Delphi Method Construction of Quality Control Index Refined Management
江苏省科教能力提升工程课题（YJXYYJSDW4）；江苏省医学创新中心课题（CXZX 202227）
目的：优化口腔医学专业质量控制指标体系，促进口腔医疗服务标准化。方法：在原江苏省口腔医学专业质量控制指标体系上，结合国家政策初步建立指标条目池，采用德尔菲法进行两轮函询，筛选指标条目。结果：第一轮专家积极系数为91.67%，专家权威系数 Cr=0.893，变异系数CV=0.14，肯德尔和谐系数=0.174；第二轮专家积极系数为95.83%，专家权威系数 Cr=0.891，变异系数CV=0.12，肯德尔和谐系数=0.135，专家具有较高权威性，且意见较为统一。最终形成了包含6条一般指标、11条专科指标和腮腺肿瘤单病种指标的江苏省口腔医学专业质量控制指标体系。结论：采用科学方法优化构建口腔医学专业质控指标体系，有利于医疗质量精细化管理，促进医疗服务的标准化、同质化。
Objective：To optimize the quality control index system of stomatology specialty of Jiangsu Province，to promote the standardization of dental medical services. Methods：Base on the original quality control index system of stomatology specialty in Jiangsu Province，the renewal index items pool was preliminarily established in combination with the national policy indicators，and the Delphi method was applied for the two rounds of questionnaire-based surveys to screen the index items. Results：The expert positive coefficient was 91.67%，expert authority coefficient Cr=0.893，coefficient of variation CV=0.14，Kendall harmony coefficient=0.174 in the first round；In the second round，the expert positive coefficient was 95.83%，expert authority coefficient Cr=0.891，variation coefficient CV=0.12，Kendall harmony coefficient=0.135. The Experts involved in this study have a high authority，and the opinions are unified. After data analysis，the quality control index system of Jiangsu Province is established，which contains 6 general indexes，11 specialized indexes andsingle disease（parotid tumor）indicators. Conclusion：The application of scientific methods to optimize the quality control index system of stomatology in our province is conducive to the delicacy management of medical quality and will promote the standardization and homogenization of the level in stomatological healthcare services of Jiangsu Province.