[对获得癌症查服务的评估指标系统的开发:Delphi研究]
1Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
|February 18, 2025
概括
这项研究开发了一个全面的评估指标系统,以评估癌症查服务的获取. 该系统提供了一种定量工具,用于在不同群体和干预措施中比较服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 获得癌症查服务对于早期检测和改善患者结果至关重要.
- 需要标准化的评估工具来定量评估和比较服务可访问性.
研究的目的:
- 开发和验证一个多层次评估指标系统,以评估获得癌症查服务的机会.
主要方法:
- 范围审查以构建一个指标池.
- 定性专家咨询和Delphi方法 (两轮) 用于系统开发和验证.
- 分析专家意见,包括正系数,权威和肯德尔的W系数.
- 边界值方法和系统改进和权重的组合权重方法.
主要成果:
- 最终的系统包括3个初级指标,11个二级指标和45个三级指标.
- 专家达成共识,100%的正系数和0.87的权威系数.
- 权重分配:结构 (0.338),过程 (0.378) 和结果 (0.285) 的评估.
结论:
- 开发的指标系统为定量评估癌症查准入提供了一个有效的工具.
- 该系统有助于在人口,癌症类型和干预措施之间进行比较.
- 建议对系统进行持续优化,以实现持续的应用和改进.
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