基于三维质量结构模式的综合医院安宁疗护质量评价指标体系构建

Construction of comprehensive quality of evaluation index system about palliative care in general hospitals based on the structure-process-outcome quality model

目的构建综合医院安宁疗护质量评价指标体系,为推动安宁疗护朝着科学化、规范化的方向发展提供参考依据。方法以三维质量结构模式为基础,采用文献分析法和德尔菲法确定综合医院安宁疗护质量评价指标体系的各级指标及其权重。结果本研究共对12名专家进行2轮函询,专家权威系数分别为0.909、0.879。第2轮函询的一、二、三级指标的Kendall W值分别为0.27、0.32、0.26,专家意见协调程度较好(χ^(2)=6.50、106.62、494.64,均P<0.05),最终构建了包含3项一级指标,30项二级指标和157项三级指标的综合医院安宁疗护质量评价指标体系。结论综合医院安宁疗护质量评价指标体系的构建过程科学、可靠,内容全面,聚焦安宁疗护专科发展特色,可为提高安宁疗护质量提供借鉴。

Objective To construct of comprehensive quality of evaluation index system about palliative care in general hospitals,so as to provide reference for promoting the scientific and standardized development of palliative care.Methods Based on the structure-process-outcome quality model,literature research and Delphi method were used to determine the quality of palliative care evalution index system and index weight for general hospitals.Results A total of 12 experts were consulted for two rounds,the rates of questionnaire retrieve were 12/15 and 12/12 respectively.The authoritative coefficients were 0.909 and 0.879,the Kendall′s W values were 0.27,0.32 and 0.26 respectively with good coordination degree(χ^(2)=6.50,106.62,494.64,all P<0.05).Finally,the quality of palliative care indicator system in general hospitals was constructed,which included 3 first-level indicators,30 second-level indicators and 157 third-level indicators.Conclusions The establishment process of the construction of quality of palliative care indicator system in general hospitals was scientific and reasonable,focusing on the development characteristics of palliative care and can make significant contributions to improve the quality of palliative care.