PDF(Pubmed)
Abstract：
The healthcare pathway is at the heart of public health organization concerns, but communication between the various players can be an obstacle. This work, produced by a French transdisciplinary team, offers a methodological approach based on formalized consensus to elaborate a glossary of healthcare pathways. A two-steps procedure was elaborated, including a double rounded Delphi method to formalize expert consensus, and two groups of experts: a workgroup and a review group.
The workgroup provided a list of words or expressions that, in their opinion, described, evaluated or compared the healthcare pathways for patients, caregivers or regulators. The review group checked this list and added or deleted words or expressions. Then, definitions were added by the workgroup based into account three dimensions: official, academic and from the field. The review group validated the definitions and provided complementary proposals if needed.
After pooling the list of words proposed by each of the six members of the working group, 417 words/expressions were ranked. After the two rounds of evaluation, 294 words/expressions were rated \"appropriate\" and were analyzed by the review group. This group, after two rounds of evaluation, agreed on 263 words/expressions that were transmitted to the working group who defined them. These definitions were rated by the review group. The first round of evaluation established 195 definitions as being appropriated whereas 68 definitions were amended by the review group.
This glossary supports transdisciplinary communication, reduces the extent of variations in practice and optimizes decision-making. International debate on all aspects might be strengthened by an improved understanding of the concept of health pathway.
The workgroup provided a list of words or expressions that, in their opinion, described, evaluated or compared the healthcare pathways for patients, caregivers or regulators. The review group checked this list and added or deleted words or expressions. Then, definitions were added by the workgroup based into account three dimensions: official, academic and from the field. The review group validated the definitions and provided complementary proposals if needed.
After pooling the list of words proposed by each of the six members of the working group, 417 words/expressions were ranked. After the two rounds of evaluation, 294 words/expressions were rated \"appropriate\" and were analyzed by the review group. This group, after two rounds of evaluation, agreed on 263 words/expressions that were transmitted to the working group who defined them. These definitions were rated by the review group. The first round of evaluation established 195 definitions as being appropriated whereas 68 definitions were amended by the review group.
This glossary supports transdisciplinary communication, reduces the extent of variations in practice and optimizes decision-making. International debate on all aspects might be strengthened by an improved understanding of the concept of health pathway.
摘要：
医疗保健途径是公共卫生组织关注的核心，但是不同玩家之间的交流可能是一个障碍。这项工作,由法国跨学科团队制作，提供了一种基于形式化共识的方法论方法，以详细阐述医疗保健途径词汇表。阐述了一个两步程序，包括双舍入德尔菲法来形式化专家共识，和两个专家组:一个工作组和一个审查小组。
■工作组提供了一个单词或表达式列表，在他们看来,描述,评估或比较了患者的医疗保健途径，护理人员或监管者。审阅组检查了此列表并添加或删除了单词或表达式。然后，工作组根据三个维度添加了定义：官方，从学术和领域。审查小组验证了定义，并在需要时提供了补充建议。
■在汇集了工作组六个成员中每个成员提出的单词列表之后，对417个单词/表达进行了排名。经过两轮评估，294个单词/表达被评为“适当”，并由审查组进行分析。这个群体,经过两轮评估，商定了263个单词/表达，这些单词/表达已发送给定义它们的工作组。这些定义由审查组进行评级。第一轮评估确定了195个定义为已拨款，而审查小组修订了68个定义。
■此词汇表支持跨学科交流，减少实践中的变化程度，优化决策。通过更好地理解健康途径的概念，可以加强关于所有方面的国际辩论。
■工作组提供了一个单词或表达式列表，在他们看来,描述,评估或比较了患者的医疗保健途径，护理人员或监管者。审阅组检查了此列表并添加或删除了单词或表达式。然后，工作组根据三个维度添加了定义：官方，从学术和领域。审查小组验证了定义，并在需要时提供了补充建议。
■在汇集了工作组六个成员中每个成员提出的单词列表之后，对417个单词/表达进行了排名。经过两轮评估，294个单词/表达被评为“适当”，并由审查组进行分析。这个群体,经过两轮评估，商定了263个单词/表达，这些单词/表达已发送给定义它们的工作组。这些定义由审查组进行评级。第一轮评估确定了195个定义为已拨款，而审查小组修订了68个定义。
■此词汇表支持跨学科交流，减少实践中的变化程度，优化决策。通过更好地理解健康途径的概念，可以加强关于所有方面的国际辩论。
