安宁缓和医疗门诊医护一体化全程管理模式的构建  

Construction of the Whole Process Management Model of Hospice and Palliative Care Outpatient Clinic

作　　者：曾耀鑫 宁晓红[2] 郑莹[2] 张志媛[1] 王奕又 张雨[1] 康倩[1] ZENG Yaoxin;NING Xiaohong;ZHENG Ying;ZHANG Zhiyuan;WANG Yiyou;ZHANG Yu;KANG Qian(Department of International Medical Service,PUMC Hospital,CAMS and PUMC,Beijing 100730,China;Department of Palliative Care Center,PUMC Hospital,CAMS and PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院国际医疗部,北京100730 [2]中国医学科学院北京协和医学院北京协和医院缓和医学中心,北京100730

出　　处：《中国医学科学院学报》2024年第2期210-216,共7页Acta Academiae Medicinae Sinicae

基　　金：中央高水平医院临床科研业务费(2022-PUMCH-B-130);安宁缓和医护联合门诊医护一体化全程管理模式的构建与评价(XHHLKY202211)。

摘　　要：目的构建科学、实用的安宁缓和医疗门诊医护一体化全程管理模式,为安宁缓和医疗门诊的运行及发展提供借鉴。方法基于文献分析、访谈、专家小组会议,初步确定安宁缓和医疗门诊医护一体化全程管理模式的基本框架,采用德尔菲专家函询法对18名从事安宁缓和医疗及医护联合门诊相关领域专家进行2轮专家函询。结果2轮专家函询问卷有效回收率均为100%,第1轮函询专家的权威系数为0.88,第2轮函询专家的权威系数为0.91。最终构建安宁缓和医疗门诊医护一体化全程管理模式,形成人员构成、工作结构、效果评价共3项一级指标,5项二级指标,62项三级指标。结论构建的安宁缓和医疗门诊医护一体化全程管理模式具有较强的科学性、创新性、延续性,可为安宁缓和医护联合门诊的运行及发展提供借鉴。Objective To construct a scientific and practical management model of the hospice and palliative care outpatient clinic and provide a reference for the operation and development of the outpatient clinic.Methods The basic framework of the whole process management model of hospice and palliative care outpatient clinic was determined preliminarily by literature analysis,qualitative interviews and experts group meetings.Two rounds of consultation were conducted among 18 experts in hospice and palliative care and medical-nursing combined outpatient service by the Delphi method.Results The questionnaire response rates of the two rounds of expert consultation were both 100%and the authority coefficients of the two rounds of expert consultation were 0.88 and 0.91,respectively.Finally,the whole process management model of hospice and palliative care outpatient clinic was constructed,which was composed of three first-level indicators including staff composition,work structure and effect evaluation,5 second-level indicators and 62 third-level indicators.Conclusion The constructed whole process management model is scientific,innovative and continuous,which can provide a reference for the operation and development of the hospice and palliative care outpatient clinic.

关 键 词：安宁缓和医疗 医护一体化 全程管理模式 德尔菲法 

分 类 号：R47[医药卫生—护理学]