The effect of panel membership and feedback on ratings in a two-round Delphi survey - Results of a randomized controlled trial

被引:108
作者
Campbell, SM
Hann, M
Roland, MO
Quayle, JA
Shekelle, PG
机构
[1] Univ Manchester, Natl Primary Care Res & Dev Ctr, Manchester M13 9PL, Lancs, England
[2] W Los Angeles Vet Affairs Med Ctr, Los Angeles, CA 90073 USA
[3] Rand Corp, Hlth Program, Santa Monica, CA USA
关键词
consensus; panels; feedback; RAND; Delphi;
D O I
10.1097/00005650-199909000-00012
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BACKGROUND. Past observational studies of the RAND/UCLA Appropriateness Method have shown that the composition of panels affects the ratings that are obtained, Panels of mixed physicians make different judgments from panels of single specialty physicians, and physicians who use a procedure are more likely to rate it more highly than those who do not. OBJECTIVES. To determine the effect of using physicians and health care managers within a panel designed to assess quality indicators for primary care and to test the effect of different types of feedback within the panel process. METHOD. A two-round postal Delphi survey of health care managers and family physicians rated 240 potential indicators of quality of primary care in the United Kingdom to determine their face validity. Following round one, equal numbers of managers and physicians were randomly allocated to receive either collective (whole sample) or group-only (own professional group only) feedback, thus, creating four subgroups of two single-specialty panels and two mixed panels. RESULTS. Overall, managers rated the indicators significantly higher than physicians, Second-round stores were moderated by the type of feedback received with those receiving collective feedback influenced by the other professional group. CONCLUSIONS. This paper provides further experimental evidence that consensus panel judgments are influenced both by panel composition and by the type of feedback which is given to participants during the panel process. Careful attention must be given to the methods used to conduct consensus panel studies, and methods need to be described in detail when such studies are reported.
引用
收藏
页码:964 / 968
页数:5
相关论文
共 22 条
[1]   A METHOD OF DEVELOPING THE WEIGHTING EXPLICIT PROCESS OF CARE CRITERIA FOR QUALITY ASSESSMENT [J].
ASHTON, CM ;
KUYKENDALL, DH ;
JOHNSON, ML ;
WUN, CC ;
WRAY, NP ;
CARR, MJ ;
SLATER, CH ;
WU, L ;
BUSH, GRW .
MEDICAL CARE, 1994, 32 (08) :755-770
[2]  
BROOK RH, 1995, RAND UCLA APPROPIATE
[3]   Quality indicators for general practice: which ones can general practitioners and health authority managers agree are important and how useful are they? [J].
Campbell, SM ;
Roland, MO ;
Quayle, JA ;
Buetow, SA ;
Shekelle, PG .
JOURNAL OF PUBLIC HEALTH MEDICINE, 1998, 20 (04) :414-421
[4]   Development of review criteria for assessing the quality of management of stable angina, adult asthma, and non-insulin dependent diabetes mellitus in, general practice [J].
Campbell, SM ;
Roland, MO ;
Shekelle, PG ;
Cantrill, JA ;
Buetow, SA ;
Cragg, DK .
QUALITY IN HEALTH CARE, 1999, 8 (01) :6-15
[5]  
Cantrill J.A., 1996, INT J PHARM PRACT, V4, P67, DOI DOI 10.1111/J.2042-7174.1996.TB00844.X
[6]   DOES INAPPROPRIATE USE EXPLAIN GEOGRAPHIC VARIATIONS IN THE USE OF HEALTH-CARE SERVICES - A STUDY OF 3 PROCEDURES [J].
CHASSIN, MR ;
KOSECOFF, J ;
PARK, RE ;
WINSLOW, CM ;
KAHN, KL ;
MERRICK, NJ ;
KEESEY, J ;
FINK, A ;
SOLOMON, DH ;
BROOK, RH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1987, 258 (18) :2533-2537
[7]  
COULTER I, 1995, HEALTH SERV RES, V30, P577
[8]   CONSENSUS METHODS - CHARACTERISTICS AND GUIDELINES FOR USE [J].
FINK, A ;
KOSECOFF, J ;
CHASSIN, M ;
BROOK, RH .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1984, 74 (09) :979-983
[9]  
Grimshaw J, 1995, J Eval Clin Pract, V1, P37, DOI 10.1111/j.1365-2753.1995.tb00006.x
[10]   CONSENSUS METHODS FOR MEDICAL AND HEALTH-SERVICES RESEARCH [J].
JONES, J ;
HUNTER, D .
BRITISH MEDICAL JOURNAL, 1995, 311 (7001) :376-380