引用本文:吴佩林, 陈文晶, 张思琪, 徐鹏宇, 苗艳青, 王丽丹.基于德尔菲法的“两病”门诊用药保障机制评估指标体系构建[J].中国卫生政策研究,2022,15(10):34-40 |
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基于德尔菲法的“两病”门诊用药保障机制评估指标体系构建 |
投稿时间:2022-09-20 修订日期:2022-10-10 PDF全文浏览 HTML全文浏览 |
吴佩林1, 陈文晶2, 张思琪3, 徐鹏宇4, 苗艳青5, 王丽丹1 |
1. 安徽医科大学卫生管理学院 安徽合肥 230032; 2. 北京邮电大学经济管理学院 北京 100876; 3. 北京协和医学院卫生健康管理政策学院 北京 100730; 4. 东南大学经济管理学院 江苏南京 211189; 5. 国家卫生健康委卫生发展研究中心 北京 100191 |
摘要:目的:构建高血压、糖尿病“两病”门诊用药保障机制评估指标体系,为相关部门进行“两病”门诊用药保障机制评估工作提供参考。 方法:本研究基于从事前评估、过程评估到效果评估的全过程评估方式,结合文献研究和专家访谈,开展三轮德尔菲专家咨询确定最终指标体系。 结果:研究共咨询专家25人,经三轮德尔菲专家咨询后确定纳入一级指标3个,二级指标10个,三级指标24个。其中,一级指标及其权重分别为政策制定(0.236)、政策执行(0.481)和政策成效(0.283)。本研究中三轮德尔菲专家咨询的积极系数均为100%,权威系数为0.89,且专家协调程度逐轮提升。结论:构建的指标体系具有较高的科学性与稳定性,能够为“两病”门诊用药保障机制评估工作提供有效的评估工具。 |
关键词:高血压 糖尿病 指标体系 德尔菲法 |
基金项目:国家医保局项目“两病”门诊用药保障机制的绩效评价研究(2209444) |
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Construction of evaluation indicator system of outpatient medication security mechanism for hypertension and diabetes based on Delphi method |
WU Pei-lin1, CHEN Wen-jing2, ZHANG Si-qi3, XU Peng-yu4, MIAO Yan-qing5, WANG Li-dan1 |
1. School of Health Management, Anhui Medical University, Hefei Anhui 230032, China; 2. School of Economics and Management, Beijing University of Posts and Telecommunications, Beijing 100876, China; 3. School of Health Management Policy Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China; 4. School of Economics and Management, Southeast University, Nanjing Jiangsu 211189, China; 5. China National Health Development Research Center, Beijing 100191, China |
Abstract:Objective:To construct an evaluation indicator system of the outpatient medication guarantee mechanism for hypertension and diabetes, and to provide reference to relevant departments for assessing this mechanism. Methods:This research reaches a final version of indicator system after three rounds of Delphi expert consultation with whole process evaluation method,which covers document evaluation, process evaluation to effect evaluation, and literature review as well as expert interviews. Results:3 first-level indicators, 10 second-level indicators, and 24 third-level indicators are included after three rounds of Delphi expert consultation concerning 25 experts.Among them, the first-level indicators include policy formulation, policy implementation and policy effectiveness, with their weights being 0.236, 0.481and 0.283. Positive factor of the research in the three rounds of Delphi expert consultation is 100%, and the authority factor is 0.89.Besides, expert coordination ascends round by round. Conclusion:The indicator system constructed by the research has fairly high scientific sense and stability, and can provide an effective assessment tool for the evaluation of the outpatient medication guarantee mechanism of hypertension and diabetes. |
Key words:Hypertension Diabetes Indicator system Delphi method |
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