为欧盟癌症查计划的质量评估优先考虑绩效和结果指标
Brian Sheridan1, Abyan Irzaldy1, Eveline A M Heijnsdijk1
1Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Public health
|January 27, 2025
概括
基于共识的Delphi方法确定了癌症查计划的23个优先指标. 这些以公平为重点的指标涵盖了整个选途径,平衡了改善数据评估的危害和益处.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 确保癌症查中危害与益处之间的平衡,需要强有力的绩效和结果指标.
- 现有的指标系统可能无法充分解决公平性,新的选方法或机会性选问题.
研究的目的:
- 为癌症查数据评估系统开发一套有限的,以公平为重点的优先绩效和结果指标.
- 将指标与新的选方法保持一致,并涵盖机会性选,同时尽量减少指标的总数.
主要方法:
- 一个多阶段的过程,涉及系统和灰色文献搜索,以确定潜在的指标.
- 专家组的精细化,定义协议,以及删除多余的指标.
- 一项为期两轮的德尔菲研究,涉及33名癌症查专家,使用在线调查和促进讨论.
主要成果:
- 在10个预定义的类别中选择了23个优先指标.
- 检测率,检查覆盖率和间隔癌症率被确定为最重要的指标.
- 结果指标,如原始发病率和从屏幕到结果通知的时间,被认为不那么重要.
结论:
- 这23个优先指标涵盖了癌症查的全部途径,包括伤害,障碍和不平等.
- 这些指标旨在以公平为重点,并可适应新的选方式.
- 开发的指标在CanScreen-ECIS项目中进行了试点测试.
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