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中国慢性病药物治疗管理服务(MTMs)培训课程与培训质量评价指标体系的构建:一项德尔菲研究

Construction on training course and training quality evaluation index system of chronic disease medication therapy management service (MTMs) in China: A Delphi study.

作者信息

Cai Wenting, Yao Yao, Lei Wenpu, Li Huixin, Yan Simin, Wu Qiuhui, Wang Jian, Ge Weihong, Zhang Jinping

机构信息

Department of Pharmacy, Nanjing Drum Tower Hospital, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing, Jiangsu, China.

Department of Pharmacy, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.

出版信息

PLoS One. 2025 Jan 30;20(1):e0318446. doi: 10.1371/journal.pone.0318446. eCollection 2025.

Abstract

OBJECTIVE

This study aims to construct a training course and quality evaluation index system for chronic disease Medication Therapy Management service (MTMs) that is suitable for China's national conditions. It seeks to provide tools and a scientific foundation for assessing the quality of MTMs training.

METHODS

Drawing from domestic and international literature and combining with the practice of chronic disease medication management by Chinese pharmacists, a preliminary framework for the evaluation index system was established. The Delphi method was used to solicit expert opinions, evaluate and improve the evaluation index system. Indicator weights were determined by using the Analytic Hierarchy Process (AHP).

RESULTS

Both rounds of expert inquiry achieved a positive degree of 100% (18/18 experts). The authority coefficients (Cr) were 0.90 and 0.91 respectively. The Kendall coordination coefficients (Kendall's W) of the second and third-level indicators for the first round of inquiry were 0.230 and 0.189, while those for the second round were 0.326 and 0.213. Finally, an MTMs training course and training quality evaluation index system was structured, comprising 3 first-level indicators, 11 second-level indicators, and 39 third-level indicators.

CONCLUSION

The evaluation index system constructed in this study is scientifically robust and rational, offering a foundation to standardize MTMs training practices effectively.

摘要

目的

本研究旨在构建适合中国国情的慢性病药物治疗管理服务(MTMs)培训课程及质量评价指标体系,为评估MTMs培训质量提供工具和科学依据。

方法

借鉴国内外文献,并结合中国药师慢性病用药管理实践,初步建立评价指标体系框架。采用德尔菲法征求专家意见,对评价指标体系进行评估和完善。运用层次分析法(AHP)确定指标权重。

结果

两轮专家咨询的积极系数均为100%(18/18名专家)。权威系数(Cr)分别为0.90和0.91。第一轮咨询二级和三级指标的肯德尔协调系数(Kendall's W)分别为0.230和0.189,第二轮分别为0.326和0.213。最终构建了MTMs培训课程及培训质量评价指标体系,包括3个一级指标、11个二级指标和39个三级指标。

结论

本研究构建的评价指标体系科学合理,为有效规范MTMs培训实践提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3927/11781749/546b6f839806/pone.0318446.g001.jpg

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