摘要
目的 建立甲状腺癌患者入院优先级评分模型的构建方法。方法 对某医院甲状腺外科临床专家和门诊患者进行问卷调查,通过层次分析法计算影响入院排程因素的指标权重,比较医患对入院优先级认识差异,建立优先级排程模型并对模型指标进行逻辑合理性分析。结果 初步建立了甲状腺癌的入院优先级评分模型,包括性别、年龄、癌症分型、TNM分期等10个一级指标。其权重系数由高到低依次为:癌症分型(0.137)、TNM分期(0.134)、肿瘤大小(0.127)、肿瘤浸润程度(0.126)、肿瘤浸润部位(0.124)、肿瘤与被膜的关系(0.111)、年龄(0.093)、性别(0.061)、归属地(0.051)、医保类型(0.035)。经检验,模型CR值=0.007 3,模型指标合理性高。结论 本研究建立了甲状腺癌患者入院优先级评分模型的构建方法,为大型综合医院分层级诊疗和相关研究的开展提供了一定参考依据。
Objective To explore a method for establishing a priority-scoring model for thyroid carcinoma patient admission. Methods A questionnaire survey was conducted among specialists and outpatients in the thyroid surgery department of the hospital. The weight coefficient of the index factors was calculated to establish the priorityscoring mode by the analytic hierarchy process. The differences in results between specialists and patients were compared.The logical rationality of the model index was tested. Results A priority-scoring model for thyroid carcinoma surgery admission was established, including 10 first-level indicators, such as sex, age, cancer type and TNM stage. The weight coefficients of the indicators from high to low were cancer type(0.137), TNM stage(0.134), tumor size(0.127), tumor invasion degree(0.126), tumor invasion site(0.124), relationship between tumor and capsule(0.111), age(0.093), sex(0.061), place of residence(0.05) and medical insurance type(0.035). After the total ratio test, the model CR value was 0.007 3,and the model index was highly rational. Conclusion This study successfully establish a priority-scoring model for thyroid carcinoma surgery admission, which can provide references and a basis for tiered medical services and relevant researches in the future.
作者
李朋禺
赵婉君
李志辉
魏涛
申文武
LI Pengyu;ZHAO Wanjun;LI Zhihui;WEI Tao;SHEN Wenwu(Department of Thyroid Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China;Party Committee Office of West China Hospital,Sichuan University,Chengdu 610041,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2022年第6期628-633,共6页
Chinese Journal of Evidence-based Medicine
关键词
甲状腺癌
入院优先级评分模型
入院管理
Thyroid carcinoma
Admission priority-scoring model
Admission management
