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医疗联合体内远程心电诊断质量评价指标体系的构建

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目的 构建科学、系统的医疗联合体内远程心电诊断质量评价指标体系,为远程心电诊断的评价与持续改进提供依据.方法 通过两轮德尔菲专家函询,修改和完善医疗联合体内远程心电诊断质量评价指标体系条目;通过层次分析法得出指标权重,构建完整的医疗联合体内远程心电诊断质量评价指标体系.2021年12月采用方便抽样法,选取华中科技大学同济医学院附属协和医院位于武汉市经济开发区医疗联合体单位的六家社区卫生服务中心为预调查对象对医疗联合体内远程心电诊断质量评价指标体系的维度和条目进行预调查及信效度检验.结果 第1、2轮专家函询回收率分别为100.0%、86.2%;专家积极系数为0.86,专家积极性高.第1、2轮专家权威程度系数分别为0.84、0.85,专家函询具有较高的权威性.最终建立7个一级指标(组织与环境、领导作用、核心流程、人员支持、过程控制、绩效评价、持续改进)和24个二级指标的医疗联合体内远程心电诊断质量评估指标体系,且指标权重设置合理.量表总的内容效度指数是0.912,Cronbach's α系数为0.783.结论 本研究构建的医疗联合体内远程心电诊断质量评价指标体系具有较高的科学性和可靠性,可为远程心电诊断的质量评价与持续改进提供依据.
Construction of quality evaluation index system for remote electrocardio-gram diagnosis in medical consortium
Objective To construct scientific and systematic remote electrocardiogram diagnosis quality evaluation index system within medical consortium,and provide basis for the evaluation and continuous improvement of remote electrocardiogram diagnosis.Methods Quality evaluation index system entries for remote electrocardiogram diagnosis within medical consortium had been modified and improved through two rounds of Del-phi expert consultations.Weights of indicators were obtained through analytic hierarchy process,and complete quality evaluation index system for remote electrocardiogram diagnosis in medical consortium was constructed.In December 2021,convenient sampling method was adopted to select six community health service centers of Union Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology lo-cated in Wuhan Economic Development Zone as the pre-investigation objects to conduct a pre-investigation and reliability and validity test on the dimensions and items of the quality evaluation index system for remote electrocardiogram diagnosis in medical consortium.Results Expert consul-tation recovery rates for the first and second rounds was 100.0% and 86.2%respectively,and the positive coefficient of experts was 0.86,indicating that experts were highly motivated.In the first and second rounds,the degree coefficient of expert authority was 0.84 and 0.85 respectively,indicat-ing that expert consultation had high authority.Finally,a quality evaluation index system for remote electrocardiogram diagnosis in medical consor-tium was established with seven primary indicators(organization and environment,leadership role,core process,personnel support,process control,performance evaluation,and continuous improvement)and 24 secondary indicators,and weights of indicators were reasonably set.The total content validity index of the scale was 0.912,and Cronbach's α coefficient was 0.783.Conclusion The quality evaluation index system for remote electro-cardiogram diagnosis in medical consortium established in this study is scientific and reliable,and can provide a basis for the quality evaluation and continuous improvement of remote electrocardiogram diagnosis.

Remote electrocardiogramMedical consortiumQuality indexDelphi method

高娟、陈思圻、陈晶

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华中科技大学同济医学院医药卫生管理学院,湖北武汉 430000

华中科技大学同济医学院附属协和医院心血管内科,湖北武汉 430000

远程心电 医疗联合体 质量指标 德尔菲法

国家自然科学基金

71573094

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(15)