摘要
Abstract
Objective To construct a evaluation index system construction of human - centered consultation service of general practitioners. Methods The framework and item pool of the evaluation index system were initially proposed by using the method of literature research. From June to September 2016,the improved Delphi Expert Consultation method was used to conduct a two - round consultation to 18 selected experts. The importance and operability of the indexes were scored by the experts. According to the degree of concentration and coordination of expert opinion,the index system was selected and modified. The expert grading method and the combination weighting product method were used to calculate the weight of each index. Results 18 consultation tables were sent out in the 2 - round expert consultation,and all were recovered with the effective response rate of 100. 0%. The average authority degree coefficient of the experts on the primary indicators (Cr)was 0. 88. In the first - round consultation,the arithmetic average of the score of the importance and operability of each index was 4. 00 ~ 5. 00 and 3. 47 ~ 4. 89 respectively,the rate of full marks was 22. 22% ~ 100. 00% and 11. 11% ~ 88. 89% respectively. In the second -round consultation,the arithmetic average of the score of the importance and operability of each index was 4. 00 ~ 5. 00 and 3. 17~ 4. 88 respectively,the rate of full marks was 33. 33% ~ 100. 00% and 5. 56% ~ 88. 24% respectively. In the first - round consultation,the variable coefficients of the score of the importance and operability of each index were 0 ~ 0. 26 and 0. 07 ~ 0. 27 respectively,while in the second - round consultation,the variable coefficients were 0 ~ 0. 21 and 0. 07 ~ 0. 27 respectively. In the first - round consultation,the cooperation indexes of the score of the importance and operability of each index were 0. 226 and0. 243 respectively (P < 0. 05),while in the second - round consultation,the cooperation indexes were 0. 247 and 0. 237 respectively (P < 0. 05). The final evaluation indicators were 37 items (5 primary indexes,32 secondary indexes). The primary indexes were inquiry, physical examination, auxiliary examination, patient management, and doctor - patient communication respectively, and their weight coefficients were 0. 213, 0. 208, 0. 170, 0. 201 and 0. 208 respectively. Conclusion The study has constructed a evaluation index system construction of human - centered consultation service of general practitioners which is scientific,and can be used as the evaluation tool of the human - centered service in the process of consultation of general practitioners.关键词
全科医生/质量指标,卫生保健/以个人为中心的照顾/德尔菲技术Key words
General practitioners/Quality indicators/health care/Person - centered care/Delphi technique分类
医药卫生
