Construction of an evaluation index system of application management of Traditional Chinese Medicine appropriate technology in the non-Traditional Chinese Medicine Department of general hospitals

Objective To construct an evaluation index system for the application and management of Traditional Chinese Medicine appropriate technology in the non-Traditional Chinese Medicine department of general hospitals, and provide a basis for hospital managers to objectively evaluate the application and management of suitable traditional Chinese medicine technologies in the non-Traditional Chinese Medicine department of comprehensive medical institutions. Methods From March to August 2023, based on the three-dimensional quality evaluation model of Structure-Process-Result, literature search, expert inquiry, and analytic hierarchy process were used to determine the content and weight of the evaluation index system for application of Traditional Chinese Medicine appropriate technology in the non-Traditional Chinese Medicine department of general hospitals. Results The effective response rates of the two rounds of expert inquiry questionnaires were 95. 83%(23/24) and 100. 00%(23/23), respectively; The expert authority coefficients are 0. 909 and 0. 917, respectively; The Kendall harmony coefficients were 0. 146 and 0. 164, respectively, and the differences were statistically significant (P＜0. 001). The final evaluation index system includes 3 primary indicators, 13 secondary indicators, and 36 tertiary indicators. Conclusion The evaluation index system for the application and management of Traditional Chinese Medicine appropriate technology in the non-Traditional Chinese Medicine departments of comprehensive medical institutions constructed in this study has high rationality and reliability, which is conducive to the evaluation and continuous quality improvement of the application and management of suitable traditional Chinese medicine technologies in the non-Traditional Chinese Medicine department of general hospitals. (目的 构建综合性医疗机构非中医科中医适宜技术应用管理评价指标体系, 为医院管理者客观评价中医适宜技术在综合性医疗机构非中医科的应用管理提供依据。方法 2023年3 月—8月, 以“结构-过程-结果”三维质量评价模型为理论指导, 采用文献检索、专家函询以及层次分析法, 确定中医适宜技术在综合性医疗机构非中医科应用管理评价指标体系的内容及各指标权重。结果 两轮专家函询的问卷有效回收率分别为95. 83%(23/24)、100. 00%(23/23); 专家权威系数分别为0. 909、0. 917; 肯德尔和谐系数分别为0. 146、0. 164, 差异均具有统计学意义(P＜0. 001)。本研究最终构建出包括3个一级指标、13个二级指标和36个三级指标的评价指标体系。结论 本研究构建的中医适宜技术在综合性医疗机构非中医科应用管理评价指标体系具有较高的科学性与可靠性, 有利于中医适宜技术在综合性医疗机构非中医科的应用管理评价和持续质量改进。)