Volume 6, Issue 2, June 2020, Page: 31-38
Construction of Quality Indicators of Outpatient Care Based on Delphi Method and Analytic Hierarchy Process
Liu Manli, The First Clinical Medical College of Jinan University, Guangzhou, China
Lin Qingran, The First Affiliated Hospital of Jinan University, Guangzhou, China
Liu Guilin, University of Chinese Academy of Sciences Shenzhen Hospital (Guangming), Shenzhen, China
Wang Lin, The First Affiliated Hospital of Jinan University, Guangzhou, China
Li Yanfei, The First Affiliated Hospital of Jinan University, Guangzhou, China
Yan Ling, The First Clinical Medical College of Jinan University, Guangzhou, China
Received: Apr. 29, 2020;       Accepted: May 11, 2020;       Published: May 15, 2020
DOI: 10.11648/j.jfmhc.20200602.11      View  80      Downloads  101
Abstract
Objective: We aim to build a standard quality evaluation indicator system to provide a scientific quantitative evaluation tool for the assessment of the quality of outpatient care. Methods: we drew up the content of the indicator system for quality of outpatient care through searching literature at home and abroad and decided the indicators and their weight based on the Delphi method and analytic hierarchy process. Results: The collection rates of the expert consultation questionnaires were 95.45% and 100% for the first and second round and the coefficients of authority were 0.881 and 0.877, and Kendall coefficients of concordance were 0.303 and 0.313 respectively. The quality evaluation indicators of outpatient care consists of 3 first-level indicators, 14 second-level indicators and 56 third-level indicators. Conclusions: The indicator system for evaluation of quality of outpatient care is scientific and reliable and thus can be used as a tool for the evaluation of the quality of outpatient care, providing basis for continuous improvement of outpatient care quality.
Keywords
Outpatient, Quality of Care, Delphi, Analytic Hierarchy Process
To cite this article
Liu Manli, Lin Qingran, Liu Guilin, Wang Lin, Li Yanfei, Yan Ling, Construction of Quality Indicators of Outpatient Care Based on Delphi Method and Analytic Hierarchy Process, Journal of Family Medicine and Health Care. Vol. 6, No. 2, 2020, pp. 31-38. doi: 10.11648/j.jfmhc.20200602.11
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Chan Jianxi. “Method and Experience of Strengthening Management of Outpatient Nursing” [J]. Journal of Nursing Administration, 2009, 9 (03): 43.
[2]
Ai Rong, Wang Jihong, Liang Jie. “Construction of Risk Evaluation Index System for Outpatient Nursing Based on Delphi Method and Analytic Hierarchy Process” [J]. Journal of Nursing (China), 2018, 25 (17): 35-40.
[3]
“Notic on Further Improvement of Nursing Care and Nursing Service” [EB/OL]. [2020-4-20].http://www.nhc.gov.cn/xxgk/pages/viewdocument.jsp?dispatchDate=&staticUrl=/yzygj/s3593/201503/7bfe482ac571419e9e901909180d9916.shtml
[4]
Wang Mudan, Cheng Shouzhen, Li Jiamei. “Research Development of Evaluation Indicators of Nursing Quality” [J]. Chinese Nursing Management, 2012, 12 (09): 40-43.
[5]
Peng Gangyi, Chen Weiju. A Guide to Nursing Administration [M]. Guangdong Science & Technology Press, 2011.
[6]
Wang Yanyan, Liu Juan, Zhang Jun, et al. “Construction of Nursing Quality Evaluation System in Pediatrics Outpatient Department Based on Delphi Method and Analytic Hierarchy Process” [J]. Jounal of Nursing Training, 2019, 34 (22): 2036-2040.
[7]
Cramer C K, Klasser G D, Epstein J B, et al. “The Delphi Process in Dental Research” [J]. J Evid Based Dent Pract, 2008, 8 (4): 211-220.
[8]
Lin Qingran, Chen Weiju, Zou Haihua, et al. “Study on the Setting of Nurses Training Curriculum for Fall Prevention of Hospitalized Patients by Applied Delphi Method” [J]. Journal of Nursing Training, 2015, 30 (03): 195-198.
[9]
Loë R C D, Melnychuk N, Murray D, et al. “Advancing the State of Policy Delphi Practice: A Systematic Review Evaluating Methodological Evolution, Innovation, and Opportunities” [J]. Elsevier Inc., 2016, 104.
[10]
Xing Shuangshuang, Gu Zejuan, Jiang Xiumei, et al. “Construction of Nursing Quality Evaluation Index System for Acute Leukemia Based on Structure-Process-Outcome Model” [J]. Chinese Journal of Nursing, 2018, 53 (03): 324-329.
[11]
Bao H, Yang F, Wang X, et al. Developing a set of quality indicators for breast cancer care in China [J]. Int J Qual Health Care, 2015, 27 (4): 291-296.
[12]
Dong Jun. “Analysis and Application of Weight Calculation Based on Analytic Hierarchy Process” [J]. Science & Technology Information, 2015, 13 (29): 218-220.
[13]
Ijzerman M J, Van Til J A, Bridges J F P. A Comparison of Analytic Hierarchy Process and Conjoint Analysis Methods in Assessing Treatment Alternatives for Stroke Rehabilitation [J]. Patient-Patient Centered Outcomes Research, 2012, 5 (1): 45-56.
[14]
Cui Jinrui, Chen Ying, Xu Rong, et al. “Development of a Nursing-sensitive Quality Indicator System in Respiratory Medicine Department” [J]. Chinese Journal of Nursing, 2016, 51 (11): 1285-1291.
[15]
Tian Wei, Zhang Lan, Wang Bo. “Research on Evaluation Index System of Regional Medical Center Based on Analytic Hierarchy Process” [J]. Modern Preventive Medicine, 2018, 45 (06): 1052-1055+1067.
[16]
Varndell W, Fry M, Lutze M, et al. Use of the Delphi method to generate guidance in emergency nursing practice: A systematic review [J]. Int Emerg Nurs, 2020: 100867.
[17]
Wu Qiaomei, Zhang Lijuan, Zheng Jingxia. “Development of Indicator System of Aspiration Risk Evaluation in ICU with Delphi Method” [J]. Journal of Nursing (China), 2018, 25 (02): 1-6.
[18]
Dempsey J. Nurses values, attitudes and behaviour related to falls prevention [J]. J Clin Nurs, 2009, 18 (6): 838-848.
[19]
Zhan Yuxin, Yu Jiohua, Yue Gefen, et al. “Construction of a Nursing Quality Evaluation Index System for Neurosurgery ICU” [J]. Chinese Journal of Nursing, 2020, 55 (01): 84-89.
[20]
Defriese G H. Measuring the effectiveness of medical interventions: new expectations of health services research [J]. Health Serv Res, 1990, 25 (5): 691-695.
[21]
Li Yumei, Xiong Guoying. “Effects of Management by Wandering around Launched by Nursing Department” [J]. Journal of Nursing Science, 2012, 27 (03): 11-12.
[22]
Han Huifang, Xu Yuhong, Yue Jingyan. “Application of Process Reengineering in Outpatient Management” [J]. Chinese Nursing Research, 2012, 26 (36): 3415-3416.
[23]
Liao Yanfang, Yao Li, Shang Shaomei, et al. “Usage Status of Nursing Quality Indicators in Outpatient and Emergency Departments among 46 Hospitals in China” [J]. Journal of Nursing Science, 2016, 31 (10): 1-4.
[24]
Zhang Jie, Wang Zuping, Fu Liping. “Outpatient Management and Actively Explore Innovative Ideas” [J]. Chinese Journal Medicinal Guide, 2016, 18 (09): 971-972.
[25]
Zhao Shicai. “Prevention and Management of Unexpected Accidents in Outpatient Department” [J]. Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine, 2019, 7 (31): 56, 64.
[26]
Sun Hongmei, Guo Lu. “Effect of Balint Group Model on Improving Clinical Communication Skill of Outpatietn Nurses” [J]. Tianjin Journal of Nursing, 2018, 26 (2): 211-213.
[27]
Wang Yaya, Yao Li, Shang Shaomei, et al. “Usage Status of Nursing Quality Indicators in 70 Tertiary General Hospitals in China” [J]. Chinese Nursing Management, 2015, 15 (08): 943-946.
Browse journals by subject