| 引用本文：张威, 徐进, 何平, 李梓齐, 孟庆跃, 袁蓓蓓.糖尿病管理质量评价指标体系构建与应用[J].中国卫生政策研究,2022,15(9):40-46 |
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| 糖尿病管理质量评价指标体系构建与应用 |
| 投稿时间：2022-07-22 修订日期：2022-09-10 PDF全文浏览 HTML全文浏览 |
| 张威1,2, 徐进2, 何平2, 李梓齐2, 孟庆跃2, 袁蓓蓓2 |
1. 北京大学公共卫生学院 北京 100191;
2. 北京大学中国卫生发展研究中心 北京 100191 |
| 摘要:目的以高质量整合型服务提供为导向, 以糖尿病为例, 构建出一套基于整合糖尿病管理模式、全面和具有可操作性的基层糖尿病管理质量评价指标体系。方法利用文献法提取整合相关指标, 以donabedian卫生评估模型和以患者为中心的照料模式为框架构建指标体系, 层次分析法为指标赋权, TOPSIS法评价比较。结果最终形成了包含3个一级指标、17个二级指标、30个三级指标的糖尿病管理质量评价指标体系, 测量广西两县6个乡镇的糖尿病管理质量, 并对其进行排序, 同时, 发现目前糖尿病管理质量存在的主要问题是基层医疗机构管理能力弱, 规范化程度低。结论本研究以糖尿病管理中整合和以患者为中心为立足点, 结合国际理念与地区现状构建了糖尿病管理质量评价指标体系; 通过应用发现该指标体系信度良好, 能反应调查地区糖尿病管理质量总体水平, 并能帮助识别地区糖尿病管理中的问题。 |
| 关键词:糖尿病管理 健康管理质量 指标体系 TOPSIS法 |
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| Construction and application of evaluation index system for diabetes management care |
| ZHANG Wei1,2, XU Jin2, HE Ping2, LI Zi-qi2, MENG Qing-yue2, YUAN Bei-bei2 |
1. School of Public Health, Peking University, Beijing 100191, China;
2. China Center for Health Development Studies, Peking University, Beijing 100191, China |
| Abstract:ObjectiveTo construct a comprehensive and operable evaluation index system for the quality of diabetes management care on the basisof integrating various management modes.MethodsExtractandintegrate relavant data through literature review, and then contruct an index system based on Donabedian health assessment model and patient-centered diabetes management care model. Evaluate and comparethe quality level with TOPSIS after assigning weights to indicators with AHP.ResultsMajor findings of the paper include an evaluation index system for quality of diabetes management care with three domains, 17 secondaryindexes and 30 third-level indicators, which is applied to measure and rank the quality of diabetes management care provided in six townships of Guangxi Province. It also reports that the main problems withcurrent quality level of diabetes management care lie in incompetent management of primary healthcare institutions was weak and low standardization in management care. Conclusions: Based on the concept of integration and patient-centered principle in diabetes management care, this study constructesan evaluation index system for diabetes management care with the consideration of both advanced theory and regional situation. Application of this index system provesits good functioning and reflects t the overall quality of diabetes management care in the investigated area with a revealing of existing problems. |
| Key words:Diabetes management care Quality of health services Index system TOPSIS |
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