目的 系统评价德尔菲法在中国临床医学教育中的应用,了解德尔菲法的实施现状,提出改进建议。方法 采取系统评价的方法,搜索截至2019年2月28日中国知网和Medline数据库文献。通过阅读全文提取研究设计、问卷过程、专家资质、结果报告并进行统计。结果 35项研究达到入选标准。专家大多为10年以上从业年限,首轮应答率超过80.0%;34项研究进行了意见强度分级;多数研究进行了意见集中程度、协调程度分析。但40.0%(14/35)的研究未定义指标筛选标准;77.1%(27/35)的研究无反馈;97.1%(34/35)的研究未定义达到共识的量化标准。结论 德尔菲法在中国临床医学教育领域中的实施过程存在较大差异,细节有待规范。
Objective To analyze the application of Delphi method in clinical medical education in China,to get acknowledge of the current status of implementation,to obtain the quality of research,and to propose improvements.Methods A systematic review was implemented to search the literature in China National Knowledge Infrastructure and MEDLINE database before February 28,2019.The study design,questionnaire process,expert qualifications,results report and statistics were extracted by reading full text.Results All 35 studies met the inclusion criteria.Almost all of the experts had more than 10 years of experience.The response rates of first rounds were all above 80.0%.All 34 studies had ranked opinion intensity;most studies conducted an analysis of the degree of concentration and coordination.However,40.0%(14/35) of studies did not define screening criteria;77.1%(27/35)of studies did not give feedback;97.1%(34/35)of the studies did not define quantitative criteria of consensus.Conclusions The process of Delphi method in the field of clinical medical education in China needs to be further standardized.
[1] Thangaratinam S,Redman C.The Delphi technique[J].Obstetrician &gynaecologist,2005,7:120-125.DOI:10.1576/toag.7.2.120.27071.
[2] Okoli C,Pawlowski SD.The Delphi method as a research tool:an example,design considerations and applications[J].Information &Management,2004,42(1):15-29.DOI:10.1016/J.IM.2003.11.002.
[3] Humphrey-Murto S,Varpio L,Wood TJ,et al.The use of the Delphi and other consensus group methods in medical education research:a review[J].Acad Med,2017,92(10):1491-1498.DOI:10.1097/ACM.0000000000001812.
[4] Hasson F,Keeney S,McKenna H.Research guidelines for the Delphi survey[J].Journal of Advanced Nursing,2000,32(4):1008-1015.DOI:10.1046/J.1365-2648.2000.T01-1-01567.X
[5] Fitch K,Bernstein SJ,Aguilar MD,et al.The RAND/UCLA appropriateness method user's manual[M].Santa Monica:RAND,2001:23-43.
[6] Boulkedid R,Abdoul H,Loustau M,et al.Using and reporting the Delphi method for selecting healthcare quality indicators:a systematic review[J].PLoS One,2011,6(6):e20476.DOI:10.1371/journal.pone.0020476.
[7] Tognetto A,Michelazzo MB,Ricciardi W,et al.Core competencies in genetics for healthcare professionals:results from a literature review and a Delphi method[J].BMC Med Educ,2019,19(1):19.DOI:10.1186/s12909-019-1456-7.
[8] Hsu CC,Sandford BA.Minimizing non-response in the delphi process:how to respond to non-response[J].Practical Assessment,Research &Evaluation,2007,12(17).
[9] 平卫伟,谭红专.Delphi法的研究进展及其在医学中的应用[J].疾病控制杂志,2003,7(3):243-246.DOI:10.3969/j.issn.1674-3679.2003.03.032.
[10] Kalaian SA,Kasim RM.Terminating sequential Delphi survey data collection[J].Practical Assessment,Research Evaluation,2012,17(5):10.
