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[临终关怀与姑息治疗门诊全过程管理模式的构建]

[Construction of the Whole Process Management Model of Hospice and Palliative Care Outpatient Clinic].

作者信息

Zeng Yao-Xin, Ning Xiao-Hong, Zheng Ying, Zhang Zhi-Yuan, Wang Yi-You, Zhang Yu, Kang Qian

机构信息

1 Department of International Medical Service,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.

2 Department of Palliative Care Center,PUMC Hospital,CAMS and PUMC,Beijing 100730,China.

出版信息

Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2024 Apr;46(2):210-216. doi: 10.3881/j.issn.1000-503X.15953.

Abstract

Objective To construct a scientific and practical management model of the hospice and palliative care outpatient clinic and provide a reference for the operation and development of the outpatient clinic. Methods The basic framework of the whole process management model of hospice and palliative care outpatient clinic was determined preliminarily by literature analysis,qualitative interviews and experts group meetings.Two rounds of consultation were conducted among 18 experts in hospice and palliative care and medical-nursing combined outpatient service by the Delphi method. Results The questionnaire response rates of the two rounds of expert consultation were both 100% and the authority coefficients of the two rounds of expert consultation were 0.88 and 0.91,respectively.Finally,the whole process management model of hospice and palliative care outpatient clinic was constructed,which was composed of three first-level indicators including staff composition,work structure and effect evaluation,5 second-level indicators and 62 third-level indicators. Conclusion The constructed whole process management model is scientific,innovative and continuous,which can provide a reference for the operation and development of the hospice and palliative care outpatient clinic.

摘要

目的 构建科学实用的临终关怀与姑息治疗门诊管理模式,为门诊的运营与发展提供参考。方法 通过文献分析、质性访谈及专家组会议初步确定临终关怀与姑息治疗门诊全程管理模式的基本框架,采用德尔菲法对18名临终关怀与姑息治疗及医护联合门诊专家进行两轮咨询。结果 两轮专家咨询问卷有效回收率均为100%,两轮专家咨询权威系数分别为0.88、0.91。最终构建了临终关怀与姑息治疗门诊全程管理模式,该模式由人员构成、工作架构、效果评价3个一级指标,5个二级指标和62个三级指标组成。结论 构建的全程管理模式具有科学性、创新性和持续性,可为临终关怀与姑息治疗门诊的运营与发展提供参考。

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