Construction of a quality evaluation index system of chronic kidney disease management
Objective To construct a chronic kidney disease (CKD) management quality evaluation in-dex system to guide clinical practice and improve the management quality of chronic kidney disease.Methods The 'structure-process-result ' three-dimensional quality structure model was used as the theoretical refer-ence.Through literature review and semi-structured interview,the index system was preliminarily formulated, and the expert consultation questionnaire was compiled.The Delphi method was used to conduct two rounds of consultation with 18 experts,and the weight of each index was determined by analytic hierarchy process.Re-sults The effective recovery rate of the two rounds of expert consultation questionnaires was 100％.The ex-pert authority coefficients were 0.926 and 0.961,respectively.In the second round of consultation,Kendall's coefficient of concordance W of the second-level and third-level indicators were 0.220 and 0.214,respectively (P<0.001).The consistency test results of each index weight indicated that the consistency ratio was <0.1. The final CKD management quality evaluation index system included 3 first-level indicators,22 second-level indicators,and 81 third-level indicators.Conclusion The constructed CKD management quality evaluation in-dex system is comprehensive,structurally complete,scientific and reliable,and has guiding significance for e-valuating the quality of CKD management.
万方数据
维普
