社区卫生应急预案评价指标体系的构建研究

Establishment of Assessment Index System for Community Health Emergency Plan

目的构建一套适用于社区卫生应急预案评价的指标体系。方法根据研究目的遴选咨询专家,采用Delphi法进行两轮问卷咨询。结果按照专家选择标准,遴选出了32名专家,其中第一轮咨询为31人参与,第二轮为28人参与。两轮咨询问卷回收率分别为96.9%和90.3%;专家权威系数分别为0.75和0.77;经两轮咨询后,各级指标的专家协调系数比第一轮有了明显提高,均≥0.40,差异有统计学意义(P<0.05)。根据专家意见及规定标准,筛选出符合要求的指标构建评价体系,该体系由3个一级指标、13个二级指标和47个三级指标构成。结论初步构建了社区卫生应急预案评价指标体系,为社区预案评价提供依据。

Objective To establish a set of index system suitable for evaluating the health emergency plan at the com- munity level. Methods Specialists were selected according to the purpose of research and Delphi method was applied to form the sketch of index system. Results According to the criteria totally 32 experts were selected, with 31 in the first round and 28 in the second. The retrieval rates of the two rounds of consultation inventory were 96.9% and 90. 3% respectively; the authority coeffi- cients of the two rounds of consultation were 0.75 and 0. 77 respectively. After twice consultation, the harmonious coefficients of all index in each grade were improved obviously, being all ~〉0. 40, and the difference was of statistic significance （P 〈 0.05 ）. According to the advice and criteria of the experts, the index construction and assessment system conforming to the requirements was set up, including 3 first - level indicators, 13 secondary indicators and 47 tertiary indicators. Conclusion An assessment index system for the community health emergency plan has been basically established, which provides a basis for the evaluation of community plan.