职业性尘肺病医疗质量控制指标体系构建  

Construction of a quality control indicator system for occupational pneumoconiosis medical care

作　　者：梁顺华[1] 华明[1] 郑倩玲[1] 杨翰坤 余意玉[1] LIANG Shunhua;HUA Ming;ZHENG Qianling;YANG Hankun;YU Yiyu(Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangzhou,Guangdong 510300,China)

机构地区：[1]广东省职业病防治院,广东广州510300

出　　处：《中国职业医学》2024年第3期280-284,共5页China Occupational Medicine

基　　金：广东省医学科学技术研究基金(B2022194);国家临床重点专科(2006BAK04A11)。

摘　　要：目的 构建一套科学、规范的职业性尘肺病(以下简称“尘肺病”)医疗质量控制指标体系。方法 组建研究小组,结合文献查阅、分析与梳理,参考现行国家单病种质量监测中呼吸系统疾病的质量控制指标,初步建立包括3项一级指标和48项二级指标的尘肺病医疗质量控制指标体系的指标池。通过德尔菲法对15名专家进行两轮咨询,构建尘肺病医疗质量控制指标体系。结果 两轮专家咨询的问卷回收率均为100%,有效问卷回收率均为100%;专家权威系数为0.91;专家协调系数分别为0.208和0.209(P值均<0.001);变异系数为0.10~0.37,有9个指标变异系数>0.25。构建的尘肺病医疗质量控制指标体系包括一级指标3项,二级指标15项,三级指标32项。结论 构建的尘肺病医疗质量管理指标体系具有较高的科学性和可靠性,可为尘肺病医疗质量评价提供依据;但在实际应用中尚需不断完善。Objective To establish a set of scientific and standardized quality control indicator system for occupational pneumoconiosis(hereinafter referred to as"pneumoconiosis")medical care.Methods A research group was set up to establish an indicator pool of quality control indicator system for pneumoconiosis,including three first-level indicators and 48 secondlevel indicators,based on literature review,analysis and sorting,and the current national quality control indicators of respiratory diseases in disease-specific quality monitoring.Two rounds of consultation were conducted with 15 experts through Delphi method to establish the quality control indicator system for pneumoconiosis medical care.Results The questionnaire recovery rates of the two rounds of expert consultations were 100%,and the effective questionnaire recovery rates of both consultations were 100%.The expert authority coefficient was 0.91,and the expert coordination coefficients were 0.208 and 0.209,respectively(both P<0.001).The coefficient of variation ranged from 0.10 to 0.37,with nine indicators having a coefficient of variation>0.25.The constructed quality control indicator system for pneumoconiosis medical care includes three primary indicators,15 secondary indicators,and 32 tertiary indicators.Conclusion The constructed quality management indicator system for pneumoconiosis medical care has high scientificity and reliability.It provides a basis for the quality evaluation of pneumoconiosis medical care.However,continuous improvement is needed in practical applications.

关 键 词：尘肺病 医疗质量 指标体系 德尔菲法 专家咨询 

分 类 号：R135.2[医药卫生—劳动卫生]