scholarly journals Development of an index system for evaluating the organisational capabilities of primary medical institutions: a modified Delphi study in China

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055422
Author(s):  
Chengsen Cui ◽  
Kai Meng
Keyword(s):  
Delphi Study ◽  
Index System ◽  
China National Knowledge Infrastructure ◽  
Analytic Hierarchy ◽  
Organisational Capabilities ◽  
Modified Delphi ◽  
Medical Institutions ◽  
Low Performance ◽  
Management Capabilities ◽  
Delphi Research

ObjectiveThe low performance of primary medical institutions (PMIs) in China is a significant issue. The WHO proposed that the main reason for the failure of the healthcare system in developing countries is poor organisational capabilities. However, there is no international tool for evaluating the organisational capabilities of PMIs. Therefore, this study aimed to develop an index system for evaluating the organisational capabilities of PMIs.DesignWe searched the literature (English and Chinese) published before June 2020 in the PubMed, China National Knowledge Infrastructure and Wanfang databases to conduct a literature review and develop a preliminary indicator pool. Then, two rounds of Delphi expert consultations were conducted by email from June to September 2020, followed by screening, revision and supplementation of the indicators using the boundary value method. Finally, the analytic hierarchy process was used to determine the weight of the indicators.SettingThe Delphi consultation questionnaire was distributed to the leaders of PMIs in districts D, F and S in Beijing, China.ParticipantsNineteen leaders of PMIs who had a profound understanding of PMI operations and management and were able to participate in Delphi research from a professional and comprehensive perspective were included in this study.ResultsThe Cr values were 0.76 (first-level indicators) and 0.78 (second-level indicators), indicating that the expert consultation results were accurate and reliable. The result of the expert coordination coefficient test was significant at the p<0.01 level, suggesting that the experts’ views were consistent. The organisational capability index system includes 3 first-level indicators, 9 second-level indicators and 37 third-level indicators.ConclusionsAn index system for the organisational capabilities of PMIs was developed. This index system is a scoring system that focuses on basic service capabilities, management capabilities and sustainable development capabilities, and it can determine the priority of improvement areas for PMIs.

scholarly journals Identifying the competencies of China’s paediatric residents: a modified Delphi method study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041741
Author(s):  
Yujia Wang ◽  
Tianyou Wang ◽  
Aihua Wang ◽  
Shengyu Chen ◽  
Liping Jiao ◽  
...  
Keyword(s):  
Index System ◽  
Medical Service ◽  
Training System ◽  
Expert Consultation ◽  
Analytic Hierarchy ◽  
Modified Delphi ◽  
Professional Quality ◽  
Boundary Value Method ◽  
Hierarchy Process

PurposeStandardised Training of Paediatric Resident (STPR) plays an essential role in training qualified paediatricians. Until now, China had no paediatric resident competency index system to effectively guide and evaluate the competence of paediatric residents. This study aimed to establish a competency index system for paediatric residents in China to provide a reference for improving the training system and quality of STPR.Study design and settingThis study conducted two rounds of Delphi expert consultation survey among paediatric medical experts (n=16), followed by screening, revising and supplementing indicators using the boundary value method. Next, the analytic hierarchy process was used to determine the weight of indicators and finally establish a competency index system for paediatric residents.ResultsThe results of the statistical analysis revealed a positive coefficient of 100% for both rounds of expert consultation. The expert authority coefficient values were 0.82 and 0.83, and the expert coordination coefficient test was p<0.01. After referring to experts’ opinions, a competency index system for paediatric residents with 5 primary indicators, 14 secondary indicators and 73 tertiary indicators was finally formed and the weight of each indicator was calculated. The five primary indicators were professional quality (0.3187), knowledge and skills (0.2734), communication and cooperation (0.1986), lifelong learning (0.1302), and teaching ability (0.0791).ConclusionsIn this study, a competency index system for paediatric residents was constructed following the characteristics and quality requirements for paediatric residents in China and is expected to significantly improve the overall level of paediatricians’ medical service quality and supply.

scholarly journals European List of Essential Medicines for Medical Education: a protocol for a modified Delphi study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e045635
Author(s):  
Erik Donker ◽  
David Brinkman ◽  
Milan Richir ◽  
Paraskevi Papaioannidou ◽  
Robert Likic ◽  
...  
Keyword(s):  
Medical Education ◽  
Delphi Study ◽  
Medical Training ◽  
Medical Center ◽  
European Countries ◽  
Essential Medicines ◽  
Ethical Review ◽  
Junior Doctors ◽  
Direct Supervision ◽  
Modified Delphi

IntroductionJunior doctors are responsible for a substantial number of prescribing errors, and final-year medical students lack sufficient prescribing knowledge and skills just before they graduate. Various national and international projects have been initiated to reform the teaching of clinical pharmacology and therapeutics (CP&T) during undergraduate medical training. However, there is as yet no list of commonly prescribed and available medicines that European doctors should be able to independently prescribe safely and effectively without direct supervision. Such a list could form the basis for a European Prescribing Exam and would harmonise European CP&T education. Therefore, the aim of this study is to reach consensus on a list of widely prescribed medicines, available in most European countries, that European junior doctors should be able to independently prescribe safely and effectively without direct supervision: the European List of Essential Medicines for Medical Education.Methods and analysisThis modified Delphi study will recruit European CP&T teachers (expert group). Two Delphi rounds will be carried out to enable a list to be drawn up of medicines that are available in ≥80% of European countries, which are considered standard prescribing practice, and which junior doctors should be able to prescribe safely and effectively without supervision.Ethics and disseminationThe study has been approved by the Medical Ethics Review Committee of VU University Medical Center (no. 2020.335) and by the Ethical Review Board of the Netherlands Association for Medical Education (approved project no. NVMO‐ERB 2020.4.8). The European List of Essential Medicines for Medical Education will be presented at national and international conferences and will be submitted to international peer-reviewed journals. It will also be used to develop and implement the European Prescribing Exam.

Grassland resource evaluation based on improved bp network model and analytic hierarchy process

2020 ◽  
pp. 1-12
Author(s):  
Zhou Jiang ◽  
Zhenwu Wei
Keyword(s):  
Sustainable Development ◽  
Analytic Hierarchy Process ◽  
Carrying Capacity ◽  
Index System ◽  
Evaluation Index System ◽  
Analytic Hierarchy ◽  
Bp Network ◽  
Resource Evaluation ◽  
Environmental Carrying Capacity ◽  
Hierarchy Process

Grassland resources are an important part of land resources. Moreover, it has the functions of regulating the climate, windproof and sand fixation, conserving water sources, maintaining water and soil, raising livestock, providing food, purifying the air, and beautifying the environment in terrestrial ecosystems. Grassland resource evaluation is of great significance to the sustainable development of grassland resources. Therefore, this paper improves the BP neural network, uses the comprehensive index method to calculate the weights in the analytic hierarchy process, and constructs a water resources carrying capacity research and analysis system based on the entropy weight extension decision theory. Meanwhile, this paper analyzes different levels of resource and environmental carrying capacity to achieve the purpose of comprehensive evaluation of resource and environmental carrying capacity. In addition, based on the theory of sustainable development, under the guidance of the principle of index system construction, this paper studies the actual situation of grassland resources and the availability and operability of data, and combines with the opinions given by experts to form an evaluation index system of grassland resources and environmental carrying capacity. Finally, through the actual case study analysis, it is concluded that the model constructed in this paper has a certain effect.

scholarly journals Expert Consensus on Clinical Application of Lateral Lumbar Interbody Fusion: Results From a Modified Delphi Study

2021 ◽  
pp. 219256822110126
Author(s):  
Yong Hai ◽  
Jingwei Liu ◽  
Yuzeng Liu ◽  
Tie Liu ◽  
Xinuo Zhang ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Delphi Method ◽  
Delphi Study ◽  
Interbody Fusion ◽  
Expert Consensus ◽  
Lumbar Spine Surgery ◽  
Study Group ◽  
Lumbar Interbody Fusion ◽  
Modified Delphi ◽  
Chinese Study

Study Design: Modified Delphi study. Objective: The objective of this study was to establish expert consensus on the application of lateral lumbar interbody fusion (LLIF) by using the modified Delphi study. Methods: From June 2019 to March 2020, Members of the Chinese Study Group for Lateral Lumbar Spine Surgery were selected to collect expert feedback using the modified Delphi method where 65 spine surgeons from all over China agreed to participate. Four rounds were performed: 1 face-to-face meeting and 3 subsequent survey rounds. The consensus was achieved with ≥a 70.0% agreement for each question. The recommendation of grade A was defined as ≥90.0% of the agreement for each question. The recommendation of grade B was defined as 80.0-89.9% of the agreement for each question. The recommendation of grade C was defined as 70.0-79.9% of the agreement for each question. Results: A total of 65 experts formed a panelist group, and the number of questionnaires collected was 63, 59, and 62 in the 3 rounds. In total, 5 sections, 71 questions, and 382 items achieved consensus after the Delphi rounds including summary; preoperative evaluation; application at the lumbar spinal stenosis, lumbar disc herniation, lumbar spondylolisthesis, adult degenerative scoliosis, postoperative adjacent segmental degeneration, and revision surgery; complications; and postoperative follow-up evaluation of LLIF. Conclusion: The modified Delphi method was utilized to ascertain an expert consensus from the Chinese Study Group for Lateral Lumbar Spine Surgery to inform clinical decision-making in the application of LLIF. The salient grade A recommendations of the survey are enumerated.

scholarly journals A Modified Delphi Study to Prioritize Content for a Simulation‐based Pediatric Curriculum for Emergency Medicine Residency Training Programs

2019 ◽  
Vol 4 (4) ◽  
pp. 369-378
Author(s):  
Jennifer Mitzman ◽  
Ilana Bank ◽  
Rebekah A. Burns ◽  
Michael C. Nguyen ◽  
Pavan Zaveri ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Residency Training ◽  
Delphi Study ◽  
Training Programs ◽  
Modified Delphi ◽  
Simulation Based

scholarly journals Health Risk Assessment Indicators for the Left-Behind Elderly in Rural China: A Delphi Study

2020 ◽  
Vol 17 (1) ◽  
pp. 340 ◽  
Author(s):  
Ruzhen Luo ◽  
Chunmei Zhang ◽  
Yanhui Liu
Keyword(s):  
Risk Assessment ◽  
Health Risk ◽  
Health Risk Assessment ◽  
Delphi Study ◽  
Index System ◽  
Urban Areas ◽  
Health Management ◽  
Assessment Index ◽  
Left Behind ◽  
Assessment Index System

In China, many young and middle-aged rural residents move to urban areas each year. The rural elderly are left behind. The number of the rural left-behind elderly is increasing with urbanization, but it is unclear which indicators can be used to assess their health condition. The health risk assessment index system was developed to improve the health level of the rural left-behind elderly. A two-round web-based Delphi process was used to organize the recommendations from fifteen Chinese experts in geriatrics, health management, social psychology who participated in this study. Meaningfulness, importance, modifiability, and comprehensive value of the health risk assessment indicators in the index system were evaluated. The effective recovery rates of the two-round Delphi were 86.67% and 92.31%, respectively. The judgement coefficient and the authority coefficient were 0.87 and 0.82, respectively. The expert familiarity was 0.76. Ultimately, the health risk assessment index system for the rural left-behind elderly consisted of five first-level indicators, thirteen second-level indicators, and sixty-six third-level indicators. The final indicators can be used to evaluate the health of the rural left-behind elderly and provide the basis for additional health risk interventions.

Strategies and interventions for improving safety culture in Australian Emergency Departments: A modified Delphi study

2021 ◽  
Author(s):  
Muhammad Ahmed Alshyyab ◽  
Gerard FitzGerald ◽  
Rania Ali Albsoul ◽  
Joseph Ting ◽  
Frances B. Kinnear ◽  
...  
Keyword(s):  
Safety Culture ◽  
Delphi Study ◽  
Emergency Departments ◽  
Modified Delphi
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