Study on the Rationality Evaluation Indicator System of Antibiotics with Delphi Method
- VernacularTitle:基于Delphi法的抗菌药物使用合理性评价指标体系研究
- Author:
Gefei HE
1
,
2
;
Ji SUN
1
;
Juanjuan HUANG
1
;
Heng CHENG
1
;
Liqiang HU
3
;
Guiming DENG
2
Author Information
1. Dept. of Pharmacy，Changsha First Hospital，Changsha 410005，China
2. Dept. of Pharmacy，the First Hospital of Hunan University of Chinese Medicine，Changsha 410007，China
3. Dept. of General Surgery，Changsha First Hospital，Changsha 410005，China
- Publication Type:Journal Article
- Keywords:
Delphi method;
Antibiotics;
Rationality evaluation;
Indicator system
- From:
China Pharmacy
2019;30(14):1881-1885
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE： To provide scientific evidence for establishing perfect rationality evaluation indicator system of antibiotics. METHODS： On the basis of literature research， Delphi method was used to conduct several rounds of consultations on 30 experts in related fields with E-mail and questionnaire field investigation. After several rounds of consultations， rationality evaluation index system for antibiotics was determined. The effective recovery rate of expert consultation questionnaire was used to express the positive coefficient of experts； the authoritative coefficient was used to express the authoritative degree of experts； the index importance assignment and the full score ratio were used to reflect the concentration degree of experts’ opinions； the coefficient of variation and the coefficient of coordination were used to express the coordination degree of experts’ opinions. RESULTS & CONCLUSIONS： After two rounds of consultations， response rates of the questionnaire in two rounds of surveys were 100％ and 96.67％， indicating experts were highly motivated. The authoritative coefficients were 0.91 and 0.88， indicating experts had a high degree of authority. Finally， an evaluation index system for rationality of antibiotics was established， which included four first-level indicators （indications， drug selection， medication process， management indicators） and 35 second-level indicators. Among them， the mean value of importance scoring of first-level indicators ranged from 4.28 to 5.00， the full score ratio from 0.93 to 1.00， the coefficient of variation from 0.00 to 0.15 and the coefficient of coordination was 0.446 （P＜0.001）. While， the mean value of importance scoring of second-level indicators ranged from 3.83 to 4.79； the full score ratio from 0.67 to 1.00； variation coefficient from 0.10 to 0.26 and the coefficient of coordination was 0.115 （P＜0.001）， which indicating the system was reliable.
