Audet N, Leclerc J E, Iordanescu V
Centre Hospitalier Universitaire de Québec, Pavillon Centre Hospitalier de l'Université Laval, Sainte-Foy.
J Otolaryngol. 1999 Feb;28(1):43-8.
The aims of this study were to obtain consensus on the suitability (or nonsuitability) of outpatient facilities for 15 ENT surgical procedures, to identify the factors involved in the decision making, and to use the Delphi method to evaluate it for this purpose.
A prospective study of 26 practising otolaryngologists in the Province of Quebec, using the Delphi method (3 rounds), was conducted. Fifteen adult and nine paediatric surgical procedures were included.
Consensus (85% agreement) was obtained for eight procedures: septoplasty, rhinoplasty, endoscopic sinus surgery, otoplasty, mastotympanoplasty, lymph node biopsy, and branchial cyst excision (outpatient procedures) and tracheostomy (inpatient procedure).
The Delphi method has been useful in initiating a process of rationalization about outpatient surgery.
本研究旨在就15种耳鼻喉科外科手术的门诊设施适用性（或不适用性）达成共识，确定决策过程中涉及的因素，并为此使用德尔菲法进行评估。
对魁北克省26名执业耳鼻喉科医生进行了一项前瞻性研究，采用德尔菲法（三轮）。纳入了15种成人外科手术和9种儿科外科手术。
对于8种手术达成了共识（85%的一致性）：鼻中隔成形术、隆鼻术、内窥镜鼻窦手术、耳成形术、乳突鼓室成形术、淋巴结活检、鳃裂囊肿切除术（门诊手术）和气管切开术（住院手术）。
德尔菲法有助于启动门诊手术的合理化进程。
