Delphi法在筛选眼科手术准入评价指标中的应用  

Delphi technique application in the evaluation of access to ophthalmic surgery

作　　者：叶良[1] 叶恬恬[1] 曹小佳[1] 

机构地区：[1]温州医学院附属眼视光医院,325027

出　　处：《中华医学科研管理杂志》2010年第6期373-375,共3页Chinese Journal of Medical Science Research Management

基　　金：温州市科技局基金资助项目（Y20070109）

摘　　要：目的 建立眼科手术准入评价指标体系,为规范眼科手术准人提供依据.方法 采用Delphi法对14名眼科专家进行两轮问卷调查,听取专家的意见和建议,筛选评价指标.结果 专家的平均年龄为42岁,全部具有副高以上职称,平均工作年限为20.8年;两轮咨句问卷回收率为93.33%,专家平均权威系数为0.78;确立了9项眼科手术准入指标体系;两轮咨询后,专家协调系数为0.521,差异具有显著意义（P＜0.01）.结论 眼科手术准入评价指标体系可信程度较高,具有从多方面对眼科手术准入实施量化评价、对眼科手术准入的医生要求更高、患者参与对眼科手术准入的评价等特点,可为科学合理评价眼科手术准入提供辅助决策支持.Objective To establish an evaluation index system for access to ophthalmic surgery so as to standardize the access. Method Collect 14 ophthalmologists＇ recommendations on access criteria for ophthalmic surgery in two rounds of questionnaire survey by Delphi method. Results The return rate of rounds of consultation questionnaire was 93.33%, and the average expert authority coefficient was 0.78.Nine ophthalmic surgery access indicators were established. The coordination of expert coefficient was 0.521 after two consultation. It had significant difference （ P〈0.01 ）. Conclusion The ophthalmic surgery access indicator system is highly credible and allows quantitative assessment of ophthalmic surgery from various aspects. It is more demanding for ophthalmologist, and gets more involvement of patients in the evaluation of ophthalmic surgery access. It could contribute to scientific and rational decision-making on access for ophthalmic surgery.

关 键 词：眼外科手术 手术准入 评价指标 德尔菲技术 

分 类 号：R197.3[医药卫生—卫生事业管理]