| 炎症性肠病个案管理师工作职责指标体系的构建 |
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| 引用本文： | 汤阿毛,宁丽,楼立兰,叶柳芽,徐佳英,吕文.炎症性肠病个案管理师工作职责指标体系的构建[J].中华全科医学,2021,19(10):1775-1779. |
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| 作者姓名： | 汤阿毛 宁丽 楼立兰 叶柳芽 徐佳英 吕文 |
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| 作者单位： | 1.浙江大学医学院附属杭州市第一人民医院消化内科，浙江 杭州 310006 |
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| 基金项目： | 浙江省医药卫生科技计划项目2019PY016 |
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| 摘 要： | 目的 构建炎症性肠病个案管理师的工作职责指标体系，为炎症性肠病个案管理师的任用及工作职责指明方向。 方法 通过查阅国内外文献、半结构式访谈法构建炎症性肠病个案管理师的工作职责指标体系初稿，采用德尔菲专家咨询法，选取医学院校或三级甲等医院炎症性肠病和消化医疗护理等相关领域专家16人，进行2轮专家咨询，第一轮专家咨询后，修订了2个二级指标和4个三级指标，增加了3个三级指标，并结合专家和课题组意见，对3个三级指标进行了合并；第二轮专家咨询，对3个三级指标进行了修改，并计算专家积极系数、变异系数、专家意见的权威度和Kendall和谐系数等。 结果 最终形成包含5个一级指标(评估、计划、实施、评价、研究)、19个二级指标、75个三级指标的炎症性肠病个案管理师工作职责体系，第一轮重要性赋值均数为3.94~5.00，变异系数为0.000~0.235，第二轮各指标重要性赋值均数为4.06~5.00，变异系数为0.000~0.229。两轮专家咨询中专家积极系数为100.00%，权威系数为0.863，其中判断系数为0.850，熟悉系数为0.863。 结论 炎症性肠病个案管理师工作职责指标体系包括了评估、计划、实施、评价、研究5个方面，专家意见集中，结果科学实用，体现了炎症性肠病患者的疾病管理特点，可以为炎症性肠病个案管理师的任用、评价与考核提供参考依据。
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| 关 键 词： | 炎症性肠病 个案管理师 工作职责 指标体系 |
| 收稿时间： | 2021-04-14 |
Construction of a responsibility index system of case managers for inflammatory bowel disease |
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| Affiliation: | Department of Digestion, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medical College, Hangzhou, Zhejiang 310006, China |
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| Abstract: | Objective To constructe an index system of job responsibilities of case managers for inflammatory bowel disease (IBD), and direct the appointment and job responsibilities of case managers for IBD. Methods Through consulting domestic and foreign literature and semi-structured interviews, the first draft of the job responsibility index system of IBD case managers was constructed. Using Delphi expert consultation method, 16 experts in the fields of IBD and digestive medical care in medical colleges or third-class hospitalA hospitals were selected for two rounds of expert consultation. After the first round of expert consultation, two secondary indicators and four tertiary indicators were revised, three tertiary indicators were added, and the three tertiary indicators were combined in combination with the opinions of experts and research group. In the second round of expert consultation, the three tertiary indicators were modified, and the expert positive coefficient, variation coefficient, authority of expert opinions and Kendall harmony coefficient were calculated. Results Finally, a job responsibility system for IBD case managers was formed, including 5 primary indicators (evaluation, planning, implementation, evaluation and research), 19 secondary indicators and 75 tertiary indicators. The mean value of the first round of importance assignment was 3.94-5.00, and the coefficient of variation was 0.000-0.235. The mean value of each index in the second round of importance assignment was 4.06-5.00, and the coefficient of variation was 0.000-0.229. In the two rounds of expert consultation, the expert enthusiasm coefficient was 100.00%, the authority coefficient was 0.863, of which the judgment coefficient was 0.850 and the familiarity coefficient was 0.863. Conclusion The job responsibility index system of IBD case managers includes five aspects: evaluation, planning, implementation, evaluation and research. The expert opinions are concentrated, the results are scientific and practical, which reflect the disease management characteristics of patients with IBD, and can provide a reference basis for the appointment, evaluation and assessment of IBD case managers. |
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