Using and Reporting the Delphi Method for Selecting Healthcare Quality Indicators: A Systematic Review
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{"title"=>"Using and reporting the Delphi method for selecting healthcare quality indicators: A systematic review", "type"=>"journal", "authors"=>[{"first_name"=>"Rym", "last_name"=>"Boulkedid", "scopus_author_id"=>"36466103000"}, {"first_name"=>"Hendy", "last_name"=>"Abdoul", "scopus_author_id"=>"24490770200"}, {"first_name"=>"Marine", "last_name"=>"Loustau", "scopus_author_id"=>"57201094803"}, {"first_name"=>"Olivier", "last_name"=>"Sibony", "scopus_author_id"=>"7003515881"}, {"first_name"=>"Corinne", "last_name"=>"Alberti", "scopus_author_id"=>"7006093385"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"21694759", "doi"=>"10.1371/journal.pone.0020476", "sgr"=>"79958277576", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "scopus"=>"2-s2.0-79958277576", "issn"=>"19326203", "pui"=>"361925038"}, "id"=>"766d6d75-4365-303f-a25f-e58f33dfe92e", "abstract"=>"OBJECTIVE Delphi technique is a structured process commonly used to developed healthcare quality indicators, but there is a little recommendation for researchers who wish to use it. This study aimed 1) to describe reporting of the Delphi method to develop quality indicators, 2) to discuss specific methodological skills for quality indicators selection 3) to give guidance about this practice. METHODOLOGY AND MAIN FINDING Three electronic data bases were searched over a 30 years period (1978-2009). All articles that used the Delphi method to select quality indicators were identified. A standardized data extraction form was developed. Four domains (questionnaire preparation, expert panel, progress of the survey and Delphi results) were assessed. Of 80 included studies, quality of reporting varied significantly between items (9% for year's number of experience of the experts to 98% for the type of Delphi used). Reporting of methodological aspects needed to evaluate the reliability of the survey was insufficient: only 39% (31/80) of studies reported response rates for all rounds, 60% (48/80) that feedback was given between rounds, 77% (62/80) the method used to achieve consensus and 57% (48/80) listed quality indicators selected at the end of the survey. A modified Delphi procedure was used in 49/78 (63%) with a physical meeting of the panel members, usually between Delphi rounds. Median number of panel members was 17(Q1:11; Q3:31). In 40/70 (57%) studies, the panel included multiple stakeholders, who were healthcare professionals in 95% (38/40) of cases. Among 75 studies describing criteria to select quality indicators, 28 (37%) used validity and 17(23%) feasibility. CONCLUSION The use and reporting of the Delphi method for quality indicators selection need to be improved. We provide some guidance to the investigators to improve the using and reporting of the method in future surveys.", "link"=>"http://www.mendeley.com/research/using-reporting-delphi-method-selecting-healthcare-quality-indicators-systematic-review", "reader_count"=>322, "reader_count_by_academic_status"=>{"Unspecified"=>7, "Professor > Associate Professor"=>14, "Librarian"=>1, "Student > Doctoral Student"=>27, "Researcher"=>59, "Student > Ph. D. Student"=>67, "Student > Postgraduate"=>10, "Other"=>24, "Student > Master"=>62, "Student > Bachelor"=>23, "Lecturer"=>11, "Lecturer > Senior Lecturer"=>7, "Professor"=>10}, "reader_count_by_user_role"=>{"Unspecified"=>7, "Professor > Associate Professor"=>14, "Librarian"=>1, "Student > Doctoral Student"=>27, "Researcher"=>59, "Student > Ph. D. Student"=>67, "Student > Postgraduate"=>10, "Other"=>24, "Student > Master"=>62, "Student > Bachelor"=>23, "Lecturer"=>11, "Lecturer > Senior Lecturer"=>7, "Professor"=>10}, "reader_count_by_subject_area"=>{"Unspecified"=>23, "Agricultural and Biological Sciences"=>14, "Arts and Humanities"=>1, "Business, Management and Accounting"=>12, "Chemistry"=>1, "Computer Science"=>8, "Decision Sciences"=>2, "Economics, Econometrics and Finance"=>6, "Energy"=>1, "Engineering"=>15, "Environmental Science"=>6, "Nursing and Health Professions"=>24, "Mathematics"=>2, "Medicine and Dentistry"=>125, "Design"=>1, "Neuroscience"=>4, "Sports and Recreations"=>7, "Pharmacology, Toxicology and Pharmaceutical Science"=>5, "Psychology"=>16, "Social Sciences"=>48, "Linguistics"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>125}, "Social Sciences"=>{"Social Sciences"=>48}, "Decision Sciences"=>{"Decision Sciences"=>2}, "Sports and Recreations"=>{"Sports and Recreations"=>7}, "Psychology"=>{"Psychology"=>16}, "Mathematics"=>{"Mathematics"=>2}, "Unspecified"=>{"Unspecified"=>23}, "Environmental Science"=>{"Environmental Science"=>6}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>5}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Design"=>{"Design"=>1}, "Engineering"=>{"Engineering"=>15}, "Chemistry"=>{"Chemistry"=>1}, "Neuroscience"=>{"Neuroscience"=>4}, "Energy"=>{"Energy"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>6}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>14}, "Computer Science"=>{"Computer Science"=>8}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>12}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>24}, "Linguistics"=>{"Linguistics"=>1}}, "reader_count_by_country"=>{"Romania"=>1, "United States"=>9, "Japan"=>2, "United Kingdom"=>3, "Switzerland"=>1, "Portugal"=>4, "Spain"=>2, "India"=>1, "Canada"=>3, "Netherlands"=>1, "Vietnam"=>1, "Brazil"=>1, "South Africa"=>1, "France"=>1}, "group_count"=>23}

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/766409"], "description"=>"<p>Study selection.</p>", "links"=>[], "tags"=>["public health and epidemiology", "epidemiology", "Non-clinical medicine"], "article_id"=>436781, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020476.g001", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Study_selection_/436781", "title"=>"Study selection.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-06-09 01:53:01"}
  • {"files"=>["https://ndownloader.figshare.com/files/385287", "https://ndownloader.figshare.com/files/385385", "https://ndownloader.figshare.com/files/385422", "https://ndownloader.figshare.com/files/385459", "https://ndownloader.figshare.com/files/385494"], "description"=>"<div><h3>Objective</h3><p>Delphi technique is a structured process commonly used to developed healthcare quality indicators, but there is a little recommendation for researchers who wish to use it. This study aimed 1) to describe reporting of the Delphi method to develop quality indicators, 2) to discuss specific methodological skills for quality indicators selection 3) to give guidance about this practice.</p> <h3>Methodology and Main Finding</h3><p>Three electronic data bases were searched over a 30 years period (1978–2009). All articles that used the Delphi method to select quality indicators were identified. A standardized data extraction form was developed. Four domains (questionnaire preparation, expert panel, progress of the survey and Delphi results) were assessed. Of 80 included studies, quality of reporting varied significantly between items (9% for year's number of experience of the experts to 98% for the type of Delphi used). Reporting of methodological aspects needed to evaluate the reliability of the survey was insufficient: only 39% (31/80) of studies reported response rates for all rounds, 60% (48/80) that feedback was given between rounds, 77% (62/80) the method used to achieve consensus and 57% (48/80) listed quality indicators selected at the end of the survey. A modified Delphi procedure was used in 49/78 (63%) with a physical meeting of the panel members, usually between Delphi rounds. Median number of panel members was 17(Q1:11; Q3:31). In 40/70 (57%) studies, the panel included multiple stakeholders, who were healthcare professionals in 95% (38/40) of cases. Among 75 studies describing criteria to select quality indicators, 28 (37%) used validity and 17(23%) feasibility.</p> <h3>Conclusion</h3><p>The use and reporting of the Delphi method for quality indicators selection need to be improved. We provide some guidance to the investigators to improve the using and reporting of the method in future surveys.</p> </div>", "links"=>[], "tags"=>["delphi", "selecting", "healthcare", "systematic"], "article_id"=>136059, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0020476.s001", "https://dx.doi.org/10.1371/journal.pone.0020476.s002", "https://dx.doi.org/10.1371/journal.pone.0020476.s003", "https://dx.doi.org/10.1371/journal.pone.0020476.s004", "https://dx.doi.org/10.1371/journal.pone.0020476.s005"], "stats"=>{"downloads"=>22, "page_views"=>40, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Using_and_Reporting_the_Delphi_Method_for_Selecting_Healthcare_Quality_Indicators_A_Systematic_Review/136059", "title"=>"Using and Reporting the Delphi Method for Selecting Healthcare Quality Indicators: A Systematic Review", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2011-06-09 01:40:59"}
  • {"files"=>["https://ndownloader.figshare.com/files/766503"], "description"=>"a<p>Percentage of studies that reported this item over the total number of studies (n = 80).</p>b<p>All percentages were calculated relative to the total number reported.</p>c<p>The total percentage may exceed 100% because some studies used more than one criterion.</p>d<p>included Previous work , Internal consensus , Results of first Delphi round, Development of new QI.</p>", "links"=>[], "tags"=>["delphi"], "article_id"=>436879, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020476.t002", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_first_Delphi_questionnaire_/436879", "title"=>"Characteristics of the first Delphi questionnaire.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-09 01:54:39"}
  • {"files"=>["https://ndownloader.figshare.com/files/766604"], "description"=>"a<p>Percentage of studies that reported this item over the total number of studies (n = 80).</p>b<p>All percentages were calculated relative to the total number reported.</p>c<p>The total percentage may exceed 100% because some studies used more than one criterion.</p>d<p>IPR, intrapercentile range; and IPRS, intrapercentile range adjusted for symmetry.</p>", "links"=>[], "tags"=>["delphi"], "article_id"=>436976, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020476.t004", "stats"=>{"downloads"=>4, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_Delphi_procedure_/436976", "title"=>"Characteristics of the Delphi procedure.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-09 01:56:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/766576"], "description"=>"<p>Practical guidance for using and reporting Delphi procedures performed to select healthcare quality indicators (QIs).</p>", "links"=>[], "tags"=>["delphi", "procedures", "performed", "healthcare", "indicators"], "article_id"=>436942, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020476.t005", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Practical_guidance_for_using_and_reporting_Delphi_procedures_performed_to_select_healthcare_quality_indicators_QIs_/436942", "title"=>"Practical guidance for using and reporting Delphi procedures performed to select healthcare quality indicators (QIs).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-09 01:55:42"}
  • {"files"=>["https://ndownloader.figshare.com/files/766530"], "description"=>"<p>Characteristics of the 80 selected articles.</p>", "links"=>[], "tags"=>["80"], "article_id"=>436906, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020476.t001", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Characteristics_of_the_80_selected_articles_/436906", "title"=>"Characteristics of the 80 selected articles.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-09 01:55:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/766477"], "description"=>"a<p>Percentage of studies that reported this item over the total number of studies (n = 80).</p>b<p>All percentages were calculated relative to the total number reported.</p>c<p>The total percentage may exceed 100% because some studies used more than one criterion.</p>d<p>Percentages were calculated using 40 (number of studies with several stakeholders) as the denominator.</p>", "links"=>[], "tags"=>["delphi"], "article_id"=>436855, "categories"=>["Immunology", "Medicine", "Biotechnology"], "users"=>["Rym Boulkedid", "Hendy Abdoul", "Marine Loustau", "Olivier Sibony", "Corinne Alberti"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0020476.t003", "stats"=>{"downloads"=>0, "page_views"=>1, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Description_of_the_Delphi_panels_/436855", "title"=>"Description of the Delphi panels.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-06-09 01:54:15"}

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Relative Metric

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