健康中国战略下慢性病防控多部门合作评价指标体系构建研究  

Study on the construction of evaluation index system for multisectoral cooperation in chronic disease prevention and control under the strategy of Healthy China

作　　者：黄玉梅 关丽征[1] 孙力光[2] 韩优莉[1] 张柠 曾雁冰 马骋宇 HUANG Yu-mei;GUAN Li-zheng;SUN Li-guang;HAN You-li;ZHANG Ning;ZENG Yan-bing;MA Cheng-yu(School of Public Health,Capital Medical University,Beijing 100069,China;Capital Medical University,Beijing 100069,China)

机构地区：[1]首都医科大学公共卫生学院,北京100069 [2]首都医科大学,北京100069

出　　处：《中国卫生政策研究》2024年第6期10-16,共7页Chinese Journal of Health Policy

基　　金：国家卫健委揭榜攻关项目(JKZGJBGG2339)。

摘　　要：目的:构建健康中国战略下慢性病防控多部门合作评价指标体系,为多部门合作的评价和改进提供参考。方法:基于D Amour的合作结构模型构建初始指标体系,选择15位公共卫生专家,运用德尔菲法进行两轮专家咨询完善评价指标,通过层次分析法确定指标权重。结果:专家积极系数、权威程度、意见协调程度均较好,最终形成慢性病防控多部门合作评价指标体系,包含5个一级指标、12个二级指标和34个三级指标;一级指标及权重分别为目标愿景(0.2228)、内在认同(0.1587)、治理结构(0.2523)、合作规范(0.1545)、合作效果(0.2118)。结论:本研究构建了适用于县(市/区)的慢性病防控多部门合作评价指标体系,具有较高的科学性及可操作性,为下一步应用及推广奠定基础。Objective:In order to construct a multisectoral cooperation evaluation index system for chronic disease prevention and control in the Healthy China strategy,so as to provide a reference for the evaluation and improvement of multisectoral cooperation work.Methods:The initial indicator system was constructed based on D Amour s cooperative structure model.Fifteen public health experts were selected to refine the evaluation indicators through two rounds of expert consultation using the Delphi method.Then weights of indicators were assigned according to AHP.Results:Experts positive coefficient,level of authority and coordination of opinions were confirmed.The finalized evaluation index system for multisectoral cooperation in chronic disease prevention and control contains 5 first-level indicators,12 second-level indicators and 34 third-level indicators.According to the weight,the indicators in first level were Shared Goals and Vision(0.2228),Internalization(0.1587),Formalization(0.2523),Governance(0.1545)and Cooperation effects(0.2118).Conclusions:The evaluation index system applicable to multisectoral cooperation in the prevention and control of chronic diseases in counties(cities/districts)is preliminarily established,which is highly scientific and operable,and lays the foundation for the next step of application and promotion.

关 键 词：慢性病防控 多部门合作 指标体系 德尔菲法 层次分析法 

分 类 号：R197[医药卫生—卫生事业管理]