重庆市社区药学服务评价指标体系的构建  

Construction of Evaluation Index System of Community Pharmaceutical Care in Chongqing

作　　者：黄勇[1] 李頔[1] 王娜[1] 冉娅娟 雷筱梅 钱妍[1] HUANG Yong;LI Di;WANG Na;RAN Yajuan;LEI Xiaomei;QIAN Yan(The Second Affiliated Hospital of Chongqing Medical University,Chongqing,China 400010)

机构地区：[1]重庆医科大学附属第二医院,重庆400010

出　　处：《中国药业》2023年第9期6-10,共5页China Pharmaceuticals

基　　金：重庆市科卫联合医学科研项目[2022GDRC003]。

摘　　要：目的构建重庆市社区药学服务评价指标体系。方法通过文献研究法、实地调研法和专家讨论法拟订社区药学服务评价指标,采用德尔菲法向41名相关专家进行两轮函询,确立评价指标体系,利用层次分析法确定最终评价指标权重。结果第一轮、第二轮函询专家积极系数分别为97.62%和100.00%;专家意见变异系数分别为0.08~0.24和0.07~0.21,肯德尔和谐系数分别为0.142和0.130(P<0.001);专家权威程度(Cr)为0.91;所有指标重要程度评分均数>4.0,变异系数<0.25。最终建立的评价指标体系包括3个一级指标(社区患者服务、社区医院服务、服务满意度,权重分别为0.5247,0.3338,0.1416),13个二级指标(综合权重为0.0110~0.2753,其中占比最高的为社区患者服务的用药情况),55个三级指标(综合权重为0.0022~0.0839,其中占比最高的为用药情况的用药依从性)。结论所构建的评价指标体系可用于初步评价重庆市社区药学服务。Objective To construct the evaluation index system of community pharmaceutical care in Chongqing.Methods The evaluation indexes of community pharmaceutical care were drawn up by the literature analysis,on-the-spot research and expert discussion methods.A two-round Delphi method was conducted on 41 relevant experts to construct the evaluation indicator system,and the final evaluation indicator weight was determined by the analytic hierarchy process.Results The positive coefficients of the first and second rounds of experts′enquiry were 97.62%and 100.00%,the coefficient of variation of the above two rounds of experts′enquiry were in the range of 0.08-0.24 and 0.07-0.21,with the Kendall′s W of 0.142 and 0.130(P<0.001),respectively.The authority coefficient(Cr)of experts was 0.91.The mean score of the importance degree of all indexes was higher than 4.0,and the coefficient of variation was lower than 0.25.Finally,the constructed evaluation index system included three first-level indexes(including service for community patients,service for community hospital and satisfaction of service,with the weights of 0.5247,0.3338 and 0.1416,respectively),13 secondary-level indexes(the comprehensive weight was in the range of 0.0110-0.2753,and the weight proportion of medication of community care for patients was the highest)and 55 third-level indexes(the comprehensive weight was in the range of 0.0022-0.0839,and the weight proportion of medication compliance was the highest).Conclusion The constructed evaluation index system can be used for the preliminary evaluation of community pharmaceutical care in Chongqing.

关 键 词：重庆市 社区药学服务 评价指标体系 德尔菲法 层次分析法 

分 类 号：R95[医药卫生—药学]