The development of a performance evaluation index system for Chinese Centers for Disease Control and Prevention:a Delphi consensus study  

作　　者：Huimin Sun Ying Wang Huanle Cai Pengyu Wang Jie Jiang Congxing Shi Yongyue Wei Yuantao Hao 

机构地区：[1]Department of Epidemiology and Biostatistics,School of Public Health,Peking University,Beijing,China [2]Department of Medical Statistics,School of Public Health,Sun Yat-Sen University,Guangzhou,China [3]Peking University Center for Public Health and Epidemic Preparedness&Response,Beijing,China [4]Key Laboratory of Epidemiology of Major Diseases(Peking University),Ministry of Education,Beijing,China

出　　处：《Global Health Research and Policy》2024年第1期315-328,共14页全球健康研究与政策(英文)

基　　金：National Natural Science Foundation of China(82204162,81973150).

摘　　要：Background The performance evaluation of the Centers for Disease Control and Prevention(CDC)is crucial for enhancing the quality of public health services.With the ongoing reform of the CDC system in China,the existing performance evaluation system faces challenges.This study used the Delphi method to develop a new performance evaluation system for China’s provincial,city,and county-level CDC.Methods Following the“Structure-Process-Outcome”model,assessment indicators were systematically collected.Indicators were modified and screened through two Delphi rounds based on CDC responsibilities,health develop-ment,and national policies.Twenty-four experts provided ratings and recommendations,and the research team evaluated questionnaire reliability,expert positivity,expert authority,and opinion consistency.Results The preliminary index system identified through the literature review and pre-survey included 11 primary,30 secondary,and 64 tertiary indicators.After the first round of consultation,two secondary indicators and 11 ter-tiary indicators were removed and 22 tertiary indicators were added.After the second round of consultation,three secondary indicators and 11 tertiary indicators were removed and three tertiary indicators were added,at which point the p-value of the test for Kendall’s coefficient of concordance W was<0.001 and the coefficient of variation was within acceptable limits(<0.25),so the consultation was concluded.The final index system included 11 primary,25 secondary,and 67 tertiary indicators.Conclusions This study responded to the CDC system reform by developing a comprehensive performance evalua-tion index system for provincial,city,and county-level CDC in China.The index system is both scientifically grounded and practical,serving as an effective tool for promoting the high-quality work of CDC organizations.

关 键 词：Delphi method Performance evaluation CDC Public health Index system 

分 类 号：TP3[自动化与计算机技术—计算机科学与技术]