建立基于医疗和预防整合的慢性疾病管理绩效评估指数系统
Mingqing Zhao1, Ziyi Cheng1, Zhuqing Chen1
1Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
在慢性疾病管理 (CDM) 中开发了一个新的医疗和预防整合 (MPI) 评估指数系统. 该工具评估区域绩效,识别弱点,以提高县级医疗保健质量.
科学领域:
- 公共卫生 公共卫生
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗和预防整合 (MPI) 显著有利于慢性疾病管理 (CDM).
- 评估MPI的有效性对于高质量的CDM开发至关重要.
- 以前没有专门的工具来评估CDM中的MPI.
研究的目的:
- 开发一个评估指数系统来评估CDM中的区域MPI绩效.
- 为改善县级CDM质量提供建议.
主要方法:
- 使用文献分析,小组讨论和采访构建了一个初始索引系统.
- 使用了24名CDM专家的两轮Delphi问卷.
- 采用分析层次流程来确定索引权重.
主要成果:
- 开发了一个MPI绩效评估指数系统,用于县级CDM.
- 该系统包括五个一级索引,20个s级索引和69个第三级索引.
- "整合质量" (0.2060) 是第一级指数中权重最高的指数,其次是"整合投入" (0.2010).
结论:
- 为CDM开发的MPI绩效评估指数系统是科学可靠的.
- 该系统可以为各种利益相关者识别CDM的弱点.
- 为国家当局提供了宝贵的经验,通过MPI评估来增强其CDM系统.
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