构建结核病实施性研究课题评价指标体系的研究

Establishing indicator system of evaluation on tuberculosis operational research

目的建立一套结核病实施性研究课题全程评价指标体系。方法遴选结核病防治和研究相关的专家20名，采用两轮德尔菲（Delphi）专家咨询法函询专家意见，从专家的积极性、权威程度和协调程度来评价德尔菲法的效果，计算各指标的平均得分，采用百分权重法计算各指标的权重系数，确定评价指标体系。结果确定了包含课题立项评价、实施过程评价、研究产出评价和研究应用评价4个一级指标和29个二级指标的全程评价指标体系及其百分权重。两轮函询专家的咨询表回收率均为95．0％（19／20），提出建议的专家分别占36．8%（7／19）和21．1％（4／19）；二级指标的权威系数在0．82--0．89之间，变异系数在0．09～0．23范围；二级指标的协调系数为0．414（x2=156．541，P〈0．01）；二级指标平均分最高为9．60分，最低为7．37分，5个指标平均分在9．0分以上，分别为9．53、9．60、9．30、9．03和9．03分。结论评价指标体系具有可信性和可操作性，适用于结核病实施性研究课题的总体和阶段性的评价。

Objective To establish an indicator system to evaluate the whole process of tuberculosis opera- tional research. Methods Two rounds of Delphi consultation were implemented among 20 selected experts, and the effect of Delphi was evaluated from the aspects of enthusiasm, authority degree and coordination degree of the panel experts. The average score of every indicator was calculated, and the weights of indicators were obtained by percentage weight method. Results An evaluation indicator system including 4 first-class and 29 second-class indi cators with percentage weights was established, covering the whole process of research selection, implementation, output and application. The enthusiasm coefficient of panel experts were 95.0% （19/20） for two rounds, and sug- gestion were given by 36.8 % （7/19） and 21.1 % （4/19） of experts respectively. The authority coefficients（Cr） of all second-class indicators ranged from 0.82 to 0.89, and coefficient of variation（CV） from 0.09 to 0.23. The coordi- nation coefficient of se-cond-class indicators was 0. 414（x2 =156. 541, P〈0.01）. The highest average score of se- cond-class indicator was 9.60 and the lowest one was 7.37, and average scores for 5 indicators were higher than 9. 0, being 9.53, 9.60, 9. 30, 9.03 and 9. 03. Conclusion The evaluation indicator system with reliability and operability is suitable for making both the whole process evaluation and stage evaluation on tuberculosis operational research.