采用改良 Delphi 法制定儿童炎症性肠病中心运行标准的共识。
Consensus for criteria of running a pediatric inflammatory bowel disease center using a modified Delphi approach.
机构信息
Department of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, 310052, China.
National Clinical Research Center for Child Health, Hangzhou, 310051, China.
出版信息
World J Pediatr. 2023 Oct;19(10):939-948. doi: 10.1007/s12519-023-00691-0. Epub 2023 Apr 6.
BACKGROUND
Good quality of care for inflammatory bowel disease (IBD) depends on high-standard management and facility in the IBD center. Yet, there are no clear measures or criteria for evaluating pediatric IBD (PIBD) center in China. The aim of this study was to develop a comprehensive set of quality indicators (QIs) for evaluating PIBD center in China.
METHODS
A modified Delphi consensus-based approach was used to identify a set of QIs of structure, process, and outcomes for defining the criteria. The process included an exhaustive search using complementary approaches to identify potential QIs, and two web-based voting rounds to select the QIs defining the criteria for PIBD center.
RESULTS
A total of 101 QIs (35 structures, 48 processes and 18 outcomes) were included in this consensus. Structure QIs focused on the composition of multidisciplinary team, facilities and services that PIBD center should provide. Process QIs highlight core requirements in diagnosing, evaluating, treating PIBD, and disease follow-up. Outcome QIs mainly included criteria evaluating effectiveness of various interventions in PIBD centers.
CONCLUSION
The present Delphi consensus developed a set of main QIs that may be useful for managing a PIBD center. Video Abstract.
背景
炎症性肠病（IBD）的高质量护理取决于 IBD 中心的高标准管理和设施。然而，中国目前还没有明确的评估小儿炎症性肠病（PIBD）中心的措施或标准。本研究旨在制定一套全面的质量指标（QIs），用于评估中国的 PIBD 中心。
方法
采用改良 Delphi 共识法，确定结构、过程和结果的一组 QIs，用于定义标准。该过程包括使用互补方法进行全面搜索，以确定潜在的 QIs，并进行两轮基于网络的投票，以选择定义 PIBD 中心标准的 QIs。
结果
本共识共纳入 101 项 QIs（35 项结构、48 项过程和 18 项结果）。结构 QIs 侧重于多学科团队的组成、PIBD 中心应提供的设施和服务。过程 QIs 强调了诊断、评估、治疗 PIBD 以及疾病随访的核心要求。结果 QIs 主要包括评估 PIBD 中心各种干预措施效果的标准。
结论
本德尔菲共识制定了一套主要的 QIs，可能有助于管理 PIBD 中心。
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