为社区药房设置制定质量指标
Ann Helen Jakobsen1, Noriko Sato2, Timothy F Chen2
1Clinical Pharmacy and Pharmacoepidemiology (IPSUM research group), Department of Pharmacy, The Faculty of Health Sciences, UiT The Arctic University of Norway, 9037 Tromsoe, Norway.
The International journal of pharmacy practice
|May 25, 2025
概括
为挪威社区药房制定医疗保健质量指标至关重要. 这项研究使用RAND/UCLA适当性方法 (RAM) 和分歧指数 (DI) 来达成对QI的共识,发现分歧处理显著影响可接受的措施.
科学领域:
- 制药医疗保健服务研究研究
- 提高医疗保健的质量 改善医疗保健的质量
- 药房实践和管理 药房实践和管理
背景情况:
- 挪威的社区药房提供无障碍的医疗保健服务,需要标准化的质量监测.
- 建立相关和现实的质量指标 (QI) 对于制定社区药房标准至关重要.
- 以前的QA开发方法可能无法充分解决在不同环境中建立共识的问题.
研究的目的:
- 建立对挪威社区药房服务的医疗保健质量措施 (QI) 的共识.
- 实施和评估两种不同的方法来开发和选择QI.
- 评估分歧处理对最终选择QI的影响.
主要方法:
- 采用了多阶段的研究设计,包括研讨会,重点小组和文献评论,以确定潜在的QA.
- 进行了一项经过修改的Delphi研究,涉及两轮的13名小组成员.
- 用RAND/UCLA适当性方法 (RAM) 评分组中位数和不同意指数 (DI) 来评估QI的适当性并达成共识.
主要成果:
- 最初,确定了192个潜在的QI,在合并和删除重复后减少到137.
- 在第1轮中,有61个QI被认为是适当的. 在第2轮中,23个QA在没有分歧的情况下达成共识.
- 在两轮测试后,没有分歧的情况下,被认为合适的QI总数为34个 (使用RAM) 和10个 (包含DI).
结论:
- 兰德/UCLA适当性方法 (RAM) 与分歧指数 (DI) 结合,有效地建立了社区药房服务的QI的共识.
- 在评级小组中处理分歧所选择的方法显著影响被认为可接受的QI数量.
- 结合DI和传统RAM的分歧计算,可接受的QI数量减少了一半,突出了严格的共识方法的重要性.
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