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Developing a quality evaluation indicator system for lung cancer diagnosis and treatment: a modified Delphi method
Liming Shi1, Kailun Fei1, Meicen Liu1
1National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
BMC Cancer
|June 17, 2026
Summary
A new quality evaluation index system for lung cancer diagnosis and treatment was developed. This system, comprising structure, process, and outcome indicators, offers a credible tool for assessing cancer care quality.
Area of Science:
- Oncology
- Healthcare Quality
- Health Services Research
Background:
- Lung cancer diagnosis and treatment require robust quality evaluation.
- Existing quality metrics may not comprehensively cover the care continuum.
Purpose of the Study:
- To establish a comprehensive quality evaluation index system for lung cancer diagnosis and treatment.
- To develop a standardized tool for assessing the quality of lung cancer care.
Main Methods:
- The Donabedian health assessment model and Delphi method were employed.
- The Analytic Hierarchy Process determined indicator weights.
- Expert consensus was achieved through two rounds of consultation.
Main Results:
- A hierarchical index system was constructed with 3 primary (structure, process, outcome), 15 secondary, and 55 tertiary indicators.
- Indicators cover staffing, facilities, diagnosis, multidisciplinary teams, various treatment modalities, patient-centeredness, effectiveness, safety, and timeliness.
- High expert engagement (96.15-100.0% enthusiasm) and authority (0.818-0.825) were reported, with good inter-rater reliability (0.476-0.748 coordination).
Conclusions:
- The developed lung cancer quality evaluation index system demonstrates high credibility.
- This system serves as a valuable tool for evaluating and improving the quality of lung cancer care.
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