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基于Donabedian质量理论的贵州省传染性肺结核集中住院治疗质量评价指标体系构建研究

Study on constructing a quality evaluation index system for centralized hospitalization treatment of infectious tuberculosis based on Donabedian theory, Guizhou

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【作者】 曾慧; 陈慧娟; 王芸; 倪雪; 李进岚; 黄爱菊; 禄晓龙;

【Author】 ZENG Hui;CHEN Hui-juan;WANG Yun;LI Xue;LI Jin-lan;HUANG Ai-ju;LU Xiao-long;School of Public Health, Key Laboratory of Environmental Pollution Monitoring and Disease Control,Ministry of Education, Guizhou Medical University;

【通讯作者】 陈慧娟;王芸;

【机构】 贵州医科大学公共卫生与健康学院,环境污染与疾病监控教育部重点实验室; 贵州省疾病预防控制中心卫生健康促进与宣传教育所; 贵州医科大学医药卫生管理学院;

【摘要】 目的 初步构建传染性肺结核集中住院治疗质量评价指标体系,为进一步推动传染性肺结核集中住院治疗提供参考依据。方法 基于Donabedian“结构-过程-结果”质量理论框架,采用德尔菲法和层次分析法构建指标体系的内容及权重。结果 两轮专家积极程度均为100%,专家权威程度分别为0.918和0.922,一级指标、二级指标、三级指标的Kendall W分别为0.168(χ~2=8.400,P=0.015)、0.174(χ~2=104.355,P<0.001)、0.112(χ~2=232.560,P<0.001),差异均有统计学意义。最终指标体系由3个一级指标、25个二级指标、84个三级指标组成。结论 构建的传染性肺结核集中住院治疗质量评价指标体系具有较高代表性及权威程度,指标构建较为规范、权重分布较为合理,可为后续研究奠定基础。

【Abstract】 Objective To construct a preliminary quality evaluation index system for the centralized hospitalization treatment of infectious tuberculosis(TB), and to provide a reference basis for further promoting centralized hospitalization treatment of TB. Methods Based on Donabedian’s “structure-process-result” theoretical framework, the Delphi method and analytic hierarchy process were used toconstruct the content of the index system and determine the weights of the indicators. Results The active coefficients of experts in both rounds are 100%, the authority index of experts is 0.918 and 0.922, and the Kendall harmony coefficients of first level, second level, and third level indicators are 0.168(χ~2=8.400, P=0.015), 0.174(χ~2=104.355, P<0.001), and 0.112(χ~2=232.560, P<0.001) respectively, the difference was statistically significant. The final index system consists of 3 primary indicators, 25 secondary indicators, and 84 tertiary indicators. Conclusion The quality evaluation index system of centralized hospitalization treatment for infectious tuberculosis constructed in this study has a high degree of representativeness and authority, with a more standardized construction of indicators and a more reasonable distribution of weights, which lays the foundation for subsequent research.

【基金】 国家自然科学基金项目(82360659,81860591);贵州省科技计划项目[黔科合基础-ZK(2022)386];贵州省卫生健康委科学技术基金项目(gzwkj2023-076)
  • 【文献出处】 现代预防医学 ,Modern Preventive Medicine , 编辑部邮箱 ,2025年16期
  • 【分类号】R521
  • 【下载频次】43
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