开发一个质量评估指数系统,用于电子咨询医生与患者的沟通,使用德尔菲方法
Jing Liao1,2, Mengyao Jiang1,2, Jiaxiu Liu1,2
1College of Medical Informatics, Chongqing Medical University, Chongqing, 400016, People's Republic of China.
Journal of multidisciplinary healthcare
|November 29, 2023
概括
这项研究开发了电子咨询服务的质量评估系统,优先考虑联合决策,患者响应能力和医生患者关系. 该系统旨在改善在线医疗沟通和患者满意度.
科学领域:
- 数字健康数字健康
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
背景情况:
- 电子咨询服务在全球很受欢迎,为患者提供方便.
- 然而,在电子咨询中通信质量不足,会对患者体验产生负面影响.
研究的目的:
- 设计一个全面的电子咨询质量评估系统.
- 为在线医疗保健提供服务改进,用户评估和知情决策的工具.
主要方法:
- 结合了现有的尺度,文献分析和专家咨询.
- 使用了德尔菲方法和分析层次过程 (AHP) 与14名专家.
- 通过专家的共识和权重,开发了一个多层次的指标系统.
主要成果:
- 获得了高的专家响应率 (100%和92.86%) 和强大的专家权威 (Cr=0.89,0.88).
- 建立了一个最终的系统,包括3个初级指标,10个二级指标和32个三级指标.
- 确定"医生和患者之间的联合决策" (0.6232) 是最关键的因素,其次是"患者的反应" (0.2395) 和"人际关系" (0.1373).
结论:
- 为电子咨询质量制定了一种经过验证的科学尺度.
- 该系统增强了评估在线医疗服务的理论框架.
- 为优化"互联网+医疗健康"服务和改善以患者为中心的护理提供实用指导.
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