在欧洲选择初级医疗保健质量指标:德尔菲研究协议
Mariana Lobo1, Andreia Pinto2,3, Glória Conceição3
1CINTESIS@RISE, MEDCIDS, Faculty of Medicine, University of Porto, Porto, Portugal.
PloS one
|October 24, 2024
概括
本研究概述了一项协议,旨在在欧洲卫生系统中就初级医疗保健 (PHC) 质量指标达成共识. 德尔菲技术将确定有效和重要的指标,用于PHC质量评估.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 初级医疗保健研究 研究初级医疗保健研究
- 卫生系统分析 卫生系统分析
背景情况:
- 评估初级医疗保健 (PHC) 质量对欧洲卫生系统至关重要.
- 在不同的临床环境中,需要采用标准化的方法来制定质量指标.
- 现有的质量指标可能不完全符合当前的临床指南或人口需求.
研究的目的:
- 描述一项协议,以达成关于有效和重要的指标的共识,以评估PHC质量.
- 涵盖欧洲PHC系统中的所有临床背景.
- 确保指标反映当前的临床指南和人口需求.
主要方法:
- 使用德尔菲技术与欧洲专家小组进行的定性研究.
- 从1726个候选指标中提取和精制57个专业面板.
- 两轮匿名在线问卷使用9点的利克特级别来评估指标的有效性和重要性.
主要成果:
- 该协议有助于在不同的医疗保健专业人员之间建立共识.
- 匿名性和结构化的共识标准 (≥70%的同意,<15%的不同意) 确保了可靠的结果.
- 精简的分析确保了研究结果在各小组的概括性.
结论:
- 开发的协议将产生 PHC 质量指标的共识和简洁列表.
- 这份清单将提高欧洲的PHC质量.
- 指标将基于证据,与科学文献,临床指南和人口需求保持一致.
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