安宁缓和医疗门诊医护一体化全程管理模式的构建OA北大核心CSTPCDMEDLINE
Construction of the Whole Process Management Model of Hospice and Palliative Care Outpatient Clinic
目的 构建科学、实用的安宁缓和医疗门诊医护一体化全程管理模式,为安宁缓和医疗门诊的运行及发展提供借鉴.方法 基于文献分析、访谈、专家小组会议,初步确定安宁缓和医疗门诊医护一体化全程管理模式的基本框架,采用德尔菲专家函询法对18 名从事安宁缓和医疗及医护联合门诊相关领域专家进行2 轮专家函询.结果 2 轮专家函询问卷有效回收率均为100%,第1 轮函询专家的权威系数为0.88,第2 轮函询专家的权威系数为0.91.最终构建安宁缓和医疗门诊医护一体化全程管理模式,形成人员构成、工作结构、效果评价共3 项一级指标,5 项二级指标,62 项三级指标.结论 构建的安宁缓和医疗门诊医护一体化全程管理模式具有较强的科学性、创新性、延续性,可为安宁缓和医护联合门诊的运行及发展提供借鉴.
Objective To construct a scientific and practical management model of the hospice and pal-liative care outpatient clinic and provide a reference for the operation and development of the outpatient clin-ic.Methods The basic framework of the whole process management model of hospice and palliative care outpa-tient clinic was determined preliminarily by literature analysis,qualitative interviews and experts group meet-ings.Two rounds of consultation were conducted among 18 experts in hospice and palliative care and medical-nursing combined outpatient service by the Delphi method.Results The questionnaire response rates of the two rounds of expert consultation were both 100%and the authority coefficients of the two rounds of expert consultation were 0.88 and 0.91,respectively.Finally,the whole process management model of hospice and palliative care out-patient clinic was constructed,which was composed of three first-level indicators including staff composition,work structure and effect evaluation,5 second-level indicators and 62 third-level indicators.Conclusion The construc-ted whole process management model is scientific,innovative and continuous,which can provide a reference for the operation and development of the hospice and palliative care outpatient clinic.
曾耀鑫;宁晓红;郑莹;张志媛;王奕又;张雨;康倩
中国医学科学院 北京协和医学院 北京协和医院 国际医疗部, 北京 100730中国医学科学院 北京协和医学院 北京协和医院 缓和医学中心, 北京 100730
临床医学
安宁缓和医疗医护一体化全程管理模式德尔菲法
hospice and palliative caremedical-nursing integrated modelwhole process management modelDelphi method
《中国医学科学院学报》 2024 (002)
210-216 / 7
中央高水平医院临床科研业务费(2022-PUMCH-B-130)和安宁缓和医护联合门诊医护一体化全程管理模式的构建与评价(XHHLKY202211)
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