广西综合医院老年医学科建设评价指标体系构建研究

Establishment of the evaluation index system for the construction of geriatrics departments in general hospitals in Guangxi Zhuang Autonomous Region

目的构建广西二级、三级综合医院老年医学科建设评价指标体系,为评价综合医院老年医学科建设质量提供理论依据和科学基础。方法自行构建评价指标体系草案,选取医院管理、老年医学等领域20名专家,使用德尔菲法进行2轮专家函询以确立最终指标体系,并利用层次分析法计算指标权重。结果第1轮函询表回收率为95%,第2轮为100%,2轮专家权威系数以为0.866和0.908,2轮专家意见协调度为0.593和0.634。确立的评价指标体系中,二级医院指标体系包括一级指标5个、二级指标14个、三级指标42个;三级医院指标体系包括一级指标6个、二级指标17个、三级指标53个。结论构建的广西综合医院老年医学科建设评价指标体系科学、可靠,可为评价综合医院老年医学科建设质量提供借鉴。

Objective To construct an evaluation index system for the construction of geriatrics in secondary and tertiary general hospitals in Guangxi,thus providing a theoretical evidence and scientific basis for evaluating the quality of geriatrics discipline construction in general hospitals.Methods A self-developed draft of evaluation index system was assessed by 20 experts in hospital management,geriatrics,and other fields,and the final index system was established through two rounds of expert consultations using the Delphi method.The weight value of each indicator was calculated using analytic hierarchy process(AHP)methods.Results The response rate of the inquiry form was 95%in the first round and 100%in the second round.The authority coefficients of the experts in rounds 1 and 2 were 0.866 and 0.908,and the coordination degrees of expert opinions were 0.593 and 0.634,respectively.In the established evaluation index system,the secondary hospital index system included 5 primary indicators,14 secondary indicators,and 42 tertiary indicators.In contrast,the tertiary hospital indicator system included 6 primary indicators,17 secondary indicators,and 53 tertiary indicators.Conclusion The established evaluation index system for the construction of geriatrics in secondary and tertiary general hospitals in Guangxi is scientifically reliable and can be applied for evaluating the quality of the geriatric discipline construction in general hospitals.