Subjects: Medicine, Pharmacy >> Preventive Medicine and Hygienics submitted time 2023-12-28 Cooperative journals: 《中国全科医学》
Abstract： Background With the deepening of aging in China，there is an increasing demand for home care services for disabled elderly individuals. The evaluation of service quality provides an assurance for the implementation of high#2;quality services. Objective To develop a quality indicator system for the delivery of home care services to the disabled elderly population in Beijing based on the Delphi method，so as to offer objective criteria for evaluating the quality of home care services provided by community health service institutions. Methods Based on literature research and qualitative study，a preliminary pool of indicator system entries for the indicator system was formed，and an expert correspondence form was designed. A total of 21 community nursing，general practice，and management research personnel experts with rich experience in the field of home medical services and elderly comprehensive assessment in Beijing were selected，and an expert correspondence form was sent to them by email from June to October 2021 to conduct three rounds of Delphi expert correspondence. The experts' personal information and authority were recorded and analyzed，to the establish a quality indicator system for home care services for disabled elderly individuals in Beijing. Results All three rounds of expert correspondence form were returned and valid，with a 100% positive coefficient of experts from the 21 selected experts who had a mean expert authority score of 0.927 （ranging from 0.700 to 1.000），indicating an acceptable level of expertise. The first，second，and third rounds of expert correspondence yielded importance and feasibility coordination coefficients of 0.170 and 0.140（P<0.001），0.147 and 0.175 （P<0.001），0.231 and 0.208 （P<0.001），respectively，indicating a high level of consensus among the experts and the reliability of the correspondence results. The resulting quality indicator system for home care services for disabled elderly individuals included three primary indicators of service conditions，service processes，and service outcomes，as well as nine secondary indicators and 34 tertiary indicators. Conclusion The indicator system constructed in this study is appropriate for evaluating the implementation quality of single visit medical service，and providing a reference for community health service institutions to formulate regulations and work programs.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-09-19 Cooperative journals: 《中国全科医学》
Abstract： Background Patient medication safety has become a global priority in healthcare，and patients play an important role in promoting their own medication safety. Objective To develop a self-assessment scale for the ability of outpatients with chronic diseases to participate in medication safety based on the Delphi method and provide objective criteria for assessing and promoting their abilities to participate in medication safety. Methods A literature review and semi-structured interviews were used to formulate the initial entries of scale for the ability of outpatients with chronic diseases to participate in medication safety. According to the study objectives，28 experts from Beijing，Shanghai，Guangdong，Tianjin，Zhejiang， and Inner Mongolia participated in two rounds of correspondence using the Delphi method，and were asked to rate their familiarity and judgement basis of the dimensions，and the importance and feasibility of the items were rated using a five#2;point Likert scale. The first round of expert correspondence was conducted from 30 September to 12 October 2021，and the second round was conducted from 5 to 15 November 2021. Final items of the scale were determined through an expert panel discussion. The questionnaire recovery rate was calculated as a reflection of expert motivation；the degree of authority of the correspondence results was measured using the authority coefficient；the degree of coordination of expert opinions was evaluated using the coefficient of variation and the coordination coefficient Kendall's W. The arithmetic mean of importance and feasibility scores ≥ 3.5 and coefficient of variation<0.25 were used as the initial reference for items selection，the adjustments of the items were decided after the thorough discussions among the members of research team and the expert panel combining with the opinions of experts. Results In both rounds of correspondence，28 questionnaires were sent out and 28 questionnaires were returned，with a positive coefficient of 100% and the expert authority coefficient of 0.877. The expert coordination coefficient Kendall's W of the importance and the feasibility of items in the second round of correspondence increased compared to the first round of correspondence. The mean importance scores of items in the two rounds of the consultation ranged from 3.964 to 4.964 and 4.321 to 5.000，with coefficients of variation from 0.038 to 0.211 and 0 to 0.168. The mean feasibility scores of the items in the two rounds of the consultation ranged from 3.964 to 4.821 and 4.036 to 4.893，with coefficients of variation from 0.081 to 0.265 and 0.064 to 0.186，respectively. The final self-assessment scale for the ability of outpatients with chronic diseases to participate in medication safety was determined after two rounds of expert correspondence and an expert panel discussion，including 4 dimensions of medication knowledge，medication belief，participation in medication decision-making，and medication self-management，with 33 items. Conclusion A self-assessment scale for the ability of outpatients with chronic diseases to participate in medication safety containing four dimensions of medication knowledge，medication belief，participation in medication decision-making， and medication self-management，with 33 items，was constructed in the study，which can assess the ability of outpatients with chronic diseases to participate in medication safety and provide a reference for developing appropriate measures to promote patient participation in the medication process and improve medication safety.
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2023-07-26 Cooperative journals: 《中国全科医学》
Abstract： Background In recent years，the promotion of "health-centered" concept and the increasing demands for health care of patients have placed greater demands on healthcare providers. The establishment of effective health care team is regarded as an important approach to improve service quality. The selection of objective and valid teamwork assessment tools is particularly important for the assessment of cooperation status among team members and team building. Objective To perform a systematic review of domestic and international assessment tools for medical teamwork，in order to provide a reference for the rational selection of medical teamwork assessment tools according to different situations. Methods Pubmed， CNKI，Wanfang and VIP databases were searched in April 2022 for literature related to medical teamwork assessment tools from January 2016 to April 2022. Literature screening and information extraction were performed independently by two investigators and cross-checked. The Chinese version of COSMIN study design checklist was used to evaluate the quality of the assessment tools. Results A total of 30 articles were included，involving 32 medical teamwork assessment tools，localized versions of the tools were also included in their original versions of the tools，and a total of 49 medical teamwork assessment tools were finally included. The results of the overall design and methodological quality evaluation of 32 medical teamwork assessment tools covered by 30 included papers showed that in terms of the overall design of the tools，20 were considered as "very good"，2 as "good"， and 10 as "vague"；in terms of the content validity，1 was considered as "very good"，12 as "good"，and 19 as"vague"； in terms of the construct validity，19 were considered as "very good"，10 as "good"，and 3 as "poor"；in terms of internal consistency，29 were considered as "very good"，1 as "good"，and 2 as "vague"；in terms of stability，6 were considered as "very good"，8 as "good"，1 as "vague" and other relevant information was not reported. The assessment tools were divided into the interprofessional teamwork assessment tools（n=43） and intraprofessional teamwork assessment tools（n=6） based on the professional background of the team members. The interprofessional teamwork assessment tools were divided into the physiciannurse team assessment tools（n=20） and integration of multiple roles team assessment tools（n=23） including physicians， nurses，pharmacists，therapists，dietitians and others based on the job categories. Conclusion The research on the assessment tools of medical teamwork has received increasing attention from scholars at home and abroad. The content of the assessment tools is relatively rich，but further development is needed to construct a teamwork assessment tool specifically applicable to primary health care team.
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