Objective The objective is to construct a scientific and practical quality evaluation index system for managing Class A infectious disease wards,offering a comprehensive and measurable reference framework to standardize their man-agement.Methods Based on Donabedian's three-dimensional quality theory and Service Quality evaluation model,the index system for the management of Class A infectious disease wards was initially constructed through literature research and by referencing China's guidelines for managing novel coronavirus pneumonia.A questionnaire survey involving five categories of personnel was conducted from May to July 2022.The purpose sampling method was adopted to select 13 con-sulting experts specializing in infectious disease healthcare,nursing management,clinical nursing,hospital infection,and logistics management.Two rounds of expert letter consultation and the Delphi method were utilized to finalize the e-valuation index system and determine the weightage of each index.Results The recovery rate and effective rate for both rounds of expert correspondence questionnaires were 100.0％,with expert authority coefficient values of 0.842 and 0.838.Kendall's coefficients of concordance(Kendall's W)for the first and second indexes,following two rounds of letter consultation,were 0.116 and 0.098 respectively.The corresponding chi-square statistics were 180.961 and 152.882,with P-values less than 0.01.The final evaluation index system for managing Class A infectious disease wards include 3 first-level indexes,8 second-level indexes,and 114 third-level indexes.The 3 first-level indexes are structure quality,process quality,and result quality,with weights of 0.2,0.4,and 0.4,respectively.The 8 second-level indexes included fundamentality,supportability,standardization,reliability,scientificity,effectiveness,safety,and economy.Conclusion The quality evaluation index system for managing of Class A infectious disease wards demonstrates excellent scientific validity,reliability,and practicality.The assigned index weights are reasonable,and there is a high level of consistency among expert evaluation results.This system serves as a valuable reference for standardizing the management of Class A infectious disease wards.
Class A infectious diseasesQualityIndicator systemDelphi method
维普
万方数据
