摘要
目的:在专科联盟内不同级别、不同类别医疗机构构建同质化临床路径质量控制标准。方法:采用专题小组讨论法、德尔菲法进行3轮评分,依托省级专科联盟,构建同质化临床路径质量控制标准。结果:调查表有效回收率均为100%,专家权威系数分别为0.831、0.872和0.796;前2轮专家协调性系数分别为0.568和0.448,经卡方检验差异有统计学意义(P<0.001)。构建了包含7项指标在内的专科联盟临床路径同质化质量控制标准。结论:分级、分类的临床路径同质化质量控制标准,既具科学合理性,又相对公平客观,操作简便易行,在专科联盟内有推广价值。
Objective:To establish a quality control standard of homogenization clinical pathway for clinical pathway of medical institutions of different levels and categories within specialist alliance.Methods:Based on the establishment of the provincial specialization alliance,the three-round scoring was conducted by the panel discussion method and the Delphi method,and the quality control standard of homogenization clinical pathway was constructed.Results:The effective recovery rate of the questionnaire was 100%,and the expert authority coefficient(Cr)were 0.831,0.872 and 0.796 respectively.The coordination coefficients of the first two rounds of experts were 0.568 and 0.448 respectively.The chi-square test results showed statistically significant differences.(P<0.001).Conclusion:The classification and grading of clinical pathway homogenization quality control standards are both scientific and rational,relatively fair and objective,easy to operate,and suitable for rapid promotion within specialist alliance.
作者
路阳
席峰
张艳敏
陆晨
LU Yang;XI Feng;ZHANG Yanmin;LU Chen(The people's hospital of Xinjiang Uygur Autonomous Region,No.91,Tianchi Road,Urumqi,830001,Xinjiang Uygur Autonomous Region,PRC)
出处
《中国医院》
北大核心
2021年第2期14-16,共3页
Chinese Hospitals
基金
新疆维吾尔自治区自然科学基金计划软科学项目“基于DRG的新疆地区综合医院精细化评价与管理体系研究”(2017D07017)
新疆维吾尔自治区卫生健康委青年科技人才科研项目“基于结构变动度的住院费用结构优化研究”(WJWY-201821)。
关键词
临床路径
专科联盟
同质化
德尔菲法
质量管理
clinical pathway
specialist alliance
homogenization
delphi method
quality management
