基于德尔菲法构建多学科诊疗质量评价指标体系  

Construction of a multidisciplinary diagnosis and treatment quality evaluation index system based on the delphi method

作　　者：邹晓琦 于宏 彭蔚 谭三智 ZOU Xiao;YU Hong;PENG Wei;TAN Sanzhi(Guangzhou First People’s Hospital,Guangzhou 510180,China)

机构地区：[1]广州市第一人民医院/华南理工大学附属第二医院,广东广州510180

出　　处：《现代医院》2025年第1期68-71,共4页Modern Hospitals

基　　金：广东省医学科学技术研究基金项目(C2022108);广州市卫生健康科技重大项目(2024A031001)。

摘　　要：目的建立多学科诊疗质量评价指标体系,为医疗管理部门评估多学科诊疗工作的开展提供参考。方法通过文献研究、专家访谈形成多学科诊疗质量评价指标框架,运用德尔菲专家咨询法完善指标内容。结果经过两轮专家咨询,构建出一级指标3项,二级指标8项,三级指标29项的评价指标体系。两轮咨询专家积极系数分别为97.3%和100%,权威系数为0.89,总体肯德尔和谐系数均在0.3~1之间。结论本研究所形成的指标体系贴合当前三级综合医院和专科医院的多学科诊疗模式实际,可操作性较强,可为多学科诊疗质量评价和提升提供参考。Objective To establish a multidisciplinary diagnosis and treatment quality evaluation index system,providing reference for the evaluation of multidisciplinary diagnosis and treatment work by medical management departments.Methods A framework of evaluation indicators for multidisciplinary diagnosis and treatment was formed through literature research and expert interviews,and the content of the indicators was improved using the Delphi expert consultation method.Results After two rounds of expert consultation,an evaluation index system was constructed with 3 primary indicators,8 secondary indicators,and 29 tertiary indicators.The positive coefficient of the two rounds of consultation was 97.3%and 100%respectively,the authority coefficient was 0.89,and the overall Kendall’s harmony coefficient was between 0.3 and 1.Conclusion The index system developed in this study is in line with the practicality of the multidisciplinary diagnosis and treatment model in current tertiary comprehensive hospitals and specialized hospitals.It has strong operability and can provide reference for the evaluation and improvement of multidisciplinary diagnosis and treatment quality.

关 键 词：多学科诊疗 质量 评价指标 

分 类 号：R197[医药卫生—卫生事业管理]