多囊卵巢综合征个案管理师准入标准及工作职责方案的构建

Construction of admission criteria and job responsibility scheme for polycystic ovary syndrome case managers

目的构建多囊卵巢综合征(PCOS)个案管理师准入标准及工作职责方案。方法通过文献研究、预函询、小组讨论构建方案初稿。采用便利抽样法,于2022年2—4月选取19名专家进行2轮德尔菲法专家函询,采用层次分析法确定各指标的权重。结果2轮专家函询的问卷有效回收率分别为94.74%(18/19)、100.00%(18/18);专家权威系数分别为0.892、0.897;2轮专家函询后PCOS个案管理师准入标准及工作职责一、二、三级指标的肯德尔和谐系数分别为0.361、0.306、0.283及0.250、0.134、0.142(P<0.05)。最终形成的PCOS个案管理师准入标准包括3项一级指标、8项二级指标、30项三级指标,工作职责包括5项一级指标、13项二级指标、46项三级指标。结论PCOS个案管理师准入标准及工作职责方案系统、全面地体现了我国PCOS患者疾病管理的特点,具有可靠性及科学性,为PCOS个案管理师的筛选及工作实践提供了参考价值。

Objective To construct the admission criteria and job responsibility scheme for polycystic ovary syndrome(PCOS)case managers.Methods The first draft of the scheme was constructed through literature research,pre-consultation and group discussion.From February to April 2022,the convenient sampling method was used to select 18 experts for two rounds of Delphi expert letter consultation.Analytic hierarchy process was used to determine the weight of each indicator.Results The effective response rates of the questionnaire for two rounds of expert inquiries were 94.74%(18/19)and 100.00%(18/18),respectively.The expert authority coefficients were 0.892 and 0.897,respectively.After two rounds of expert consultation,the Kendall's W of the first,second,and third level indexes for the admission criteria and job responsibilities of PCOS case managers were 0.361,0.306,0.283 and 0.250,0.134,0.142(P<0.05),respectively.The final admission criteria for PCOS case managers included 3 first level indicators,8 second level indicators and 30 third level indicators.Their job responsibilities included 5 first level indicators,13 second level indicators and 46 third level indicators.Conclusions The admission standards and job responsibility scheme for PCOS case managers systematically and comprehensively reflect the characteristics of disease management for PCOS patients in China,which are reliable and scientific,and provide reference value for the screening and work practice of PCOS case managers.