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哪些结果应纳入核心结果集,以捕捉和测量医生幸福感? 一个德尔菲研究的研究
Gemma Simons1,2,3,4, Naomi Klepacz5,6, David S Baldwin1,2,4,7
1University of Southampton Faculty of Medicine, Southampton, UK.
BMJ open
|May 13, 2025
概括
开发了一个核心结果集 (COS),以标准化国家卫生服务 (NHS) 中医生福祉的测量. 确定了七个关键结果,包括工作满意度和工作与生活平衡,以提供一致的报告.
科学领域:
- 医学研究方法论医学研究方法论.
- 医疗保健专业人员的福祉
- 医疗服务研究 医疗服务研究
背景情况:
- 在国家卫生服务 (NHS) 中测量医生福祉缺乏标准化.
- 结果测量的异质性阻碍了有效的分析和干预.
- 需要以共识为导向的方法来定义核心成果.
研究的目的:
- 开发一个核心结果集 (COS) 来捕捉和测量英国NHS内医生的福祉.
- 建立一个标准化的框架来评估医生福祉.
主要方法:
- 进行了一项Delphi在线研究,涉及四个利益相关者团体.
- 两个阶段的过程包括初始结果列表生成和两个Delphi轮协商一致.
- 共识被定义为对关键纳入标准达成≥75%的共识.
主要成果:
- 52名参与者完成了两轮的德尔菲研究.
- 七个福利结果达成共识,被纳入COS.
- 这些包括一般福祉,健康,个人安全,工作满意度,士气,工作与生活平衡以及良好的临床实践.
结论:
- 开发的COS可以减少医生福祉测量的异质性.
- 医生福祉结果的标准化报告由COS促进.
- 该COS确保对所有利益相关者至关重要的结果始终被捕获和报告.
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