为国家卫生服务临床影响奖的评分系统的开发提供信息;Delphi过程和模拟评分练习
Gary Abel1, Rob Froud2, Emma Pitchforth1
1University of Exeter Collaboration for Academic Primary Care (APEx), University of Exeter Medical School, Exeter, UK.
JRSM open
|January 17, 2024
概括
根据专家的共识和试点研究,开发了临床影响奖的新评分系统. 这种基于0-10级的系统,与历史方法相比,显示出更好的性能差异化.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 公共卫生政策 公共卫生政策
背景情况:
- 在英国,临床影响奖 (Clinical Impact Awards,简称CIA) 是相当大的公共投资.
- 目前的资深医生和牙医奖励制度缺乏用于资金部署的强有力的证据基础.
- 需要一个强大且基于证据的评分系统来评估临床卓越.
研究的目的:
- 建立英国临床影响奖项新评分系统的原则.
- 试行一种基于专家衍生原则的新型评分系统.
- 改善高级医疗和牙科专业人员对临床卓越的评估.
主要方法:
- 参与了45名专家 (包括奖励评估员和专业机构代表) 的三轮在线Delphi流程,以达成对评分原则的共识.
- 对20个匿名历史应用进行了一项影子评分练习,使用5个领域的0-10级的新型评分表.
- 该试点评分系统由24名现任临床影响奖评审员进行评估.
主要成果:
- 在评分系统的关键原则上达成共识,包括0-10级的适当性,其中最低点表示表现低于工作计划预期的表现.
- 试点项目证明,新型评分系统的可靠性与历史方法相美.
- 新系统显示了在更高层次更好地区分性能的潜力.
结论:
- 为临床影响奖创造了一个强大开发的新评分系统.
- 拟议的系统比目前的高级医生和牙医评估安排提供了改进.
- 这种基于证据的方法旨在加强公开资金的公平和有效部署,以获得临床卓越的认可.
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