A modified Delphi process.
The International Consortium for Health Outcomes Measurement convened an international Working Group (WG) comprised of 23 international experts from 12 countries in the field of paediatrics, family medicine, psychometrics as well as patient advisors. The WG participated in 11 video-conferences, through a modified Delphi process and 9 surveys between March 2018 and January 2020 consensus was reached on a final recommended health outcome standard set. By a literature review conducted in March 2018, 1136 articles were screened for clinician and patient-reported or proxy-reported outcomes. Further, 4315 clinical trials and 12 paediatric health surveys were scanned. Between November 2019 and January 2020, the final standard set was endorsed by a patient validation (n=270) and a health professional (n=51) survey.
From a total of 63 identified outcomes, consensus was formed on a standard set of outcome measures that comprises 10 patient-reported outcomes, 5 clinician-reported measures, and 6 case-mix variables. The four developmental age-specific packages (ie, 0-5, 6-12, 13-17, 18-24 years) include either five or six measures with an average time for completion of 20 min.
The OPH-SS is a starting point to drive value-based paediatric healthcare delivery from a global perspective for enhancing child and adolescent physical health and psychosocial well-being.
修改后的Delphi进程。
国际卫生成果测量联盟召集了一个由来自12个国家儿科领域的23名国际专家组成的国际工作组。家庭医学,心理测量学以及耐心顾问。工作组参加了11次视频会议,通过改良的Delphi流程,2018年3月至2020年1月期间的9项调查就最终推荐的健康结局标准集达成共识.根据2018年3月进行的文献综述,对1136篇文章进行了临床医生和患者报告或代理报告结果的筛选。Further,扫描了4315项临床试验和12项儿科健康调查。在2019年11月至2020年1月之间,最终标准集得到了患者验证(n=270)和健康专业人员(n=51)调查的认可。
从总共63个确定的结果中,就一组标准的结局指标达成共识,其中包括10个患者报告的结局,5个临床医生报告的措施,和6个病例混合变量。四个发育年龄特定的软件包(即,0-5、6-12、13-17、18-24年)包括五个或六个措施,平均完成时间为20分钟。
OPH-SS是从全球角度推动基于价值的儿科医疗保健服务的起点,以增强儿童和青少年的身体健康和社会心理健康。