摘要
目的:构建安宁疗护服务质量评价指标体系,为评价我国安宁疗护的临床实践质量提供科学依据。方法:以医疗质量相关理论为基础,通过文献分析法构建初级条目池。于2023年11-12月,采用德尔菲法对18名来自10个省、直辖市的安宁疗护专家进行2轮函询,确立评价指标体系的各级指标,并通过层次分析法计算各级指标的权重及组合权重。专家积极系数以问卷有效回收率表示;专家权威程度以权威系数表示;专家意见协调程度以肯德尔和谐系数、变异系数表示。结果:2轮专家函询问卷有效回收率分别为88.89%(16/18)、93.75%(15/16),专家权威系数分别为0.885、0.897,整体指标的肯德尔和谐系数分别为0.152、0.191( P<0.01),各级指标的变异系数分别为0~0.31、0~0.21。最终构建的安宁疗护服务质量评价指标体系包括7个一级指标、22个二级指标、42个三级指标。 结论:本研究构建的安宁疗护服务质量评价指标体系具有科学性、全面性和针对性,可为我国安宁疗护服务质量的综合评价提供参考依据。
ObjectiveTo construct an evaluation index system for the quality of hospice care services,so as to provide scientific basis for evaluating the clinical practice quality of hospice care in China.MethodsBased on theories related to medical quality,a primary item pool was constructed through literature analysis.From November to December 2023,the Delphi method was used to conduct two rounds of consultation with 18 hospice care experts from 10 provinces and municipalities directly under the central government,to establish the indicators at all levels of the evaluation index system.The weights and combination weights of indicators at all levels were calculated using the analytic hierarchy process.The expert's positive coefficient was expressed as the effective response rate of the questionnaire.The degree of expert authority was expressed as the expert authority coefficient.The degree of coordination of expert opinions was represented by Kendall's W and coefficient of variation.ResultsIn the two rounds of expert consultation,the effective response rates of the questionnaires were 88.89%(16/18)and 93.75%(15/16),the expert authority coefficients were 0.885 and 0.897,the kendall's W values of the overall indicators were 0.152 and 0.191(P<0.01),and the coefficients of variation of indicators at all levels were 0 to 0.31 and 0 to 0.21,respectively.The final constructed evaluation index system for the quality of hospice care services included seven first level indicators,22 second level indicators,and 42 third level indicators.ConclusionsThe evaluation index system for the quality of hospice care services constructed is scientific,comprehensive,and targeted,which can provide reference for the comprehensive evaluation of hospice care service quality in China.
作者
杨舒岚
项巧珍
柴栖晨
Yang Shulan;Xiang Qiaozhen;Chai Xichen(Medical Care Ward,Zhejiang Hospital,Hangzhou 310000,China;Zhejiang Hospice Care Guidance Center,Hangzhou 310000,China)
出处
《中华现代护理杂志》
2024年第7期859-864,共6页
Chinese Journal of Modern Nursing
基金
国家科技部重点研发计划(2019YFE0113100)
浙江省医药卫生科研计划面上项目(2024KY004)
浙江省医药卫生科研计划面上项目(2021KY008)。
关键词
安宁疗护
照护质量
评价指标
层次分析
Hospice care
Care quality
Evaluation index
Analytical hierarchy process
作者简介
通信作者:项巧珍,Email:xiangqz@sina.com。
