开发中国癌症医院的质量指标:一个国家修改的德尔菲过程
Meicen Liu1, Qingyuan Yu2, Yuanli Liu3
1National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
BMJ open
|April 9, 2024
概括
在专家的共识下,为中国的癌症医院制定了一套新一套47个质量指标. 这些指标侧重于结构,过程和结果,旨在改善癌症护理中的系统质量测量.
科学领域:
- 衡量医疗保健质量的测量方法
- 在瘤学瘤学.
- 医疗服务研究 医疗服务研究
背景情况:
- 中国癌症护理的需求和供应不断增加,凸显了癌症医院需要系统性质量测量.
- 现有的质量评估框架可能无法充分捕捉癌症护理的复杂性.
研究的目的:
- 开发一套衡量中国医院癌症护理质量的核心指标.
- 建立瘤学系统质量评估的框架.
主要方法:
- 一个全面的文献审查确定了最初的指标.
- 一个经过修改的Delphi调查,25名专家精炼并选择了指标.
- 分析层次过程和百分比权重方法确定了指标权重.
主要成果:
- 在47个指标上达成共识:17个结构指标,19个过程指标和11个结果指标.
- 结果指标获得了最高的相对权重 (53.96%),其次是过程 (29.70%) 和结构 (16.34%).
- 专家指出,对特定结果指标的数据可用性存在担忧.
结论:
- 已经建立了一套强大的核心质量指标,用于中国的癌症医院.
- 这些指标为评估和提高癌症护理质量提供了一个框架.
- 开发的指标为全球系统性癌症护理质量测量提供了见解.
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