一个德尔菲小组的共识研究验证了手术治疗的质量措施的适当性,相关性和清晰性
Robert Vining1, Elissa Twist2, Amy Minkalis2
1Palmer Center for Chiropractic Research, Palmer College of Chiropractic, 1000 Brady St, Davenport, IA, USA. robert.vining@palmer.edu.
BMC health services research
|December 16, 2025
概括
这项研究使用专家共识改进了手术治疗质量指标,最终得到了64项验证的指标. 需要进一步研究患者的意见和实施可行性.
科学领域:
- 整形手术护理 整形手术护理
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
背景情况:
- 根据现有的指导方针和标准,从现有指导方针和标准中开发出了一套初步的手术治疗质量措施.
- 这项研究旨在通过协商一致的过程来完善这些措施.
研究的目的:
- 建立关于初步手术护理质量措施的清晰度,相关性和适当性的共识.
- 通过专家的共识,完善一套治疗术护理的质量指标.
主要方法:
- 一项经过修改的在线Delphi共识研究涉及46名手术医生,管理人员和学术领袖.
- 专家小组成员根据Donabedian框架的清晰度,相关性和适当性,在两轮评估中对70项措施进行了评级.
- 达成共识需要至少80%的人同意适当性和相关性.
主要成果:
- 在第1轮中,51项措施达成共识;14项被修订,3项被分割. 在19项非共识措施中,有10项被取消.
- 在第2轮中,6项修订后的措施达到了共识. 作者制定了3项额外的措施来填补空白.
- 最后一套包括64项措施:33项结构,26项过程和5项结果措施.
结论:
- 在关于精细化手术质量衡量的清晰度,相关性和适当性方面达成了共识.
- 进一步开发需要患者的意见,试点测试,以及关于实施可行性的数据.
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