中国家庭医生在工作场所提供服务的索引系统的构建:Delphi两轮研究
Jing Guo1, Jiaojiao Yu2, Junqiao Guo3
1School of Social Development and Public Policy, Fudan University, Shanghai, 200433, China.
BMC primary care
|February 3, 2026
概括
这项研究确定了家庭医生工作场所服务的42个关键指标,重点关注结构,流程和结果. 这些指标为改善工作场所健康管理提供了一个框架.
科学领域:
- 职业健康 职业健康 职业健康
- 主要护理医学 医疗保健
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于年轻人和中年人的职场健康服务往往被忽视.
- 家庭医生在提供职业环境中的初级保健方面发挥着至关重要的作用.
- 需要标准化指标来评估这些服务的质量.
研究的目的:
- 为家庭医生提供的职场服务建立科学和系统指标的专家共识.
- 开发一个全面的框架来评估职业健康服务.
- 为劳动人口指导健康管理策略.
主要方法:
- 采用了Delphi方法,包括两轮专家咨询.
- 来自不同领域的35名专家组成的小组参与了建立共识的过程.
- 指标的评估是根据重要性进行的,70%的协议定义了共识.
主要成果:
- 在46个指标中,42个指标实现了高专家共识 (权威系数>0.7,变化系数<0.25).
- 在四个关键维度中,关于高度重要性的共识在71.43%至97.14%之间.
- 这些维度包括组织结构,服务内容,协同/激励以及服务效率.
结论:
- 建立了一个由4个维度和42个指标组成的基础框架,用于评估和增强家庭医生工作场所服务.
- 专家的高度共识支持这些指标的实际实施,以实现基于证据的健康管理.
- 该框架为改善工作场所个人健康状况提供了必要的指导.
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