Zhongguo quanke yixue (Jul 2024)
Establishment of Assessment System for Medical Quality of General Practice in Chongqing General Hospitals
Abstract
Background General practice (GP) plays a key role in carrying out the"Healthy China initiative", but the standardized medical quality evaluation involved remains incompletely established. The establishment of an appropriate quality evaluation indicator system for GP has to be settled urgently. Objective To evaluate the medical quality of GP in general hospitals of Chongqing, the medical quality evaluation indicator system for GP is established, and the indicator system would also provide reference for the construction of GP and the research work of Centers for General Medical Quality Control in Chongqing. Methods The evaluation indexes were formulated in February-April 2022 using the literature analysis method. Based on Delphi method, the indicator system was revised according to the correspondence consultation from 25 general practice experts of 20 general hospitals (including clinical residential training bases) in Chongqing. The final draft was combined with the suggestions of experts from the Center for Medical Quality Control of GP. Results Among the selected experts, men accounted for 64.0%, and 76.0% had middle or senior titles. Two rounds of experts' consultation responses were 21 and 20 copies respectively, and the experts' authoritative coefficient were 84.00% and 95.24%. Corresponding degree of authority above 0.85. After two rounds of experts' consultation and the suggestions of the quality control center, the medical quality evaluation indicator system of general practice for general hospital was finally established including 5 first-class indexes, 10 second-class indexes and 28 third-class indexes. Conclusion The evaluation indicator system based on Delphi method is of great significance for standardizing the quality of general practice service in general hospitals, promoting the construction of general practice service in Chongqing and strengthening the supervision of medical quality control center.
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