Methodology matters - VIII - Eliciting expert opinion using the Delphi technique: identifying performance indicators for cardiovascular disease

Methodology matters - VIII - Eliciting expert opinion using the Delphi technique: identifying performance indicators for cardiovascular disease
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DOI:
10.1093/intqhc/10.3.247
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发表时间:
1998-06-01
影响因子:
2.6
通讯作者:
Palmer, RH
Palmer, RH
中科院分区:
医学3区
文献类型:
--
作者:
Normand, SLT;McNeil, BJ;Palmer, RH

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结合专家小组的意见正在成为一种更常见的选择标准来定义医疗保健质量的方法。兰德公司在20世纪50年代和60年代在预测技术事件的背景下开创了这种方法。从那时起,许多组织采用了这一方法来制定地方和国家政策。在护理质量的背景下,通常从专家样本中得出关于几个明确定义的临床队列的医学治疗的适当性或重要性的意见。然后,将来自专家的信息结合起来,以创建护理的标准或绩效度量。本文介绍了如何使用小组过程从不同的专家小组中获取信息。方法证明使用的数据从五个不同的面板召集的一部分,哈佛Q-SPAN-CD研究,一个国家资助的项目,其目标是确定一套心血管相关的性能指标。
Combining opinion from expert panels is becoming a more common method of selecting criteria to define quality of health care. The Rand Corporation pioneered this method in the 1950s and 1960s in the context of forecasting technological events. Since then, numerous organizations have adopted the methodology to develop local and national policy. In the context of quality of care, opinion is typically elicited from a sample of experts regarding the appropriateness or importance of a medical treatment for several well-defined clinical cohorts. The information from the experts is then combined in order to create a standard or performance measure of care. This article describes how to use the panel process to elicit information from diverse panels of experts. Methods are demonstrated using the data from five distinct panels convened as part of the Harvard Q-SPAN-CD study, a nationally-funded project whose goal is to identify a set of cardiovascular-related performance measures.