北京地区基层医疗机构药物治疗管理服务门诊工作实施评价体系构建——基于德尔菲法和层次分析法
Construction of an evaluation system for the implementation of outpatient medication therapy manage-ment services in primary medical and health care institutions in Beijing:based upon delphi method and analytic hierarchy process
孟庆莉 1姜德春 1李达 2纪立伟 3刘宪军 4冀召帅 5陶小妹 1王海莲 6于晓佳 7贾自力 8张景富 9陈世财 4顾红燕1
作者信息
- 1. 首都医科大学附属北京世纪坛医院药学部,北京 100038;临床合理用药评价北京市重点实验室,北京 100038
- 2. 北京莱福士医院,北京 100007
- 3. 北京医院药学部/国家老年医学中心,北京 100730
- 4. 首都医科大学附属北京潞河医院药学部,北京 101149
- 5. 清华大学附属北京清华长庚医院药学部,北京 102218
- 6. 首都医科大学宣武医院药学部,北京 100053
- 7. 首都医科大学附属北京朝阳医院药事部,北京 100020
- 8. 北京市丰台医院药剂科,北京 100071
- 9. 北京市昌平区医院药剂科,北京 102202
- 折叠
摘要
目的:促进北京地区基层医疗机构药学服务发展,提升药学服务质量,构建该实施评价体系.方法:通过文献检索和课题专家组讨论,撰写《北京地区基层医疗机构药物治疗管理服务门诊工作实施专家共识》初稿,并通过专家焦点访谈法对初稿内容进行修改.采用德尔菲法,邀请北京地区25家基层医疗机构的30位专家以电子问卷的形式进行函询,对共识框架进行修改完善.以共识构建过程中的一、二级条目作为该研究评价体系的一、二级指标,通过层次分析法为各指标赋权重.结果:经过2轮专家函询,构建的评价体系含有一级指标8项,二级指标22项.一级指标按权重大小依次为管理工作组组织架构与工作职责、药学工作人员资质要求、专业技术支撑体系构建、工作内容、质量评价体系构建、服务对象、工作宣传引导与风险防控、设施设备.层次分析判断矩阵的一致性比率为0.048,结果可信度较高.结论:该研究探索构建了适合基层医疗机构药物治疗管理服务门诊工作实施评价体系,为基层医疗机构药物治疗管理服务门诊工作的开展提供了一定的依据,促进了药学服务的高质量发展.
Abstract
OBJECTIVE To promote the development of pharmaceutical services,improve the quality of pharmaceutical ser-vices and establish implementation evaluation system at primary medical and health care institutions in Beijing.METHODS The first draft of expert consensus on the implementation of outpatient medication therapy management service at primary medical and health care institutions in Beijing was formulated through literature searches and group discussions.And the contents of the first draft were modified through expert focus interviews.Base upon Delphi method,30 experts from 25 local primary medical and health care institutions were invited to conduct inquiries in the form of electronic questionnaires to modify and improve the consen-sus system framework.The first and second level items in the consensus were employed as the first and second level indicators of evaluation system and each indicator was weighted through analytic hierarchy process.RESULTS After 2 rounds of expert inqui-ries,the constructed evaluation system included 8 primary indicators and 22 secondary indicators.The first level indicators were,in an order of weight,organizational structure and responsibilities of management work,pharmaceutical staff qualification require-ments,professional technical support system construction,work content,quality evaluation system construction,service recipi-ents,work promotion guidance and risk prevention,and facilities&equipment.The consistency ratio of analytic hierarchy process judgment matrix was 0.048,indicating a high reliability of the results.CONCLUSION This study explores the construction of an evaluation system suitable for implementing outpatient medication therapy management services at primary medical and health-care institutions,providing practical refferences for developing outpatient medication therapy management services at primary medical and healthcare institutions and promoting high-quality development of pharmaceutical services.
关键词
基层医疗机构/药物治疗管理/共识/评价体系/德尔菲法/层次分析法Key words
primary medical and health care institutions/medication therapy management/consensus/evaluation system/Delphi method/analytic hierarchy process引用本文复制引用
出版年
2024
NETL
NSTL
万方数据