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Using a modified nominal group technique to develop general practice

机译：使用改良的名义团体技术发展通用实践

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There are few areas of health care where sufficient research-based evidence exists and primary health care is no exception. In the absence of such evidence, the development of assisted support must be based on the opinions and experience of professionals with knowledge of the relevant field. The purpose of this research project is to explore how the nominal group technique can be used to establish consensus by analysing how it supported the development of structured, knowledge-based, electronic health records for preventive child health examinations in Danish general practice. We convened an expert panel of five general practitioners with a special interest in the preventive child health examinations. We introduced the panel to the nominal group technique, a well-established, structured, multistep, facilitated, group meeting technique used to generate consensus. The panel used the technique to agree on the key clinical and socioeconomic themes to include in new electronic records for the seven preventive child health examinations in Denmark. The panel met three times over a four-month period between 2013 and 2014 and their meetings lasted between two-and-a-half and five hours. 1) The structured and stepwise process of the nominal group technique supported our expert panel’s focus as well as their equal opportunities to speak. 2) The method’s flexibility enabled participants to work as a group and in pairs to discuss and refine thematic classifications. 3) Serial meetings supported continual evaluation, critical reflection, and knowledge searches, enabling our panel to produce a template that could be adapted for all seven preventive child health examinations. The nominal group technique proved to be a useful method for reaching consensus by identifying key quality markers for use in daily clinical practice. Our study focused on the development of content and a layout for systematic, knowledge-based, electronic health records. We recommend the method as a suitable working tool for dealing with complex questions in general practice or similar settings, and we present and discuss modifications to the original model.
机译：很少有卫生保健领域存在足够的基于研究的证据，初级卫生保健也不例外。在没有此类证据的情况下，必须根据具有相关领域知识的专业人员的意见和经验来开发辅助支持。这项研究项目的目的是通过分析名义组技术如何支持在丹麦一般实践中为预防性儿童健康检查开发结构化，基于知识的电子健康记录的方式，从而建立共识。我们召集了由五位全科医生组成的专家小组，对预防性儿童健康检查特别感兴趣。我们向小组介绍了名义小组技术，这是一种建立良好，结构化，多步骤，便利的小组会议技术，用于达成共识。小组使用该技术就关键的临床和社会经济主题达成共识，以将新的电子记录包括在丹麦的七次预防性儿童健康检查中。小组在2013年至2014年的四个月内共举行了三次会议，会议持续了两个半小时至五个小时。 1）名义小组技术的结构化和逐步实施过程支持了专家组的关注点以及他们平等的发言机会。 2）该方法的灵活性使参与者可以分组讨论，并可以成对讨论和完善主题分类。 3）串行会议支持持续评估，批判性反思和知识搜索，使我们的小组能够制作出适用于所有七种预防性儿童健康检查的模板。标称组技术被证明是通过确定用于日常临床实践的关键质量标志物来达成共识的有用方法。我们的研究侧重于内容的开发以及系统的，基于知识的电子健康记录的布局。我们建议将该方法作为处理一般实践或类似设置中的复杂问题的合适工作工具，并介绍和讨论对原始模型的修改。

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