晚期血吸虫病社会负担评价指标的研究

Evaluation Indices of Social Burden Caused by Advanced Schistosomiasis

目的研究我国晚期血吸虫病社会负担评价指标,并确定其权重,为血吸虫病现场防治工作提供科学依据。方法通过文献资料确定晚期血吸虫病社会负担评价的一级指标;召开头脑风暴专家会议初步确定其二级指标;经第1轮专家咨询法对上述二级指标进行筛选,并对一级指标的重要性进行排序;通过第2、3轮专家咨询法得到各个二级指标的权重值。结果晚期血吸虫病社会负担评价指标体系由4个一级指标及16个二级指标构成。4个一级指标按其重要性排序依次为社会经济、政府形象、大众心理、社会安定。"社会经济"中"中央及地方政府投入的血防经费"的权重系数最大,为14.063;"政府形象"中"对患者的公平性即是否一视同仁"的权重系数最小,为3.125。结论本研究对晚期血吸虫病社会负担的各层面及其重要性进行了研究,确立了晚期血吸虫病社会负担评价指标体系。

Objective To study the evaluation indices and their weights of social burden caused by advanced schistosomiasis so as to provide scientific basis for control of the disease. Methods Primary indices of social burden evaluation for advanced schistosomiasis were summarized based on literature review. Secondary indices were put forward by a brainstorming process of experts. After the first round Delphi method, the secondary indices that needed were chosen, and the importance of primary indices was prioritized. Through the second and third round Delphi method, the weight of each secondary index was obtained. Results Four primary indices and 16 secondary indices consisted the index system of social burden induced by the disease. According to the significance, the 4 primary indices were arranged as social economy, government image, public psychology and social security. The weight of ＂funding for schistosomiasis control from central and local governments＂ in ＂social economic＂ stood the largest （14.063）, while that of ＂equity to patients＂ in ＂government image＂, the smallest （3.125）. Conclusion The study covers all major aspects and their significance in social burden of advanced schistosomiasis, and an evaluation index system has been established for field validation.