安宁缓和医疗门诊医护一体化全程管理模式的构建
Construction of the Whole Process Management Model of Hospice and Palliative Care Outpatient Clinic
曾耀鑫 1宁晓红 2郑莹 2张志媛 1王奕又 1张雨 1康倩1
作者信息
- 1. 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
- 2. 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
- 折叠
摘要
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.
Abstract
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.
关键词
安宁缓和医疗/医护一体化/全程管理模式/德尔菲法Key words
hospice and palliative care/medical-nursing integrated model/whole process management model/Delphi method引用本文复制引用
基金项目
中央高水平医院临床科研业务费项目(2022-PUMCH-B-130)
&&(XHHLKY202211)
出版年
2024
国家科技期刊平台
NSTL
万方数据