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针对突发公共卫生事件的移动传染病医院智能管理评估方案的制定:一项德尔菲研究

Development of an evaluation programme for the intelligent management of mobile infectious disease hospitals in response to public health emergencies: a Delphi study.

作者信息

He Juanling, Wu Sifeng, Ni Rongrong, Luo Xu

机构信息

Medical Department of the First Affiliated Hospital of the Army Medical University, Chongqing, Shapingba, China.

Office of the 958th Hospital, Army Medical University, Chongqing, Shapingba, China

出版信息

BMJ Open. 2025 Apr 5;15(4):e094769. doi: 10.1136/bmjopen-2024-094769.

Abstract

OBJECTIVES

To construct a scientific and practical intelligent management assessment programme for mobile infectious disease hospitals and explore pathways to enhance their management effectiveness.

DESIGN

A preliminary pool of indicators was developed based on policy documents issued by the Chinese government. Two rounds of Delphi expert consultations were conducted via email between February and August 2024. These indicators were then refined using the margin method. Finally, a hierarchical analysis was employed to assign weights to each indicator.

SETTING AND PARTICIPANTS

In line with the policy guidance of the Chinese government, an initial set of assessment indicators for smart management of mobile infectious disease hospitals was established. 32 experts with extensive knowledge in the construction of smart management systems for such hospitals were chosen to participate in the Delphi study, offering a comprehensive professional perspective.

RESULTS

The Cr values were 0.860 (Round 1) and 0.894 (Round 2), demonstrating the accuracy and reliability of the expert consultations. The coordination coefficient among the experts was statistically significant at the p<0.01 level, reflecting a high degree of consensus. In total, 29 assessment items for the smart management of mobile infectious disease hospitals were finalised.

CONCLUSIONS

A comprehensive set of indicators for assessing smart management in mobile infectious disease hospitals has been developed. This system is scientific, logical and dependable, providing effective guidance for the smart development of such hospitals. It not only improves the quality and efficiency of medical services but also safeguards patients' health rights.

摘要

目的

构建科学实用的移动传染病医院智能管理评估方案,探索提高其管理效能的途径。

设计

根据中国政府发布的政策文件制定初步指标池。2024年2月至8月期间通过电子邮件进行了两轮德尔菲专家咨询。然后使用边际法对这些指标进行细化。最后,采用层次分析法为每个指标赋予权重。

设置与参与者

按照中国政府的政策指导,制定了移动传染病医院智能管理的初始评估指标集。选择了32名在这类医院智能管理系统建设方面有丰富知识的专家参与德尔菲研究,提供全面的专业视角。

结果

第一轮的Cr值为0.860,第二轮为0.894,表明专家咨询的准确性和可靠性。专家之间的协调系数在p<0.01水平上具有统计学意义,反映出高度的共识。最终确定了29项移动传染病医院智能管理的评估项目。

结论

已制定出一套全面的移动传染病医院智能管理评估指标。该系统科学、合理且可靠,为这类医院的智能化发展提供了有效指导。它不仅提高了医疗服务的质量和效率,还保障了患者的健康权益。

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