Delphi法在临床路径实施过程评价中的应用  

Application of Delphi method in the evaluation of clinical pathway implementation

作　　者：强莹[1] 徐秀群 顾艳 顾宇丹 沈剑虹 

机构地区：[1]南通大学护理学院,226301 [2]南通大学附属医院外科,226001 [3]神经外科

出　　处：《中华现代护理杂志》2013年第32期3958-3960,共3页Chinese Journal of Modern Nursing

基　　金：南通大学附属医院院级课题项目

摘　　要：目的以椎管内肿瘤切除术临床路径的实施过程为个案，探讨单病种临床路径实施过程的评价指标体系。方法采取Delphi法进行3轮专家咨询论证，从而最终确定针对临床路径实施过程的评价指标体系。结果专家咨询调查表回收率均为100％，第3轮咨询调查显示专家的总体权威程度约为0．84，专家们对于各指标重要性赋值均数均介于4（重要）-5分（很重要）之间，变异系数为0．112～0．285。结论专家参与调查的积极性高，专家对于各指标重要性的意见较集中，协调程度较高，调查结果具有较高的可信度。Objective To explore the evaluation system of the single disease clinical pathway implementation process using the process of clinical pathway in intraspinal tumor resectionas a case study. Methods Take Delphi method of experts for three rounds, and finally to determine the evaluation system of clinical pathway implementation process. Results The recovery rate of the questionnaire on expert consuhationwas 100%. The third round of expert investigation showed that the overall degree of authority was about 0.84, the average scores of the importance of each index from experts were all from 4 （important） to 5 （very important）, and the coefficient of variation was fluctuation in the range of 0. 112 ~ 0. 285. Conclusions Experts who take part in the investigation are full of enthusiasm, the viewpoints of the importance of each index from experts are relatively concentrated, the coordination degree is higher, and the results of the surcev have higher reliability.

关 键 词：DELPHI法 临床路径 评价 实施过程 

分 类 号：R473.73[医药卫生—护理学]