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Fang Q, Li X, Luo Y, Yang Z, Xiao L, Tan W, Liu S, Luo J, Zhang L. Developing a psychological care competences framework for nurses in China: a mixed methods study. BMC Nurs 2024; 23:129. [PMID: 38374069 PMCID: PMC10877790 DOI: 10.1186/s12912-024-01778-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 01/30/2024] [Indexed: 02/21/2024] Open
Abstract
BACKGROUND With social transformation, rapid economic development and deepening awareness of psychological health in China, people's demand for psychological health services is becoming increasingly urgent. A key challenge for Chinese medical organizations is to train enough qualified psychological care nurses. A greater understanding of psychological care competences (PCC) can help in clinical nurse selection, training, and assessment. OBJECTIVE To develop a PCC framework for Chinese nurses and obtain a consensus on the framework among experts. METHODS A descriptive mixed methods study was designed consisting of a literature review and semi-structured interviews followed by three Delphi rounds. The experts (n = 16) involved were nurses, nursing managers and educators from nine Chinese provinces with a specific interest in psychological care. Descriptive statistics assisted in data analysis. RESULTS Using the Iceberg Model as a theoretical foundation, five main dimensions and associated subdomains were integrated from 39 chosen articles. The semi-structured interviews with 24 nursing managers and nurses confirmed all of the themes from the literature review while generating new themes, both of which were incorporated into the initial PCC framework. After three Delphi rounds, the experts reached consensus on the PCC framework, including five domains (knowledge, skills, professional ethics, personal traits, internal motivations) and 22 subdomains with connotations. The response rate (RR) values for the three rounds of consultation were 80.00%, 87.50% and 92.86%, the composite reliability (Cr) values were 0.89-0.90, and the Kendall coordination coefficients were 0.155-0.200 (P < 0.05). CONCLUSIONS On the basis of the Iceberg Model, literature review and qualitative research methods along with Delphi technique were used to develop a scientific and systematic PCC framework. The research methods were feasible and the results were reliable, thereby providing a basis for adopting this framework into nursing education. A formal assessment tool should be developed to test the PCC of nurses in clinical practice.
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Affiliation(s)
- Qinghong Fang
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Xingwen Li
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Yuanyuan Luo
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Zhihui Yang
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Lin Xiao
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Wenxuan Tan
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Suting Liu
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China
| | - Jiahui Luo
- Department of Nursing, Taikang Tongji (Wuhan) Hospital, Wuhan, Hubei Province, China
| | - Lili Zhang
- School of Nursing, Southern Medical University, Guangzhou, Guangdong Province, China.
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Wu J, Wang F, Wang J, Yuan R, Lv Y, Tao D, Hu L. Construction of an index system of core competence assessment for otolaryngology nurse specialists in China: A Delphi study. NURSE EDUCATION TODAY 2023; 131:105956. [PMID: 37769600 DOI: 10.1016/j.nedt.2023.105956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 06/10/2023] [Accepted: 09/03/2023] [Indexed: 10/03/2023]
Abstract
BACKGROUND Clinical nurse specialists play a vital role in the work quality, patient safety and team development of nurses. However, there is currently no prior study constructing the index of core competence assessment for otolaryngology Nurse Specialists. OBJECTIVES To establish an index system for the evaluation of Chinese otolaryngology Nurse Specialists' core competence. DESIGN A Delphi study. SETTINGS The study was mainly conducted in a university-affiliated hospital in China. PARTICIPANTS Twenty-two experts with otolaryngology knowledge and practical experience from different regions and organizations in China. METHODS We used literature reviews and expert meetings to establish a draft index system . Subsequently, a two-round Delphi survey was utilized to consult opinions from 22 experts about the index for the evaluation of otolaryngology nurse specialists' core competence and provide qualitative comments on their ratings. Consensus was predefined as a mean important score of 4.0 or above and a coefficient of variation is not above 0.25 among the participants. RESULTS The final evaluation indexes of the core competencies for otolaryngology Nurse Specialists included 5 first-level indexes (clinical competence, critical thinking competence, leadership, professional development competence, professionalism), 19 second-level indexes, and 85 third-level indexes. The effective response rates of the two expert consultation rounds were 100 %. The expert authority coefficients were 0.864 and 0.859 in the first and second rounds of consultation, respectively. In the second round of consultation, the first, second and third indexes of Kendall's coefficient of concordance were 0.357, 0.330, and 0.232, respectively (P < 0.001). CONCLUSIONS The constructed evaluation indexes of the core competencies of otolaryngology Nurse Specialists are scientific, reasonable, comprehensive, and specific and may provide references for the training and evaluation of otolaryngology Nurse Specialists.
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Affiliation(s)
- Jieli Wu
- Department of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Fengli Wang
- Department of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Jiamin Wang
- Department of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Ruya Yuan
- Department of Otolaryngology, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Yunxia Lv
- Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong, China
| | - Duo Tao
- Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Lijing Hu
- Department of Nursing, The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510080, China.
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Yang Z, Zhai H, Liang S. Construction of an evaluation index system for undergraduate nursing teachers' curriculum humanistic competence: a Delphi study in China. BMC Nurs 2023; 22:284. [PMID: 37626298 PMCID: PMC10463444 DOI: 10.1186/s12912-023-01432-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 08/04/2023] [Indexed: 08/27/2023] Open
Abstract
BACKGROUND The curriculum humanistic competence of nursing teachers is important to cultivate the humanistic qualities of undergraduate nursing students. However, there are no evaluation tools for the curriculum humanistic competence of undergraduate nursing teachers in China. OBJECTIVE To develop an index system to evaluate the curriculum humanistic competence of undergraduate nursing teachers. DESIGN This research conducted a Delphi study. PARTICIPANTS Semi-structured interviews were held with 19 experts, and Delphi rounds were conducted with 18 experts. SETTINGS This study was conducted in 12 universities and 4 Grade A tertiary hospitals in China. METHODS A literature review and semi-structured interviews were conducted to develop an initial framework. A two-round Delphi survey was employed to build the index system for undergraduate nursing teachers' curriculum humanistic competence. RESULTS After two rounds of consultation, the index system included 5 first-level indicators, 11 second-level indicators and 41 third-level indicators. The Cr for two rounds of consultation were 0.929 and 0.923, and Kendall's W was 0.152(P<0.001). CONCLUSIONS The index system for the evaluation of undergraduate nursing teachers' curriculum humanistic competence offers guidelines for undergraduate nursing teachers in China. It can be used in practice to develop high humanistic qualities in undergraduate nursing teachers.
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Affiliation(s)
- Zihan Yang
- School of nursing, Southern medical university, NO.1023 Shatai Road, Guangzhou city, Guangdong Province, 510515, China
| | - Huimin Zhai
- School of nursing, Southern medical university, NO.1023 Shatai Road, Guangzhou city, Guangdong Province, 510515, China.
| | - Sijing Liang
- School of nursing, Southern medical university, NO.1023 Shatai Road, Guangzhou city, Guangdong Province, 510515, China
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Gong H, Wang Y, Li Y, Ye P, Xie L, Lu G, Liu J, Song J, Zhai X, Xu H, Duan L. Development of a core dataset for child injury surveillance: a modified Delphi study in China. Front Pediatr 2023; 11:970867. [PMID: 37187581 PMCID: PMC10175816 DOI: 10.3389/fped.2023.970867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Accepted: 04/11/2023] [Indexed: 05/17/2023] Open
Abstract
Background Understanding the occurrence and severity of child injuries is the cornerstone of preventing child injuries. Currently, there is no standardized child injury surveillance dataset in China. Methods Multistage consultation by a panel of Chinese experts in child injury to determine items to include in the core dataset (CDS) was performed. The experts participated in two rounds of the modified Delphi method comprising a consultation questionnaire investigation (Round 1) and a face-to-face panel discussion (Round 2). Final consensus was established based on the opinions of the experts regarding the modified CDS information collection items. Enthusiasm and authority exhibited by the experts were evaluated by the response rate and using the expert authority coefficient, respectively. Results The expert panel included 16 experts in Round 1 and 15 experts in Round 2. The experts during both rounds had a high degree of authority, with an average authority coefficient of 0.86. The enthusiasm of the experts was 94.12%, and the proportion of suggestions reached 81.25% in Round 1 of the modified Delphi method. The draft CDS evaluated in Round 1 included 24 items, and expert panelists could submit recommendations to add items. Based on findings in Round 1, four additional items, including nationality, residence, type of family residence, and primary caregiver were added to the draft of the CDS for Round 2. After Round 2, consensus was reached on 32 items arranged into four domains-general demographic information, injury characteristics, clinical diagnosis and treatment, and injury outcome-to include in the final CDS. Conclusion The development of a child injury surveillance CDS could contribute to standardized data collection, collation, and analysis. The CDS developed here could be used to identify actionable characteristics of child injury to assist health policymakers in designing evidence-based injury prevention interventions.
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Affiliation(s)
- Hairong Gong
- Emergency Department Children's Hospital of Fudan University, Shanghai, China
| | - Yuan Wang
- National Center for Chronic and Non-Communicable Diseases Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Yongzhen Li
- Department of Clinical Nutrition New Hong Qiao Campus for Children's Hospital of Fudan University, ShanghaiChina
| | - Pengpeng Ye
- National Center for Chronic and Non-Communicable Diseases Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Li Xie
- Clinical Research Institute School of Medicine, Shanghai Jiao Tong University, Shanghai, China
| | - Guoping Lu
- Emergency Department Children's Hospital of Fudan University, Shanghai, China
| | - Jing Liu
- Emergency Department Children's Hospital of Fudan University, Shanghai, China
| | - Jun Song
- Emergency Department Children's Hospital of Fudan University, Shanghai, China
| | - Xiaowen Zhai
- Emergency Department Children's Hospital of Fudan University, Shanghai, China
| | - Hong Xu
- Emergency Department Children's Hospital of Fudan University, Shanghai, China
- Correspondence: Hong Xu Leilei Duan
| | - Leilei Duan
- National Center for Chronic and Non-Communicable Diseases Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
- Correspondence: Hong Xu Leilei Duan
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Xu H, Dong C, Yang Y, Sun H. Developing a professional competence framework for the master of nursing specialist degree program in China: A modified Delphi study. NURSE EDUCATION TODAY 2022; 118:105524. [PMID: 36084450 DOI: 10.1016/j.nedt.2022.105524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Revised: 07/26/2022] [Accepted: 08/22/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND The urgency of ensuring adequate professional competence in clinical nursing practice is evident. However, there is little formal professional competence framework for the education of master's degree students in nursing specialist programs in China. OBJECTIVE To develop a professional competence framework for the Master of Nursing Specialist (MNS) degree program in China. DESIGN A modified Delphi study. PARTICIPANTS An expert panel discussion was held with 12 experts, and Delphi rounds were conducted with 24 experts. METHODS A literature review and an expert panel discussion were conducted to develop an initial competence framework. A two-round Delphi survey was employed to obtain a consensus on the framework through either an online or paper questionnaire. Descriptive statistics were used to analyze the data. The consensus threshold was set according to the mean (≥ 4.0), coefficient of variation (< 0.25), and consensus level of agreement (≥70 %). RESULTS A consensus on seven domains and 54 items of the professional framework for the MNS degree program was achieved. The framework domains included clinical practice (12 items), professional attitude (8 items), collaboration and communication (5 items), professional development (8 items), research (7 items), education (7 items), and administration (7 items). CONCLUSION The professional competence framework offers guidelines for MNS degree programs in China. Future research should focus on imbedding these competences in MNS degree programs to prepare qualified advanced practice nurses.
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Affiliation(s)
- Huan Xu
- School of Nursing, Wenzhou Medical University, Chashan Town, Ouhai District, Wenzhou, Zhejiang, China.
| | - Chaoqun Dong
- School of Nursing, Wenzhou Medical University, Chashan Town, Ouhai District, Wenzhou, Zhejiang, China.
| | - Yeqin Yang
- School of Nursing, Wenzhou Medical University, Chashan Town, Ouhai District, Wenzhou, Zhejiang, China.
| | - Hongyu Sun
- School of Nursing, Wenzhou Medical University, Chashan Town, Ouhai District, Wenzhou, Zhejiang, China; 38 Xueyuan Road, School of Nursing, Peking University, Haidian District, Beijing 100191, China.
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Yang Y, Zhou L, Zhang C, Luo X, Luo Y, Wang W. Public Health Services, Health Human Capital, and Relative Poverty of Rural Families. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11089. [PMID: 36078803 PMCID: PMC9518469 DOI: 10.3390/ijerph191711089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Revised: 09/01/2022] [Accepted: 09/02/2022] [Indexed: 06/15/2023]
Abstract
With the successful completion of the battle against poverty, after 2020, the focus and difficulty of China's poverty governance will change from solving absolute poverty to alleviating relative poverty. Analyzing and studying the alleviation of relative poverty from the perspective of public health services is in line with the current needs of consolidating and expanding poverty alleviation in China, and it is also of great significance to building a long-term solution mechanism for relative poverty. In this study, basic panel data were constructed by using the data of five CFPS surveys in 2010, 2012, 2014, 2016, and 2018 and matched with the macro data. The correlation between public health services and rural households' relative poverty was also analyzed by using logit regression analysis and the KHB mediation effect decomposition method. The results show that (1) public health services play a significant role in promoting the accumulation of health human capital, improving individual feasible ability, and alleviating the relative poverty of rural families; (2) the improvement of public health services is conducive to the alleviation of the relative poverty of rural families; (3) we should continue to increase investment in public health care in underdeveloped areas and strive to promote the balanced development of public health services, so as to further consolidate and expand the achievements of poverty eradication.
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Affiliation(s)
- Yingya Yang
- Business School, Anyang Institute of Technology, West Section of Huanghe Avenue, Anyang 455000, China
| | - Liangliang Zhou
- School of Mathematics and Information Science, Anyang Institute of Technology, West Section of Huanghe Avenue, Anyang 455000, China
| | - Chongmei Zhang
- College of Management, Sichuan Agricultural University, 211 Huimin Rd., Chengdu 130062, China
| | - Xin Luo
- College of Management, Sichuan Agricultural University, 211 Huimin Rd., Chengdu 130062, China
| | - Yihan Luo
- College of Management, Sichuan Agricultural University, 211 Huimin Rd., Chengdu 130062, China
| | - Wei Wang
- College of Management, Sichuan Agricultural University, 211 Huimin Rd., Chengdu 130062, China
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Liu S, Li Y, Fu S, Liu X, Liu T, Fan H, Cao C. Establishing a Multidisciplinary Framework for an Emergency Food Supply System Using a Modified Delphi Approach. Foods 2022; 11:foods11071054. [PMID: 35407141 PMCID: PMC8997876 DOI: 10.3390/foods11071054] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Revised: 04/01/2022] [Accepted: 04/04/2022] [Indexed: 02/01/2023] Open
Abstract
A scientific food emergency supply system is helpful for assuring food supplies continuity, improving response efficiency, and reducing disaster losses. However, the framework for a food emergency supply system is currently an understudied area in emergency management post-disaster. In this study, a comprehensive literature review of major databases was performed to identify potential indicators for the emergency food supply system, followed by a two-round modified Delphi with a multidisciplinary expert panel (n = 17) to verify the proposed framework. The effective response rate of questionnaires ranged from 94.4% (17/18) to 100% (17/17) and the authority coefficient of experts was 0.88, indicating high positivity and reliability of the experts. Furthermore, the p-values of Kendall’s W were < 0.01 and the Cronbach’s α were > 0.7 for all domains and indicators, indicating a high reliability and validity for the proposed framework. Finally, a consensus was reached on all eight domains and 81 indicators. In conclusion, this study introduced and verified a multidisciplinary framework for the food emergency supply system, which could provide a theoretical basis for emergency responders to make corresponding commands and decisions post-disaster.
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Affiliation(s)
- Shuyu Liu
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China; (S.L.); (Y.L.); (X.L.); (T.L.); (H.F.)
| | - Yue Li
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China; (S.L.); (Y.L.); (X.L.); (T.L.); (H.F.)
| | - Shaobo Fu
- General Courses Department, Army Military Transportation University of PLA, Tianjin 300161, China;
| | - Xin Liu
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China; (S.L.); (Y.L.); (X.L.); (T.L.); (H.F.)
| | - Tao Liu
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China; (S.L.); (Y.L.); (X.L.); (T.L.); (H.F.)
| | - Haojun Fan
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China; (S.L.); (Y.L.); (X.L.); (T.L.); (H.F.)
| | - Chunxia Cao
- Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China; (S.L.); (Y.L.); (X.L.); (T.L.); (H.F.)
- Correspondence:
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Frazão D, Sobral J. The impact of human error on medical procedures. INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE 2021; 33:287-298. [PMID: 34569980 DOI: 10.3233/jrs-210019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Human error has been studied for large decades with special application to critical infrastructures and processes where the impact of such errors can induce severe or catastrophic consequences. In this sense it is of utmost importance to extend this type of analysis to other fields as medicine. OBJECTIVE This study proposes a semi-quantitative human error risk assessment methodology, including the analysis of the so-called Performance Shaping Factors (PSFs), in order to contribute to health services improvement. METHODS A questionnaire including the considered PSFs is answered in order to determine the impact of each PSF and its influence on human error. It allows performing a Human Error Risk Assessment (HERA) for both the patient (HERAp) and the quality of the service (HERAq). RESULTS The results show the PSFs with the highest impact factor. After applying corrective measures, it is possible to observe the impact on the reduction of the risk for patient and for the quality of the service. CONCLUSIONS The application of the methodology with the inclusion of the impact of PSFs allows minimizing or mitigating failure modes with greater risk as well as increasing patient safety and promoting a better quality of medical procedures.
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Affiliation(s)
- Daniela Frazão
- Chemical Engineering Department, Instituto Superior de Engenharia de Lisboa (ISEL), Lisbon, Portugal
| | - José Sobral
- Mechanical Engineering Department, Instituto Superior de Engenharia de Lisboa (ISEL), Lisbon, Portugal.,Centre for Marine Research and Engineering (CENTEC), Instituto Superior Técnico (IST), University of Lisbon, Lisbon, Portugal
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Chen L, Wu Y, Wang S, Zhao H, Zhou C. Construction of evidence-based practice competencies for nurses in China: A modified Delphi study. NURSE EDUCATION TODAY 2021; 102:104927. [PMID: 33957395 DOI: 10.1016/j.nedt.2021.104927] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 02/24/2021] [Accepted: 04/13/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Evidence-based practice is considered as the core competency requirement for nursing practice internationally. However, there is limited information regarding the evidence-based practice competency indicators for clinical nurses in China. OBJECTIVE To establish a set of evidence-based practice competencies specific to nurses in China. DESIGN A modified Delphi study. SETTING The study was mainly conducted in a university-affiliated hospital in China. PARTICIPANTS Twenty experts with evidence-based practice knowledge or practical experience from different regions and organizations in China. METHODS A literature review was conducted to develop the initial list of competencies which consisted of 35 items in seven domains. A two-round Delphi survey used email to invite experts to rate the importance of each item and provide qualitative comments on their ratings. Consensus was predefined as a mean score is of 4.0 or above and at least 75% agreement among the participants. RESULTS In round 1, 2 items were excluded, 5 items were added, and 12 items were required to be modified. In round 2, the consensus was achieved on 34 items in seven domains. CONCLUSION The study established a comprehensive set of evidence-based practice competencies for nurses in China, which provides benchmark standards for the assessment and training of nurses on evidence-based practice.
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Affiliation(s)
- Liling Chen
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, PR China
| | - Yanni Wu
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, PR China
| | - Siqi Wang
- The First Affiliated Hospital of University of Science and Technology of China, Hefei, Anhui 230001, PR China
| | - Huihui Zhao
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, PR China
| | - Chunlan Zhou
- Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, PR China.
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Upadhyai R, Upadhyai N, Jain AK, Chopra G, Roy H, Pant V. Development and validation of a scale for measuring hospital service quality: a dyadic approach. JOURNAL OF HEALTH RESEARCH 2021. [DOI: 10.1108/jhr-08-2020-0329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
PurposeThis study integrates the providers' perspective as well as the patient's perspective in developing and validating a scale to measure hospital service quality in multispecialty hospitals.Design/methodology/approachAn exploratory sequential mixed-method approach was used in this study. The strategies used included a thematic literature review, semi-structured interviews, modified Delphi and confirmatory factor analysis.FindingsThe reliability coefficient of 41 item scale was 0.963 with each attribute, that is, pivotal, core and peripheral, having a Cronbach's alpha of 0.907, 0.91 and 0.891, with scale content validity (S-CVI Ave) of 0.9151. The composite reliability scores of all constructs were greater than 0.7, with an Average Variance Explained (AVE) of all items greater than 0.5.Originality/valueThe instrument can be used to measure the difference between what service providers believe customers expect and customers’ actual needs and expectations. The scale can be used to measure the difference between what is delivered (as perceived by the provider) and what customers perceive they have received (because they are unable to accurately evaluate service quality). The dyadic approach of administering this questionnaire in measuring hospital service quality will lead to the identification of a knowledge gap and a perception gap in delivering hospital service quality.
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Chen J, Tong Y, Cheng Y, Xue Z, Liu M. Establishment and Empirical Evaluation of a Quality Indicator System for Postoperative Pain Management. PAIN MEDICINE 2020; 21:3270-3282. [PMID: 33040153 DOI: 10.1093/pm/pnaa221] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVES This study aimed to establish a quality indicator system for postoperative pain management and test its reliability, validity, and discrimination in China. METHODS We established a quality indicator system using the Delphi method. Further, we designed and administered a survey questionnaire in the orthopedic departments of nine hospitals, located in the Zhejiang and Jiangsu Provinces, through purposive and convenience sampling methods to examine the reliability, validity, and discrimination of the quality indicator system. RESULTS We established a quality indicator system to assess structure, process, and outcome measures of postoperative pain management using three first-level, eight subordinate second-level, and 32 subordinate third-level quality indicators. The scale-level content validity indexes of the three sections of the questionnaire, assessing structure, process, and outcomes measures, were 0.99, 0.98, and 0.98, respectively. We identified two common factors from the third section that demonstrated a cumulative variance contribution rate of 80.38% and a Cronbach's α coefficient of 0.95. The total scores and scores of the structure, process, and outcome quality indicators demonstrated statistically significant differences (P < 0.05) between the wards (N = 4) that participated in the "Painless Orthopedics Ward" quality improvement program and those (N = 5) that did not. CONCLUSIONS This quality indicator system highlights the need for multidisciplinary cooperation and process characteristics of postoperative pain management, along with interdepartmental quality comparisons. And it demonstrates acceptable reliability, validity, and discrimination; thus it may be completely or partially employed in Chinese hospitals.
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Affiliation(s)
- Jiajia Chen
- Medical College, Hangzhou Normal University, Hangzhou, China.,Department of Anesthesiology, the First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China
| | - Yingge Tong
- Medical College, Hangzhou Normal University, Hangzhou, China
| | - Yan Cheng
- Zhejiang Provincial People's Hospital, Hangzhou, China
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Mellett C, O'Donovan A, Hayes C. The development of outcome key performance indicators for systemic anti‐cancer therapy using a modified Delphi method. Eur J Cancer Care (Engl) 2020; 29:e13240. [DOI: 10.1111/ecc.13240] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 11/05/2019] [Accepted: 04/16/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Ciara Mellett
- Department of Health National Cancer Control Programme & Sláintecare Programme Implementation Office Dublin Ireland
| | - Anita O'Donovan
- Radiation Therapy Trinity College The University of Dublin Dublin Ireland
| | - Catherine Hayes
- Public Health Trinity College The University of Dublin Dublin Ireland
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13
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Wang H, Fan Z, Shi C, Xiong L, Zhang H, Li T, Sun Y, Guo Q, Tian Y, Qu Q, Zhang N, Cheng Z, Wu L, Wu D, Han Z, Tian J, Xie H, Tan S, Gao J, Luo B, Pan X, Peng G, Qin B, Tang Y, Wang K, Wang T, Zhang J, Zhao Q, Gauthier S, Yu X. Consensus statement on the neurocognitive outcomes for early detection of mild cognitive impairment and Alzheimer dementia from the Chinese Neuropsychological Normative (CN-NORM) Project. J Glob Health 2020; 9:020320. [PMID: 31893029 PMCID: PMC6925962 DOI: 10.7189/jogh.09.020320] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023] Open
Affiliation(s)
- Huali Wang
- Dementia Care & Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.,Beijing Dementia Key Lab, Beijing, China.,National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China
| | - Zili Fan
- Dementia Care & Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.,Beijing Dementia Key Lab, Beijing, China.,National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China
| | - Chuan Shi
- National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China.,Department of Clinical Psychological Assessment, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China
| | - Lingchuan Xiong
- Dementia Care & Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.,Beijing Dementia Key Lab, Beijing, China.,National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China
| | - Haifeng Zhang
- Dementia Care & Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.,Beijing Dementia Key Lab, Beijing, China.,National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China
| | - Tao Li
- Dementia Care & Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.,Beijing Dementia Key Lab, Beijing, China.,National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China
| | - Yongan Sun
- Department of Neurology, Peking University First Hospital, Beijing, China
| | - Qihao Guo
- Department of Geriatrics, Shanghai Sixth Hospital, Shanghai, China
| | - Yanghua Tian
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Qiumin Qu
- Department of Neurology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Nan Zhang
- Department of Neurology, General Hospital of Tianjin Medical University, Tianjin, China
| | - Zaohuo Cheng
- Wuxi Mental Health Center, Nanjing Medical University, Wuxi, China
| | - Liyong Wu
- Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Daxing Wu
- Medical Psychological Center, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Zaizhu Han
- State Key Laboratory of Cognitive Neuroscience and Learning & IDG/McGovern Institute for Brain Research, Beijing Normal University, Beijing, China
| | - Jinzhou Tian
- Beijing Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Hengge Xie
- Department of Neurology, China PLA General Hospital, Beijing, China
| | - Shuping Tan
- Beijing Huilongguan Hospital, Beijing, China
| | - Jingfang Gao
- Zhejiang University of Traditional Chinese Medicine First Affiliated Hospital, Hangzhou, China
| | - Benyan Luo
- Department of Neurology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Xiaoping Pan
- Guangzhou First People's Hospital, School of Medicine, South China University of Technology, Guangzhou, China
| | - Guoping Peng
- Department of Neurology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Bin Qin
- Beijing Hospital, National Health Commission, Beijing, China
| | - Yi Tang
- Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
| | - Kai Wang
- Department of Neurology, the First Affiliated Hospital of Anhui Medical University, Hefei, China
| | - Tao Wang
- Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Junjian Zhang
- Department of Neurology, Zhongnan Hospital, Wuhan University, Wuhan, China
| | - Qianhua Zhao
- Department of Neurology, Huashan Hospital, Fudan University, Shanghai, China
| | - Serge Gauthier
- McGill Center for Studies in Aging, McGill University, Montreal, Canada
| | - Xin Yu
- Dementia Care & Research Center, Peking University Institute of Mental Health (Sixth Hospital), Beijing, China.,Beijing Dementia Key Lab, Beijing, China.,National Clinical Research Center for Mental Disorders, Key Laboratory for Mental Health, National Health Commission, Beijing, China
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14
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Beard R, Scotch M. Identifying current and emerging resources and tools utilized for detection, prediction, and visualization of viral zoonotic disease clusters: a Delphi study. JAMIA Open 2019; 2:306-311. [PMID: 31709389 PMCID: PMC6824513 DOI: 10.1093/jamiaopen/ooz015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Revised: 04/25/2019] [Accepted: 05/01/2019] [Indexed: 11/13/2022] Open
Abstract
Zoonotic disease surveillance presents a substantial problem in the management of public health. Globally, zoonoses have the potential to spread and negatively impact population health economic growth, and security. This research was conducted to investigate the current data sources, analytical methods, and limitations for cluster detection and prediction with particular interest in emerging bioinformatics tools and resources to inform the development of zoonotic surveillance spatial decision support systems. We recruited 10 local health personnel to participate in a Delphi study. Participants agreed cluster detection is a priority, though mathematical modeling methods and bioinformatics resources are not commonly used toward this endeavor. However, participants indicated a desire to utilize preventative measures. We identified many limitations for identifying clusters including software availability, appropriateness, training, and usage of emerging genetic data. Future decision support system development should focus on state health personnel priorities and tasks to better utilize emerging developments and available data.
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Affiliation(s)
- Rachel Beard
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
- Center for Environmental Health Engineering, Arizona State University, Tempe, Arizona, USA
| | - Matthew Scotch
- College of Health Solutions, Arizona State University, Tempe, Arizona, USA
- Center for Environmental Health Engineering, Arizona State University, Tempe, Arizona, USA
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15
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Xu Q, Chen B, Jin D, Yin L, Huang Y. An assessment for health education and health promotion in chronic disease demonstration districts: a comparative study from Hunan Province, China. PeerJ 2019; 7:e6579. [PMID: 30867995 PMCID: PMC6409084 DOI: 10.7717/peerj.6579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2018] [Accepted: 02/06/2019] [Indexed: 11/20/2022] Open
Abstract
Background Cost-effective strategies of chronic disease control, integrated health education and health promotion play important roles in the programs of chronic disease demonstration districts in China. The performance of these districts can be directly assessed by their health education and promotion work. However, there have been only a few performance assessments done on these programs, most of which made without the inclusion of proper quality indicators. This study was designed to establish a framework of indicators for outcome evaluation of health education and promotion efforts in Chinese districts, and explore the factors involved in promoting these efforts. Methods A modified two-round Delphi survey was first used to construct quality indicators on a nine-point Likert scale. With those indicators, the rank sum ratio (RSR) method was then conducted through rank conversion and parametric statistics, to assess and classify the performance of ten districts or counties randomly chosen both from demonstration and non-demonstration districts in the Hunan province. Results The Delphi process produced seven themes and 25 sub-themes as quality indicators. The seven themes included organizational management, financial support, professional personnel, health education and promotion, residents' health awareness and behaviors, residents' satisfaction, and residents' health literacy. The districts were classified into four levels by RSR as follows: One demonstration district at the first-ranked level, five other demonstration districts at the second-ranked level, all non-demonstration districts at the third-ranked level. None were at the fourth-qualified level. Discussion Chronic disease demonstration districts performed better on the work of health education and health promotion than the non-demonstration districts. The work should be focused on the following measures of chronic diseases: organizational management, financial support, media-related broadcasting, technical support, community-based promotion and supportive environment, and people's enhanced awareness and health literacy.
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Affiliation(s)
- Qiaohua Xu
- Department of Chronic Diseases Control and Prevention, Hunan Provincial Center for Diseases Control and Prevention, Changsha, Hunan, China
| | - Biyun Chen
- Department of Chronic Diseases Control and Prevention, Hunan Provincial Center for Diseases Control and Prevention, Changsha, Hunan, China
| | - Donghui Jin
- Department of Chronic Diseases Control and Prevention, Hunan Provincial Center for Diseases Control and Prevention, Changsha, Hunan, China
| | - Li Yin
- Department of Chronic Diseases Control and Prevention, Hunan Provincial Center for Diseases Control and Prevention, Changsha, Hunan, China
| | - Yuelong Huang
- Department of Chronic Diseases Control and Prevention, Hunan Provincial Center for Diseases Control and Prevention, Changsha, Hunan, China
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16
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Which indicators to include in a crowding scale in an emergency department? A national French Delphi study. Eur J Emerg Med 2018; 25:257-263. [DOI: 10.1097/mej.0000000000000454] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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17
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Xu L, Wang T, Chen T, Yang WQ, Liang ZP, Zhu JC. Identification of risk factors for enteral feeding intolerance screening in critically ill patients. Saudi Med J 2018; 38:816-825. [PMID: 28762434 PMCID: PMC5556298 DOI: 10.15537/smj.2017.8.20393] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Objectives: To identify risk factors for enteral feeding intolerance screening in critically ill patients, thereby, provide some reference for healthcare staff to assess the risk of feeding intolerance, and lay the foundation for future scale development. Methods: This study used a mixed methodology, including a literature review, semi-structured interviews, the Delphi technique, and the analytic hierarchy process. We used the literature review and semi-structured interviews (n=22) to draft a preliminarily item pool for feeding intolerance, Delphi technique (n=30) to screen and determine the items, and the analytic hierarchy process to calculate the weight of each item. The study was conducted between June 2014 and September 2015 in Daping Hospital, Third Military Medical University, Chongqing, China. Results: Twenty-three risk factors were selected for the scale, including 5 dimensions. We assigned a weight to each item according to their impact on the feeding intolerance, with a higher score indicating a greater impact. The weight of each dimension was decreasing as follows: patient conditions, weight score equals 42; general conditions, weight score equals 23; gastrointestinal functions, weight score equals 15; biochemical indexes, weight score equals 14; and treatment measures, weight score equals 6. Conclusion: Developed list of risk factors based on literature review, survey among health care professionals and expert consensus should provide a basis for future studies assessing the risk of feeding intolerance in critically ill patients.
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Affiliation(s)
- Lei Xu
- School of Nursing, Third Military Medical University, Chongqing, China. E-mail.
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18
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Asefzadeh S, Gholami S, Rajaee R, Najafi M, Alijanzadeh M. Evaluation of the Quality of Health Service Providers: The Iranian People Perspective 2014. Electron Physician 2016; 8:2073-80. [PMID: 27123214 PMCID: PMC4844471 DOI: 10.19082/2073] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2015] [Accepted: 12/20/2015] [Indexed: 01/30/2023] Open
Abstract
INTRODUCTION Quality is the center of attention in all service providing organizations that are effective in promoting satisfaction of patients who are referred to medical centers. The aim of this study was to investigate the quality of health service providers in a case study of Qazvin, Iran, in 2014. METHODS This descriptive study was conducted on 1,002 people who were residents of Qazvin Province (Iran) in 2014. The people were selected randomly from the population of the study area. The main variables studied were education, perceptions, expectations, and gaps in service quality. The data collection tool was the standard Servequal questionnaire. To determine the reliability of the research tool, we used Cronbach's Alpha coefficient and the test-retest method. Statistical analyses were conducted using SPSS and the ANOVA test. RESULTS The mean age of people included in the study was 32 ± 9.9 years, and the average waiting time to receive services was 73 ± 47 minutes. Hospitals and doctors' offices had the highest quality gap of -1.420 ± 0.82 and -1.01 ± 0.75, respectively. The service quality gaps in medical centers, health providers of rural area, and health providers of urban area were -0.883 ± 0.67, -0.882 ± 0.83, and -0.804 ± 0.62, respectively. There was a significant relationship between peoples' perceptions and expectations concerning the quality of health services and their educational levels. CONCLUSION The higher gaps in quality in hospitals and in doctors' offices require more attention. Managers and policy makers should consider developing and implementing plans to reduce these gaps in quality and to promote better health services in these two sectors.
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Affiliation(s)
- Saeed Asefzadeh
- Ph.D. of Health Care Management, Professor, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Soheyla Gholami
- M.Sc. of Health Care Management, Health Information Management Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Roya Rajaee
- M.Sc. of Health Care Management, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Marziye Najafi
- M.Sc. of Health Care Management, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mehran Alijanzadeh
- Ph.D. Student of Health Care Management, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
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Yu X, Chen S, Chen X, Jia J, Li C, Liu C, Toumi M, Milea D. Clinical management and associated costs for moderate and severe Alzheimer's disease in urban China: a Delphi panel study. Transl Neurodegener 2015; 4:15. [PMID: 26301090 PMCID: PMC4546035 DOI: 10.1186/s40035-015-0038-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2015] [Accepted: 08/09/2015] [Indexed: 11/10/2022] Open
Abstract
Background Healthcare resource utilisation for Alzheimer’s disease (AD) in China is not well understood. This Delphi panel study aimed to describe the clinical management pathways for moderate and severe AD patients in urban China and to define the amount and cost of healthcare resources used. Methods A panel of 11 experts was recruited from urban China to participate in two rounds of preparatory interviews. In the first round, 9 physicians specialised in dementia gave a qualitative description of the clinical management of AD patients. In the second round, 2 hospital administrators were asked about the cost of AD management and care. Results from the interviews were discussed by the experts in a Delphi panel meeting, where consensus was reached on quantitative aspects of AD management, including the rate of healthcare resource utilisation, the respective unit costs and caregiving time. Results Interviewees reported that mild AD is under-recognised in China; most patients are diagnosed with moderate to severe AD. Loss of independence and agitation/aggression are the main drivers for healthcare resource utilisation and contribute to a heavier caregiver burden. It was estimated that 70 % moderate AD patients are independent/non-aggressive at the time of diagnosis, 15 % are independent/aggressive, 10 % are dependent/non-aggressive, and 5 % are dependent/aggressive. Dependent/aggressive AD patients are more likely to be hospitalised (70–90 %) than accepted in a nursing home (0–20 %), while the opposite is true for dependent/non-aggressive patients (5–35 % for hospitalisation vs. 80 % for nursing home). Independent AD patients require 1–3 hours/day of caregiver time, while dependent patients can require up to 12–15 hours/day. Experts agreed that AD complicates the management of age-related comorbidities, found in 70–80 % of all AD patients, increasing the frequency and cost of hospitalisation. Conclusions The Delphi panel approach was an efficient method of gathering data about the amount of healthcare resources used and associated costs for moderate and severe AD patients in urban China. The results of this study provide a useful source of information for decision makers to improve future healthcare policies and resource planning, as well as to perform economic evaluations of AD therapies.
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Affiliation(s)
- Xin Yu
- Institute of Mental Health, Peking University Sixth Hospital, Huayuanbeilu 51, Haidian District, Beijing, 100191 China
| | - Shengdi Chen
- Department of Neurology, Ruijin Hospital affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaochun Chen
- Fujian Institute of Geriatrics, Union Hospital of Fujian Medical University, Fuzhou, China
| | - Jianjun Jia
- Department of Geriatric Neurology, Chinese PLA General Hospital, Beijing, China
| | - Chunhou Li
- Medical Services Department, Peking Union Medical College Hospital, Beijing, China
| | - Cong Liu
- Beijing Tongren Hospital, Capital Medical University, Beijing, China
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