使用Delphi方法组建一个人口健康管理成熟度指数
A F T M van Ede1, K V Stein2, M A Bruijnzeels2
1Health Campus The Hague / Department of Public Health and Primary Care, Leiden University Medical Centre, The Hague, The Netherlands. a.f.t.m.van_ede@lumc.nl.
这项研究使用科学文献和专家共识开发了人口健康管理 (PHM) 成熟指数. 它为实施PHM战略和评估其进展的医疗保健实践提供了指导.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 人口健康管理 (PHM) 是改善健康和福祉的理想方法,但由于工具狭窄和缺乏透明度,实施面临挑战.
- 对于引入和建立PHM的实际指导有需求.
研究的目的:
- 开发一个成熟度指数,以评估PHM在卫生区域的使用和进展.
- 为PHM实施提供以实践为导向的指导.
主要方法:
- 结合科学文献和专家意见,使用调整的兰德UCLA适当性方法.
- 与六个荷兰小组进行了三轮Delphi测试,随后与国际小组进行了验证.
主要成果:
- 确定了133个与PHM相关的项目,101个被认为是重要的,32个是模两可的.
- 专家验证证实了项目在PHM元素和RMIC中的相关性和分布.
结论:
- 专家的意见完善了PHM成熟度指数,改善了对成功实施和PHM元素组成的理解.
- 该研究为科学和实践提供了对影响实施的PHM要素的见解,帮助医疗保健组织在其PHM计划中发挥作用.
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