基于德尔菲法和层次分析法构建《布鲁氏菌病诊断》(WS 269-2019)标准跟踪评价指标体系  

Construction of a follow-up evaluation index system for"Diagnosis of Brucellosis"(WS 269-2019)based on Delphi method and analytic hierarchy process

作　　者：罗波艳 范锁平[1] 聂守民 马彩琴 安翠红[1] 王文静 周地佳 常文辉[1] 孙养信[1] Luo Boyan;Fan Suoping;Nie Shoumin;Ma Caiqin;An Cuihong;Wang Wenjing;Zhou Dijia;Chang Wenhui;Sun Yangxin(Institute for Plague and Brucellosis Prevention and Control,Shaanxi Provincial Center for Disease Control and Prevention,Xi'an 710054,China;School of Public Health,Xi'an Jiaotong University Health Science Center,Xi'an 710049,China)

机构地区：[1]陕西省疾病预防控制中心鼠疫与布病防控所,西安710054 [2]西安交通大学医学部公共卫生学院,西安710049

出　　处：《中华地方病学杂志》2023年第5期363-368,共6页Chinese Journal of Endemiology

基　　金：2021年度公共卫生领域卫生健康标准评估项目(中疾控标准便函[2021]517号)。

摘　　要：目的构建《布鲁氏菌病诊断》(WS 269-2019)标准跟踪评价指标体系,为下一步修订和完善该标准提供参考依据。方法查阅相关参考文献和资料初步建立《布鲁氏菌病诊断》(WS 269-2019)标准评价指标体系,选择布鲁氏菌病诊疗和防控领域的专家,运用德尔菲法以问卷的形式开展两轮专家咨询,对评价指标的必要性、可获得性等进行评分,以及提出修改、增加指标的意见,据此建立标准跟踪评价指标体系。同时,结合Saaty标度构建判断矩阵,运用层次分析法计算体系中各指标的权重。结果经过两轮专家(n=10)咨询,构建了3个一级指标、8个二级指标和21个三级指标的《布鲁氏菌病诊断》(WS 269-2019)标准跟踪评价指标体系。两轮问卷的专家积极系数均为100%;专家权威系数为0.82;一、二、三级指标的肯德尔和谐系数分别为0.722、0.260、0.181,经检验均P<0.05。一级指标中,标准质量评价的权重最高(0.364),标准实施状况的权重最低(0.278);二级指标中,社会效益的组合权重最高(0.186),先进性的组合权重最低(0.043);三级指标中,及时确诊率的组合权重最高(0.096),与技术资料一致性的组合权重最低(0.009)。结论构建的《布鲁氏菌病诊断》(WS 269-2019)标准跟踪评价指标体系科学可靠,通过定性、定量相结合的评价方法,减少了单一评价的缺陷,为后续标准的修订和完善提供了依据。Objective To construct a follow-up evaluation index system for"Diagnosis of Brucellosis"(WS 269-2019),and provide a reference basis for the next revision and improvement of the standard.Methods The evaluation index system for"Diagnosis of Brucellosis"(WS 269-2019)was preliminarily established by consulting relevant references and materials.The experts in the field of diagnosis,treatment,prevention and control of brucellosis were selected,and two rounds of expert consultation were carried out in the form of questionnaires using the Delphi method.The necessity and availability of evaluation indicators were scored,and suggestions for modifying and adding indicators were put forward.Based on this,a standard follow-up evaluation index system was established.At the same time,a judgment matrix was constructed combined with the Saaty scale,and the analytic hierarchy process was used to calculate the weight of each index in the system.Results After 2 rounds of expert(n=10)consultation,a standard follow-up evaluation index system for"Diagnosis of Brucellosis"(WS 269-2019)was constructed with 3 first-level indexes,8 second-level indexes and 21 third-level indexes.The positive coefficients of experts in 2 rounds of questionnaires were both 100%;the coefficient of authority of experts was 0.82;the Kendall's coefficients of concordance of first-level,second-level and third-level indexes were 0.722,0.260,and 0.181,respectively,with P<0.05.Among the first-level indexes,the weight of standard quality evaluation was the highest(0.364),and the weight of standard implementation status was the lowest(0.278);among the second-level indexes,the combined weight of social benefits was the highest(0.186),and the combined weight of advanced nature was the lowest(0.043);among the third-level indexes,the combined weight of timely diagnosis rate was the highest(0.096),and the combined weight of consistency with technical data was the lowest(0.009).Conclusions The constructed follow-up evaluation index system for"Diagnosis of Brucellosis"(WS 26

关 键 词：布鲁杆菌病 诊断标准 跟踪评价 德尔菲法 层次分析法 指标体系 

分 类 号：R516.7[医药卫生—内科学]