中国结核病防治规划监控与评价指标可行性研究

Feasibility assessment of indicators for monitoring and evaluating national tuberculosis control and prevention programs

目的了解中国结核病防治规划监控与评价(ME)指标的可行性,为建立ME指标体系提供参考依据。方法于2007年7月至2008年6月采用Delphi专家咨询法和专家会议法相结合的方法对ME指标的可行性进行评价。结果两轮函询的问卷回收率均为100.00%。邀请30名专家,包括统计监测(10.00%)、实验室(10.00%)和结核病控制专家(80.00%),93.33%都在各自领域工作了10年以上,63.33%来自国家级,83.33%是副高及以上职称。ME指标体系共有10类69个指标,其中政府承诺的11个指标均可行,患者发现的18个指标中15个可行,患者治疗管理的14个指标中9个可行,实验室、登记报告以及药品供应与管理等26个指标中19个可行。结论所选专家具有丰富的实践经验和理论知识,结果显示,对指标的可行性分析能够较好地指导我国结核病防治规划的ME工作。

Objective To explore the feasibility of indicators for monitoring and evaluating（ME） national tuberculosis control and prevention programs（NTP）,and provide reference infrastructure for the establishment of ME indicator system.Methods The combination of Delphi expert consulting and expert meeting methods was used to evaluate the feasibility of ME indicators between July 2007 and June 2008.Results The feedback rates were 100.00% for two rounds of Delphi questionnaires.Thirty invited experts came from the fields of statistics and disease surveillance（10.00%）,laboratory testing（10.00%） and tuberculosis control and treatment（80.00%）,respectively.Of them,93.33% worked in TB intervention for over 10 years,63.33% worked in national institutes,and 83.33% had senior titles of technical position.There were 69 indicators,which were classified into 10 groups in the ME indicator system.The feasible indicators of ME system evaluated by experts included 11 ones of government promises and activities,15 ones among 18 indicators of TB patient detection and diagnosis,9 ones among 14 indicators of patient treatment and management,and 19 ones among 26 indicators of laboratory testing,patient registration and report,drug supply and management,etc.Conclusion The feasibility assessment provides practical indicators for monitoring and evaluating China tuberculosis control and prevention programs.