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首页> 外文期刊>International Journal for Quality in Health Care >Application of the analytic hierarchy process in the performance measurement of colorectal cancer care for the design of a pay-for-performance program in Taiwan
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Application of the analytic hierarchy process in the performance measurement of colorectal cancer care for the design of a pay-for-performance program in Taiwan

机译：层次分析法在大肠癌护理绩效评估中的应用-台湾绩效绩效计划的设计

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Objective. To prioritize performance measures for colorectal cancer care to facilitate the implementation of a pay-for-per-formance (PFP) system. Design. Questionnaires survey. Setting. Medical hospitals in Taiwan. Participants. Sixty-six medical doctors from 5 November 2009 to 10 December 2009. Intervention. Analytic hierarchy process (AHP) technique. Main outcome measure(s). Performance measures (two pre-treatment, six treatment related and three monitoring related) were used. Results. Forty-eight doctors responded and returned questionnaires (response rate 72.7%) with surgeons and physicians contributing equally. The most important measure was the proportion of colorectal patients who had pre-operative examinations that included chest X-ray and abdominal ultrasound, computed tomography or MRI (global priority: 0.144)， followed by the proportion of stages I-III colorectal cancer patients who had undergone a wide surgical resection documented as 'negative margin' (global priority: 0.133) and the proportion of colorectal cancer patients who had undergone surgery with a pathology report that included information on tumor size and node differentiation (global priority: 0.116). Most participants considered that the best interval for the renewal indicators was 3-5 years (43.75%) followed by 5-10 years (27.08%). Conclusions. To design a PFP program, the AHP method is a useful technique to prioritize performance measures, especially in a highly specialized domain such as colorectal cancer care.
机译：目的。优先考虑大肠癌治疗的绩效指标，以促进按绩效付费（PFP）系统的实施。设计。问卷调查。设置。台湾的医疗医院。参加者从2009年11月5日到2009年12月10日，共有66名医生。干预。层次分析法（AHP）技术。主要观察指标）。使用了绩效测量（两次预处理，六个与治疗有关和三个与监视有关）。结果。四十八名医生做出了回应，并返回了调查表（答复率为72.7％），外科医生和医生的贡献均相等。最重要的衡量指标是接受术前检查（包括胸部X光和腹部超声检查，计算机断层扫描或MRI）的结直肠癌患者比例（全球优先级：0.144），其次是I-III期结直肠癌患者的比例已进行广泛的手术切除，记录为“负切缘”（全球优先级：0.133），并且接受过手术的结直肠癌患者所占比例的病理报告包括有关肿瘤大小和淋巴结分化的信息（全球优先级：0.116）。大多数参与者认为，更新指标的最佳间隔是3-5年（43.75％），然后是5-10年（27.08％）。结论对于设计PFP程序，AHP方法是一种优先考虑性能指标的有用技术，尤其是在诸如结肠直肠癌护理等高度专业化领域中。

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