Delphi research on the evaluation indicators system for clinical pathway management
10.3760/cma.j.issn.1000-6672.2012.11.004
- VernacularTitle:基于德尔菲法的临床路径管理评价指标体系研究
- Author:
Ping XIA
;
Darong WU
;
Xueying HUANG
;
Lan CHENG
;
Zhenwei LIN
;
Weixuan ZHANG
;
Jianxiong CAI
- Publication Type:Journal Article
- Keywords:
Clinical pathway;
Evaluation indicators system;
Delphi method;
Analytic hierarchy process;
the Kendall coefficient of concordance
- From:
Chinese Journal of Hospital Administration
2012;(11):811-817
- CountryChina
- Language:Chinese
-
Abstract:
Objective To build the indicators system for clinical pathway management as required by clinical pathway control.Methods An indicators system was proposed by means of evidence-based review,focus group discussions,and ratings of the indicators' importance by doctors and nurses.A multidisciplinary panel of 60 experts from across the country were selected.A 3-round Delphi survey was made on the proposed indicators.The weights of the indicators were established by analytical hierarchy process (AHP).The response rate,Cronbach's α,and the authority coefficient of experts were used as a measure of reliability.Results The response rates of the 3 rounds were 85％,70％,and 94％; the experts authority coefficient was 0.80.The ccoefficient of variation falls with the rising number of consultations.The Kendall's W ranged from 0.40 to 0.83.Following the 3 rounds,consensus was achieved among experts as such a system comprising three first-level,9 second-level,and 36 third-level indicators.Conclusion The expert consultation has achieved reliable results.The established indicators system can serve as a useful instrument for standardized development of clinical pathways management and constant improvement.
