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The Journal of Physician Assistant... Jun 2022
Topics: Clinical Competence; Delphi Technique; Humans; Physician Assistants
PubMed: 35511464
DOI: 10.1097/JPA.0000000000000420 -
British Dental Journal Aug 2006
Topics: Child; Delphi Technique; Dental Caries; Humans; Referral and Consultation; Tooth, Deciduous
PubMed: 16936651
DOI: 10.1038/sj.bdj.4813903 -
Nurse Education in Practice Jan 2021Despite the growing benefits of empathy education for medical students, there is still a lack of formal empathy courses in the Chinese context. To develop an empathy...
Despite the growing benefits of empathy education for medical students, there is still a lack of formal empathy courses in the Chinese context. To develop an empathy educational model for undergraduate nursing students, the Delphi technique was used in this study. Experts were selected from different regions of China and invited to participate in the three rounds of consultation, via email. The final empathy educational model was comprised of nine themes and 44 subthemes. The nine themes included: a. Bring the learner to the empathic world; b. Introduce the basic knowledge of empathy; c. Master empathy skills; d. Practice empathy; e. Evaluate empathy ability; f. Follow-up support; g. Distribution of educational hours for teaching empathy; h. Forms of empathy training; and i. Student reflection on empathy education. Consensus was achieved among the experts on empathy educational content, using the Delphi Technique, which can provide a reference for the empathy training of university medical students. It is necessary to have the empathy educational model further applied and evaluated, in conjunction with intervention studies, in the future.
Topics: China; Delphi Technique; Education, Nursing, Baccalaureate; Empathy; Humans; Models, Educational; Students, Nursing
PubMed: 33232914
DOI: 10.1016/j.nepr.2020.102922 -
Arthroscopy : the Journal of... Feb 2022The diagnosis and treatment of an anterior glenohumeral instability remains controversial. Currently, there is no universally globally accepted approach. In addition to...
The diagnosis and treatment of an anterior glenohumeral instability remains controversial. Currently, there is no universally globally accepted approach. In addition to individual surgeon's experiences and preferences, surgical training, regional differences in patient's expectations, and demands confound decision-making. Evidence-based medicine and large randomized trials are not helpful, as they cannot possibly account for all potential confounders. The Delphi technique is an expert consensus-based evidence approach and a reasonable alternative to randomized trials. It pools the experience of experts in the field in a scientific fashion but has been criticized for only producing the lowest common denominator, resulting in oversimplification of a complex problem. However, this criticism is commonly a result of inadequate execution of the methods rather than the methodology itself. It could be that strict adherence to Delphi methodology could result in greater acceptance of Delphi (rather than "modified" Delphi) findings; a stricter approach also may lead to lower agreement between participating experts.
Topics: Biomedical Research; Consensus; Delphi Technique; Evidence-Based Medicine; Humans
PubMed: 35123707
DOI: 10.1016/j.arthro.2021.08.014 -
Journal of Clinical Pharmacy and... Dec 2006Although the Delphi technique has been commonly used as a data source in medical and health services research, its application in economic evaluation of medicines has...
BACKGROUND AND OBJECTIVE
Although the Delphi technique has been commonly used as a data source in medical and health services research, its application in economic evaluation of medicines has been more limited. The aim of this study was to describe the methodology of the Delphi technique, to present a case for using the technique in economic evaluation, and to provide recommendations to improve such use.
METHODS
The literature was accessed through MEDLINE focusing on studies discussing the methodology of the Delphi technique and economic evaluations of medicines using the Delphi technique.
RESULTS AND DISCUSSION
The Delphi technique can be used to provide estimates of health care resources required and to modify such estimates when making inter-country comparisons. The Delphi technique can also contribute to mapping the treatment process under investigation, to identifying the appropriate comparator to be used, and to ensuring that the economic evaluation estimates cost-effectiveness rather than cost-efficacy.
CONCLUSION
Ideally, economic evaluations of medicines should be based on real-patient data. In the absence of such data, evaluations need to incorporate the best evidence available by employing approaches such as the Delphi technique. Evaluations based on this approach should state the limitations, and explore the impact of the associated uncertainty in the results.
Topics: Delphi Technique; Economics, Pharmaceutical; Models, Economic
PubMed: 17176357
DOI: 10.1111/j.1365-2710.2006.00780.x -
BMC Health Services Research Jun 2023Internationally, the need for appropriately structured, high-quality care in psycho-oncology is more and more recognized and quality-oriented care is to be established....
BACKGROUND
Internationally, the need for appropriately structured, high-quality care in psycho-oncology is more and more recognized and quality-oriented care is to be established. Quality indicators are becoming increasingly important for a systematic development and improvement of the quality of care. The aim of this study was to develop a set of quality indicators for a new form of care, a cross-sectoral psycho-oncological care program in the German health care system.
METHODS
The widely established RAND/UCLA Appropriateness Method was combined with a modified Delphi technique. A systematic literature review was conducted to identify existing indicators. All identified indicators were evaluated and rated in a two-round Delphi process. Expert panels embedded in the Delphi process assessed the indicators in terms of relevance, data availability and feasibility. An indicator was accepted by consensus if at least 75% of the ratings corresponded to category 4 or 5 on a five-point Likert scale.
RESULTS
Of the 88 potential indicators derived from a systematic literature review and other sources, 29 were deemed relevant in the first Delphi round. After the first expert panel, 28 of the dissented indicators were re-rated and added. Of these 57 indicators, 45 were found to be feasible in terms of data availability by the second round of expert panel. In total, 22 indicators were transferred into a quality report, implemented and tested within the care networks for participatory quality improvement. In the second Delphi round, the embedded indicators were tested for their practicability. The final set includes 16 indicators that were operationalized in care practice and rated by the expert panel as relevant, comprehensible, and suitable for care practice.
CONCLUSION
The developed set of quality indicators has proven in practical testing to be a valid quality assurance tool for internal and external quality management. The study findings could contribute to traceable high quality in cross-sectoral psycho-oncology by providing a valid and comprehensive set of quality indicators.
TRIAL REGISTRATION
"Entwicklung eines Qualitätsmanagementsystems in der integrierten, sektorenübergreifenden Psychoonkologie-AP "Qualitätsmanagement und Versorgungsmanagement" zur Studie "integrierte, sektorenübergreifende Psychoonkologie (isPO)" a sub-project of the "integrierte, sektorenübergreifende Psychoonkologie (isPO)", was registered in the German Clinical Trials Register (DRKS) (DRKS-ID: DRKS00021515) on 3rd September 2020. The main project was registered on 30th October 2018 (DRKS-ID: DRKS00015326).
Topics: Humans; Quality Indicators, Health Care; Psycho-Oncology; Delphi Technique; Germany; Consensus
PubMed: 37291536
DOI: 10.1186/s12913-023-09604-3 -
Anaesthesia Feb 2023
Topics: Humans; Delphi Technique; Consensus
PubMed: 35816561
DOI: 10.1111/anae.15808 -
Journal of Clinical Epidemiology Feb 2019
Topics: Delphi Technique; Feedback; Surveys and Questionnaires
PubMed: 30352274
DOI: 10.1016/j.jclinepi.2018.10.011 -
Bulletin of the World Health... Apr 2024
Topics: Humans; Public Health; Delphi Technique; Global Health
PubMed: 38562196
DOI: 10.2471/BLT.24.010424 -
Bulletin of the World Health... Feb 2024
Topics: Humans; Public Health; Delphi Technique; Global Health
PubMed: 38313149
DOI: 10.2471/BLT.24.010224