基于德尔菲法的肿瘤医院临床医学学科评估指标体系的构建与应用  

Establishment and application of clinical discipline evaluation index system in cancer hospital based on Delphi method

作　　者：闫雪冬[1] 王丹[2] 贾淑芹[1] Yan Xuedong;Wang Dan;Jia Shuqin(Key laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Department of Scientific Research,Peking University Cancer Hospital&Institute,Beijing 100142,China;Key laboratory of Carcinogenesis and Translational Research(Ministry of Education/Beijing),Medical Affairs Department,Peking University Cancer Hospital&Institute,Beijing 100142,China)

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所科研处,100142 [2]北京大学肿瘤医院暨北京市肿瘤防治研究所医务处,100142

出　　处：《中华医学科研管理杂志》2020年第2期96-101,共6页Chinese Journal of Medical Science Research Management

基　　金：北京市属医院科研培育计划项目(PG2018018)。

摘　　要：目的建立一套能适应学科建设需求,具有科学性、导向性、可操作性、针对性的临床学科评估指标体系,适合肿瘤医院学科的评价,最终为学科建设提供决策依据。方法采用文献分析法、个人深入访谈法初步拟定医院临床医学学科评估指标框架,并编制专家咨询问卷,运用德尔菲(Delphi)法通过两轮专家咨询,根据专家打分和专家意见对指标进行增减、修改,并采用重要性评分法确定指标权重,赋予每个指标具体的评分标准,运用该评价指标体系对医院22个临床医学学科进行实测分析,利用加权求和法计算各学科总分,通过Spearman等级相关分析,判断评估的有效性。结果构建的临床学科评估指标体系包含4项一级指标、10项二级指标和34项三级指标,并确定了各项指标的权重和评分标准,利用该指标体系评估22个学科,划分为优秀、中等、较差3个等级,与专家评审结果相同。结论本研究构建的临床学科评估指标体系,专家的积极性系数和权威系数高,协调性检验P值小于0.01,对22个临床学科的评价结果与专家评价结果高度相关,P值小于0.05,具有较强的科学性和可行性,为进一步临床学科评估的广泛应用奠定了基础。Objective To establish a scientific,directional and operable evaluation index system for clinical disciplines,which can meet the needs of discipline construction and is suitable for the evaluation and selection of various disciplines in oncology hospitals,so as to provide decision-making basis for discipline construction.Methods Literature analysis and in-depth interview were used to draw up the preliminary evaluation index system.The index frame of subject evaluation was compiled,and the expert inquiry paper was compiled,and the index was added,subtracted and modified by Delphi method through two rounds of expert consultation.The index weight was determined by Analytic hierarchy process.Each index was given a specific scoring standard.The evaluation index system was used to test and analyze 22 clinical medical disciplines in the hospital.The total score of each discipline was calculated by weighted summation method.The validity of evaluation was judged by Spearman grade correlation analysis.Results The clinical discipline evaluation index system consisted of 4 first-class indexes,10 second-class indexes and 34 third-class indexes.The weights and scoring criteria of each index were determined.22 disciplines were evaluated by the index system,which was divided into three grades:excellent,medium and poor.Conclusions The evaluation index system of clinical discipline constructed in this study has high authoritative coefficient of experts,and the P value is less than 0.01.The evaluation results of 22 disciplines are highly correlated with those of experts,and the P value is less than 0.01.It has strong scientific validity and feasibility,and lays a foundation for the widespread application of clinical evaluation.

关 键 词：临床学科 评估指标 权重 德尔菲法 

分 类 号：R197.5[医药卫生—卫生事业管理]