空军飞行学员医学选拔体系评估指标研究

Study on the evaluation and assessment system for the construction of medical selection system of Air Force flying cadets

目的 构建飞行学员医学选拔体系评估指标,为完善我国空军飞行学员医学选拔理论和提高勤务组织工作效能提供科学依据. 方法 采用文献调查法、实地调研法和系统分析法,筛选评估指标要素,构建评估指标体系框架.在兼顾专家单位构成、专业构成和其对空军飞行学员医学选拔领域熟悉的基础上,遴选22名咨询专家,包括高级职称19名和机关人员3名.采用德尔菲（Delphi）专家问卷咨询法和层次分析法.按照德尔菲专家咨询要求,开展3轮专家咨询,每轮咨询过程持续25～35 d.根据专家意见和评分结果,对空军飞行学员医学选拔体系评估指标体系框架进行修改完善,确立评估指标体系和各级指标权重. 结果 ①发放调查问卷139份,问卷回收率90.65％,回收问卷有效率89.68％.20世纪80年代中后期以来,我国空军飞行学员医学选拔体系发展迅速,但仍存在组织管理效率低、规章制度不完善、专家队伍建设不合理和装备设备建设滞后等问题.②3轮德尔菲专家咨询问卷回收率分别为90.9％、95.0％和94.7％,协调系数分别为0.543、0.706、0.799,专家意见协调的可信度高（χ2=39.08、50.82、57.53,P＜0.01）.③确立了空军飞行学员医学选拔体系评估指标,下设5个一级指标、13个二级指标和35个三级指标.一级指标（组织建设、制度建设、队伍建设、装备建设、业务建设）权重分别为0.162、0.172、0.400、0.184、0.082,最终指标权重通过一致性检验（CR＜0.1）. 结论 本研究构建的一套飞行学员医学选拔体系评估指标,可为我国空军飞行学员医学选拔体系的评估、建设提供理论依据与参考.

Objective To establish the evaluation and assessment system for the construction of medical selection system of Air Force flying cadets and to provide references for improving the theory of Air Force cadets selection system and the work efficiency of medical service organization.Methods The assessment essential indexes were screened and defined by literature review,on site investigation and systemic analysis,and the evaluation index system framework was built then.With the principle of compromising the composition of the specialists and their familiarity with medical selection of military flying cadets,22 specialists,including 19 senior professionals and 3 official staffs,were selected to complete questionnaire and analytic hierarchy process （AHP）.Three rounds of questionnaire investigation were carried out in accordance with the rule of Delphi consultation and each round lasted for 25 to 35 d.The framework of index system of medical selection system of Air Force flying cadets was revised upon specialists＆#39; feedback and scores and the evaluation and assessment system and weight of index at each level of the system were determined.Results ①One hundred and thirty-nine questionnaires were issued.The recovery rate was 90.65% and the available rate was 89.68%.Since middle and late 1980s,China＆#39;s medical selection system of military flying cadets has developed rapidly,but such inefficiencies as low management efficiency,imperfect system,unreasonable specialist team composition and outdated equipment were still there.②The recovery rate of 3 rounds questionnaire was 90.9%,95.0% and 94.7% respectively and the harmonious coefficient was 0.543,0.706 and 0.799.The specialists＆#39; feedbacks showed unisonous reliability （χ2 =39.08,50.82,57.53,P〈0.01）.③The determined construction of medical selection system of Air Force flying cadets included 5 primary indexes,13 secondary indexes and 35 third class indexes.The primary indexes were the organization construction,system construction,team construction,equipment construction and business construction correspondingly with the weight of 0.162,0.172,0.400,0.184 and 0.082.The final weight of index passed the coincidence test （CR 〈 0.1）.Conclusions This study builds an index system to evaluate the construction of medical selection system of Air Force flying cadets.The result of this study can provide the theoretical support and reference to the evaluation of the construction of medical selection system of Air Force flying cadets.