肺癌 (基于互联网) 德尔菲 (LUCiD):一个修改的eDelphi共识过程,以建立澳大利亚胸部癌症的临床质量指标
Jessica Nash1,2, Emily Stone3,4, Shalini Vinod5,6
1Curtin Medical School, Curtin University, Perth, Western Australia, Australia.
Respirology (Carlton, Vic.)
|August 13, 2024
概括
这项研究确定了澳大利亚和新西兰的胸部瘤治疗的27个临床质量指标. 这些指标旨在对肺癌护理进行基准评估,并改善该地区患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 肺癌是澳大利亚和新西兰的癌症死亡的主要原因,在护理方面存在显著的不合理的差异.
- 没有建立现有的临床质量指标来对澳大利亚的胸部瘤治疗进行基准评估.
- 解决癌症护理方面的差异需要制定标准化的质量指标.
研究的目的:
- 为肺癌和其他胸部癌症建立一套基于共识的临床质量指标.
- 促进澳大利亚和新西兰胸部瘤治疗的一致基准测试.
- 为改善该地区癌症护理质量提供框架.
主要方法:
- 采用了经过修改的三轮eDelphi共识过程,涉及多学科专家和利益相关者.
- 一个全面的文献审查确定了国际胸部瘤学指标进行评估.
- 共识被定义为70%的协议,最后一轮是混合会议.
主要成果:
- 总共评估了71个指标,最终达成27个临床质量指标的共识.
- 开发的指标涵盖了从诊断到一线治疗的胸部瘤护理连续性.
- 支持性护理的基准指标在协商一致过程中代表性不足.
结论:
- 澳大利亚成功开发了27个与胸部瘤治疗相关的临床质量指标.
- 未来的实施将涉及在整个澳大利亚使用前性数据集进行现实世界的验证.
- 这些指标为改善和标准化区域性胸部癌症护理提供了基础.
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