评估一种新型混合 Delphi 和名义群体技术来评估质量指标。
Assessment of a novel hybrid Delphi and Nominal Groups technique to evaluate quality indicators.
机构信息
Center for Primary Care and Outcomes Research, Stanford University CHP/PCOR, 117 Encina Commons, Stanford, CA 94305-6019, USA.
出版信息
Health Serv Res. 2011 Dec;46(6pt1):2005-18. doi: 10.1111/j.1475-6773.2011.01297.x. Epub 2011 Jul 25.
Abstract
OBJECTIVE
To test the implementation of a novel structured panel process in the evaluation of quality indicators.
DATA SOURCE
National panel of 64 clinicians rating usefulness of indicator applications in 2008-2009.
STUDY DESIGN
Hybrid panel combined Delphi Group and Nominal Group (NG) techniques to evaluate 81 indicator applications.
PRINCIPAL FINDINGS
The Delphi Group and NG rated 56 percent of indicator applications similarly. Group assignment (Delphi versus Nominal) was not significantly associated with mean ratings, but specialty and research interests of panelists, and indicator factors such as denominator level and proposed use were. Rating distributions narrowed significantly in 20.8 percent of applications between review rounds.
CONCLUSIONS
The hybrid panel process facilitated information exchange and tightened rating distributions. Future assessments of this method might include a control panel.
摘要
目的
测试新型结构化小组流程在质量指标评估中的实施情况。
资料来源
2008-2009 年，全国 64 名临床医生小组对指标应用的有用性进行评估。
研究设计
混合小组结合德尔菲小组和名义小组（NG）技术评估 81 项指标应用。
主要发现
德尔菲小组和 NG 小组对 56%的指标应用的评价相似。小组分配（德尔菲法与名义法）与平均评分无显著相关性，但小组成员的专业和研究兴趣，以及指标的分母水平和拟议用途等因素有显著相关性。在两轮评审中，有 20.8%的应用程序的评分分布显著收窄。
结论
混合小组流程促进了信息交流，并收紧了评分分布。未来对这种方法的评估可能包括一个对照小组。
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