expectation of appropriate initial manual therapy treatment in outcomes for patients with low back pain[J].J Manipulative Physiol Ther,2013,36(5):276-83.
[5]Ekberg S,Barnes RK,Kessler DS,et al.Managing clients’expectations at the outset of online cognitive behavioural therapy(CBT)for depression[J].Health Expectations,2016,19(3):557-69.
[6]吴光哲,周俭平,刘宝军.患者期望值管理及医患关系改善对策[J].解放军医院管理杂志,2015,25(7):612-4.
[7]伍吉云,肖凤,刘旭阳.新医改下患者期望的医疗服务质量发展观调查研究[J].生产力研究,2011,34(12):111-2,156.
[8]Dolovich L,Kalpana N,Sellors C,et al.Do patients’expectations influence their use of medications[J].Can Fam Physician,2008,24(54):384-93.
[9]Shearer FM,Bailey PM,Hicks BL,et al.Why do patients choose to attend a private emergency department[J].Emergen Med Australas,2015,27(1):62-5.
[10]Younger J,Gandhi V,Hubbard E,et al.Development of the Stanford expectations of treatment scale(SETS):A tool for measuring patient outcome expectancy in clinical trials[J].Clinical Trials,2012,9(6):767-76.
[11]王其琳,郑军华,王晚晴,等.基于Delphi法构建临床发展能力评价指标[J].中国卫生质量管理,2016,36(4):61-4.
[12]冰泉.基于Delphi法的评价量表的研制[J].教育现代化,2016,13(8):178-81.
[13]平卫伟,谭红专.Delphi法的研究进展及其在医学中的应用[J].疾病控制杂志,2003,7(3):243-6.
[14]王高玲,别如娥.基于Delphi法的居民健康素养评价指标体系的研究[J].中国卫生统计,2013,30(5):676-9.
[15]夏萍,吴大嵘,卢传坚,等.Delphi法在医疗质量评价指标体系中的可靠性分析[J].现代预防医学,2012,39(14):3488-90.
[16]叶芳.改进德尔菲(Delphi)法研究亚健康的描述性定义及评价标准[D].北京:中国协和医科大学;北京协和医学院;北京协和医学院;中国医学科学院;清华大学医学部,2008.
[17]丁晋飞,谈立峰,郝东平,等.应用Delphi法构建区域性大型活动卫生保障住宿场所卫生监督量化评价指标体系[J].现代预防医学,2013,40(2):365-7,369.
[18]李丹.医院教学能力评价与管理模式研究[D].武汉:华中科技大学,2008.
[19]Bin B.Delphi process:a methodology using for the elicitation of opinions of experts[J].Rand Corporation,1987,12(9):3925-34.
[20]Gans BM,Haley SM.Description and interobserver reliabillty of the tifts assessment of motor performance[J].J Phys Med Rehabil,1988,67(5):202-10.
[21]林清然.应用德尔菲法构建预防住院患者跌倒的护士培训课程[D].广州:暨南大学,2014.
[22]马宁,刘民.应用改良Delphi法建立亚健康状态评价指标体系[J].中华疾病控制杂志,2013,17(1):77-81.
[23]郝敏,廖家智,李亚东,等.基于Delphi法对医疗质量中非技术因素评价指标体系的构建[J].中国社会医学杂志,2015,17(1):70-2.
[24]程琮,刘一志,王如德.Kendall协调系数W检验及其SPSS实现[J].泰山医学院学报,2010,28(7):487-90.
[25]Gisev N,Bell JS,Chen TF.Interrate agreement and interrater reliability:Key concepts,approaches,and applications[J].Rea Social Adm Pharm,2012,9(3):330-8.
[26]孙振球.医学统计学[M].北京:人民卫生出版社,2009:409-10.