基于改良德尔菲法构建健康企业建设成本效益评价指标体系研究  

Study on the establishment of a cost-benefit evaluation index system for health enterprises construction based on the modified Delphi method

作　　者：孙彦彦[1] 任军[1] 万泉 柴培培 李涛[1] 张美辨 孙谨芳[3] 李霜[1] SUN Yanyan;REN Jun;WAN Quan;CHAI Peipei;LI Tao;ZHANG Meibian;SUN Jinfang;LI Shuang(National Institute of Occupational Health and Poison Control,Chinese Center for Disease Control and Prevention,Beijing 100050,China;不详)

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]国家卫生健康委卫生发展研究中心,北京100044 [3]中国疾病预防控制中心,北京102206

出　　处：《中国职业医学》2024年第6期622-628,共7页China Occupational Medicine

基　　金：中国疾病预防控制中心职业卫生与中毒控制所青年基金(131031109000290001)。

摘　　要：目的构建适用于健康企业建设的成本效益评价(CBE)指标体系,为开展健康企业建设经济学评价提供有效工具。方法综合运用现场调查、关键知情者访谈法和文献回顾法,初步构建健康企业建设的CBE指标体系指标池;采用改良德尔菲法对21位专家展开两轮专家函询工作,依据专家意见对评价指标体系进行调整和完善,最终确立适用于健康企业建设CBE的指标体系。结果两轮专家咨询的问卷回收率均为100.0%。专家权威程度系数为0.88;第2轮专家咨询对成本投入指标、效应指标的Kendall's W协调系数分别为0.14和0.15(P值均<0.001);指标体系信度评价的Cronbach'sα系数均>0.80。最终构建健康企业建设CBE指标体系中,成本投入指标围绕“健全管理制度”“建设健康环境”“完善健康管理与服务”“营造健康文化”4个维度展开,涵盖一级指标4个、二级指标10个、三级指标22个;效益指标主要聚焦于“健康生产力”“临床产出”“经济产出”“人文产出”等维度,包括一级指标4个、二级指标10个、三级指标23个。结论本研究构建的健康企业建设CBE指标体系具有较高的可靠性、科学性和实用性,可作为评价健康企业建设成本效益的工具进行推广应用,并为后续研究提供有力支撑。Objective To establish a cost-benefit evaluation(CBE)index system which is suitable for health enterprise construction,and provide an effective tool for conducting economic evaluation of health enterprise development.Methods The index pool of CBE index system for health enterprise construction was initially established by comprehensive use of field surveys,key informant interviews and literature review.The improved Delphi method was used to conduct two rounds of expert correspondences with 21 experts,through which the evaluation indicator system was adjusted and refined based on the experts'opinions,ultimately the CBE indicator system suitable for health enterprise construction was determined.Results The effective questionnaire recovery rates of the two rounds of expert consultations were 100.0%.The expert authority coefficients was 0.88,and the Kendall's W coordination coefficients of the cost input indicator and benefit indicator in the second round of expert consultation were 0.14 and 0.15(all P<0.001),with Cronbach'sαcoefficient of reliability evaluation of index system were all>0.80.The final CBE index system for health enterprise construction includes cost input indicators focusing on four dimensions:“improving management systems”,“building a healthy environment”,“enhancing health management and services”,and“cultivating a healthy culture”.It covered four primary indicators,ten secondary indicators,and 22 tertiary indicators.The benefit indicators mainly focused on the four primary indicators,including“health productivity”,“clinical output”,“economic output”,and“cultural output”,ten secondary indicators,and 23 tertiary indicators.Conclusion The CBE indicator system for health enterprise construction developed in this study is highly reliable,scientific,and practical.It can serve as a tool for the preliminary evaluation and general application of the cost-benefit evaluation of health enterprise construction and provide strong support for future research.

关 键 词：健康企业 成本效益 评价 指标体系 改良德尔菲法 专家咨询 

分 类 号：R135.99[医药卫生—劳动卫生]