县级疾病预防控制中心突发公共卫生事件应急准备能力评价指标体系构建  

Construction of an evaluation index system of public health emergency preparedness capacity in county-level centers for disease control and prevention

作　　者：高丽娟 井淇 郑文贵[1,2] 吴芳 段明雪 马安宁 GAO Lijuan;JING Qi;ZHENG Wengui;WU Fang;DUAN Mingxue;MA Anning(School of Public Health,Weifang Medical University,Weifang,Shandong 261053,China;Collaborative Innovation Center for Major Social Risk Prediction and Governance of Shandong Health,Weifang,Shandong 261053,China;Weifang Medical University,Weifang,Shandong 261053,China)

机构地区：[1]潍坊医学院公共卫生学院,山东潍坊261053 [2]“健康山东”重大社会风险预测与治理协同创新中心,山东潍坊261053 [3]潍坊医学院,山东潍坊261053

出　　处：《预防医学》2023年第8期659-664,共6页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：教育部人文社会科学研究一般项目(22YJAZH081)。

摘　　要：目的构建县级疾病预防控制中心(疾控中心)突发公共卫生事件应急准备能力评价指标体系,为提高县级疾控中心突发公共卫生事件应急准备能力提供依据。方法复习我国2003—2023年卫生应急政策法规建立指标体系框架;通过2轮德尔菲专家咨询,对指标的重要性、敏感性和可获得性进行评分和筛选,采用优序图法计算指标权重。采用专家积极系数、权威系数和意见协调程度评价咨询效果。结果18名专家参与德尔菲咨询,其中男性9名;硕士及以上学历15名;预防医学或公共卫生专业12名;副高级及以上职称12名。2轮咨询专家积极系数分别为100.00%和94.44%,权威系数分别为0.83和0.84,第二轮咨询二级指标和三级指标的协调系数分别为0.341和0.241,均大于第一轮咨询(P<0.05)。最终建立的指标体系包含8个一级指标、21个二级指标和58个三级指标,一级指标中卫生应急组织管理(0.2031)和卫生应急队伍建设(0.2031)、卫生应急资金保障(0.2031)权重最高;二级指标中卫生应急管理制度完善程度(初始权重/全局权重:0.7500/0.1523)、卫生应急队伍组建情况(0.7500/0.1523)和应急资金保障情况(0.7500/0.1523)权重最高;三级指标中明确卫生应急管理科室职责(0.7500/0.1142)权重最高。结论本研究建立的评价指标体系可用于县级疾控中心突发公共卫生事件应急准备能力工作评价。Objective To construct an evaluation index system of public health emergency preparedness capacity in county-level centers for disease control and prevention(CDC),so as to provide the evidence for improving the public health emergency preparedness capacity in county-level CDC.Methods An index system framework was created based on review of health emergency policies,laws and regulations released in China from 2003 to 2023.The importance,sensitivity and accessibility of indicators were scored and screened through two rounds of Delphi expert consultations,and the weights of indicators were calculated using precedence charts.The efficiency of Delphi expert consultations was evaluated using the active coefficient,authority coefficient and coordination coefficient.Results Eighteen experts participated in consultations,including 9 men,15 with educational levels of master degree and higher,12 with preventive medicine or public health as the specialty,and 12 with deputy senior professional titles and higher.The active coefficients of two rounds of consultations were 100.00%and 94.44%,and the authority coefficients were 0.83 and 0.84,respectively.The coordination coefficients of secondary and tertiary indicators during the second round consultation were 0.341 and 0.241,which were both higher than those during the first round(both P<0.05).The final evaluation index system included 8 primary indicators,21 secondary indicators and 58 tertiary indicators.Among primary indicators,health emergency organization and management(0.2031),health emergency team building(0.2031)and financial support for health emergency(0.2031)had the highest weights,and of secondary indicators,completion degree of health emergency administration regulations(initial weight/global weight:0.7500/0.1523),health emergency team building(0.7500/0.1523)and financial support for emergency(0.7500/0.1523)had the highest weights,while among tertiary indicators,defining the duty of health emergency administration sectors had the highest weight(0.7500/0.1142).Conclu

关 键 词：县级疾控中心 突发公共卫生事件应急准备 指标体系 德尔菲法 

分 类 号：R197.2[医药卫生—卫生事业管理]