应用Delphi法建立健康促进医院效果评价指标体系的研究  

An application of Delphi method in the establishment of evaluation index system for health promotion in hospital

作　　者：王凤英[1] 孙美姣[1] 朱军礼[1] 王俊艳[1] 胡云卿[2] 

机构地区：[1]金华市疾病预防控制中心,浙江金华321002 [2]永康市疾病预防控制中心

出　　处：《浙江预防医学》2015年第9期869-872,共4页Zhejiang Journal of Preventive Medicine

基　　金：金华市科学技术研究计划项目(2013-3-084)

摘　　要：目的建立量化、实用的健康促进医院效果评价指标体系。方法采用德尔菲专家咨询法（Delphi）对20名专家进行2轮咨询，听取专家意见及建议，建立健康促进医院效果评价指标体系。结果20名专家平均年龄（42.75±5.20）岁，从事健康教育与促进工作平均年限（15．15±6．85）年，本科及以上学历，高级技术职称占80.00％。两轮专家应答率均为100．00％，权威系数Cr=0．93±0．10。2轮咨询，专家对一、二、三级指标的协调系数均有统计学意义（P〈0．05）。最终确定健康促进医院效果评价指标由组织建设、环境建设、患者健康教育、职工健康促进和院外健康教育等5个一级指标、14个二级指标及25个三级指标构成，各项指标重要程度平均分值为4.30～5.00，标准差为0．00～O．83，变异系数为0．000～0．182，均达到了设计要求。结论应用Delphi法建立的评价指标体系各项指标重要度均较高。Objective To establish a reasonable and practical evaluation indicator system for health promoting hospital. Methods According to the importance recognized by the experts,two round Delphi consultation was conducted to set up the indicator system of health promoting.Results A total of 20 experts participated in this study,with the average age of 42.75 ±5.20 years.The average years of work was 15.15 ±6.85 years.All of experts had bachelor degree and above,and 80.00% had senior technical titles.Questionnaire response rates of two round Delphi consultation were both 100.00%. The average coefficients of experts'authorities (Cr)was 0.93 ±0.10.There was statistically difference between the Kendall coefficients of two round consultations (P <0.05).The evaluation indicator system was finally established including 5 first-class indexes (organization construction, environment construction, patient health education, employee health promotion,and out -hospital health education),14 second -class indexes and 25 third -class indexes.The average scores of important degree among each index involved was 4.30 -5.00,with standard deviation 0.00 -0.83,and the coefficient of variation was 0.000 - 0.182,which met the design requirements.Conclusion The Delphi expert consultation method in this study have good representative,authoritative and coordination.

关 键 词：效果评价指标体系 德尔菲专家咨询法 健康促进医院 

分 类 号：R197.3[医药卫生—卫生事业管理]