中国整形美容专业医疗质量控制指标体系构建

张明子; 斯楼斌; 黄久佐; 俞楠泽; 郑姣洁; 陈洁; 王晓军; 龙笑; 熊伟

doi:10.12290/xhyxzz.2024-0052

中国整形美容专业医疗质量控制指标体系构建

doi: 10.12290/xhyxzz.2024-0052

1 中国医学科学院北京协和医院整形美容外科, 北京 100730;
2 石河子大学医学院第一附属医院烧伤整形科, 石河子, 新疆 832008

基金项目:

中央高水平医院临床科研专项（2022-PUMCH-B-042，2022-PUMCH-B-041，2022-PUMCH-A-210，2022-PUMCH-C-025，2022-PUMCH-A-209）；美国中华医学基金会（CMB）；北京协和医学院教育基金会

详细信息

通讯作者:
王晓军,E-mail:pumchwxj@163.com龙笑,E-mail:pumclongxiao@126.com熊伟,E-mail:xiongweishz@163.com

王晓军,E-mail:pumchwxj@163.com龙笑,E-mail:pumclongxiao@126.com熊伟,E-mail:xiongweishz@163.com

王晓军,E-mail:pumchwxj@163.com龙笑,E-mail:pumclongxiao@126.com熊伟,E-mail:xiongweishz@163.com

中图分类号: R826.8
计量
- 文章访问数: 12
- HTML全文浏览量: 4
- PDF下载量: 2
- 被引次数: 0
出版历程
- 收稿日期: 2024-01-26
- 录用日期: 2024-03-12
- 网络出版日期: 2024-04-24

The Construction of Medical Quality Control Indicators System for Chinese Plastic and Aesthetic Major

1 Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
2 Department of Burns and Plastic Surgery, The First Affiliated Hospital of Shihezi University, Shihezi, Xinjiang 832008, China

Funds:

National High Level Hospital Clinical Research Funding (2022- PUMCH-B-042, 2022-PUMCH-B-041, 2022-PUMCH-A-210, 2022-PUMCH-C-025, 2022-PUMCH-A-209)

摘要

摘要: 目的建立我国整形美容专业医疗质量控制指标体系，为中国整形美容专业医疗质量控制工作奠定基础。方法整形美容专业国家级质控中心成立工作小组，以"结构-过程-结果"质控理论为指导，借鉴其他专业相关指标，通过查阅文献、会议讨论，以及整合质控专家意见，拟定整形美容专业医疗质量控制指标，并通过德尔菲专家函询的方式最终确立整形美容专业医疗质量控制指标体系。结果共实施两轮专家函询，问卷回收率均为100%，专家权威系数分别为0.854和0.857，第二轮函询一级指标的专家协调系数为0.387、二级指标的专家协调系数为0.425（P＜0.01），最终确立包含3项一级指标和9项二级指标的整形美容专业医疗质量控制指标体系。结论本研究构建的中国整形美容专业医疗质量控制指标体系具有一定的科学性和合理性，为我国整形美容专业医疗质量控制工作提供了借鉴和参考，指标体系需在实践应用中进一步改进和完善。
- 整形美容 /
- 医疗质量控制 /
- 指标体系
Abstract: Objective To construct a quality control indicators system for Chinese Plastic and Aesthetic Major and offer basics for medical quality control works. Methods National quality control center of Plastic and Aesthetic major established a working group. The working group guided by the "structure-process-outcome" theory, learned from other majors' relevant indicators, reviewed literatures, discussed in meetings, combined with opinions from quality control experts, and formulated medical quality control indicators for Plastic and Aesthetic major. The quality control indicators system was finally established by Delphi expert consultation. Results Delphi survey was 100% of 2 rounds. The authorities of 2 rounds of expert consultation were 0.854 and 0.857. The harmonious coefficients were 0.387 of primary indicators and 0.425 of secondary indicators (P＜0.01). The finalized indicators system includes 3 primary indicators and 9 secondary indicators. Conclusion The quality control indicators system established in this study for Plastic and Aesthetic major in China has a certain degree of scientificity and rationality, which offered references for medical quality control works of Plastic and Aesthetic major in China. However, this system should be improved and ameliorated in practical application.
- plastic and aesthetic /
- medical quality control /
- indicators system

HTML全文

参考文献(20)

[1]	Ayanian JZ, Markel H. Donabedian's lasting framework for health care quality[J]. N Engl J Med, 2016,375:205-207.
[2]	Linstoneh A, Turoff M. The Delphi method-techniques and applications[M]. New York:Addison-Wesley, 2001.
[3]	郭俊艳,魏畅,张黎明,等.临床护理新技术准入评估指标体系构建[J].中国护理管理, 2010,10:43-45.
[4]	战旗,魏水易,顾文华.德尔菲专家函询法在药学工作用的应用[J].药学实践杂志, 2002,20:122-124.
[5]	程琮,刘一志. Kendall协调系数W检验及其SPSS实现[J].泰山医学院学报, 2010,31:487-490.
[6]	李增辉,高嗣法,马旭东,等.新重症医学医疗质量控制指标体系构建[J].中国卫生质量管理, 2022,29:26-29.
[7]	赵洁,常红,范凯婷.住院老年脑卒中患者护理评估体系的构建[J].中华护理杂志, 2019,54:886-891.
[8]	国家卫生健康委.国家卫生健康委办公厅关于印发感染性疾病等4个专业医疗质量控制指标(2023年版)的通知[EB].发文字号:国卫办医政函[2023] 404 号.
[9]	Michalopoulos NV, Frountzas M, Karathanasis P, et al. Implant infections after breast reconstruction surgery following mastectomy:experience from a Greek breast unit[J]. Breast Dis, 2022,41(1):37-44.
[10]	郭瑢,修秉虬,苏永辉,等.中国乳腺癌术后植入物乳房重建现状调查[J].中华外科杂志, 2019,57(8):616-621.
[11]	Cohen JB, Carroll C, Tenenbaum MM, et al. The role of the national surgical quality improvement program and the local microbiome[J]. Plast Reconstr Surg, 2015,136(5):921-929.
[12]	中国整形美容协会.毛发移植规范(发布稿). T/CAPA 3-2021[S]. 2021.
[13]	Markiewicz MR, Bell RB, Bui TG, et al. Survival of microvascular free flaps in mandibular reconstruction:a systematic review and meta-analysis[J]. Microsurgery, 2015,35(7):576-587.
[14]	Xiong L, Gazyakan E, Kremer T, et al. Free flaps for reconstruction fo soft tissue defects in lower extremity:a meta-analysis on microsurgical outcome and safety[J]. Microsurgery, 2016,36(6):511-524.
[15]	Patel UA, Hernandez D, Shnayder Y, et al. Free flap reconstruction monitoring techniques and frequency in the era of restricted resident work hours[J]. JAMA Otolaryngol Head Neck Surg. 2017,143(8):803-809.
[16]	中共中央,国务院.中共中央国务院印发《质量强国建设纲要》[N].新华网, 2023-02-06.
[17]	整形美容专业国家级医疗质量控制中心. 2023年国家医疗服务与质量安全报告——整形美容专业分册[M].北京:科学技术文献出版社, 2023.
[18]	国家卫生健康委.关于印发抗菌药物临床应用指导原则(2015年版)的通知[EB].发文字号:国卫办医发[2015] 43号.
[19]	许来雨,彭伶丽,黄伟红,等.皮瓣移植术后血管危象识别与防控管理信息系统的开发及应用研究[J].中华护理杂志, 2022,57:1291-1296.
[20]	龚韩湘,林珮仪,江慧琳,等.应用Delphi-AHP法构建紧急医学救援能力评价指标体系[J].中国卫生质量管理, 2019,26:136-139.

施引文献

资源附件(0)

访问统计

点击查看大图

计量

文章访问数: 12
HTML全文浏览量: 4
PDF下载量: 2
被引次数: 0

姓名
邮箱
手机号码
标题
留言内容
验证码

地址：	北京市东城区帅府园1号北京协和医院老楼7号楼 3层302室《协和医学杂志》编辑部
电话：	010-69154261/4262
E - mail：	medj@pumch.cn mjpumch@126.com
期刊网站版权所有：	《协和医学杂志》编辑部京ICP备 11002662

留言板

中国整形美容专业医疗质量控制指标体系构建

doi: 10.12290/xhyxzz.2024-0052

计量

The Construction of Medical Quality Control Indicators System for Chinese Plastic and Aesthetic Major

计量

目录

留言板

中国整形美容专业医疗质量控制指标体系构建

doi: 10.12290/xhyxzz.2024-0052

计量

出版历程

The Construction of Medical Quality Control Indicators System for Chinese Plastic and Aesthetic Major

计量

出版历程

目录