耐多药结核病防治绩效评价指标体系构建

Establishment of an indicator system for performance evaluation on multi-drug resistant tuberculosis prevention and control

目的构建一套耐多药结核病防治工作绩效评价的指标体系。方法通过文献综述初步构建评价指标体系,经两轮德尔菲(Delphi)专家咨询法获取专家对指标体系的意见并计算相应参数,采用模糊综合评判法计算各级指标的权重。结果19名结核病防治领域的专家参与本研究,平均年龄44.26岁,从业年限平均为19.42年。两轮专家咨询的积极系数均为95%,最终确定8个一级指标,20个二级指标和70个三级指标。一级指标中,"实验室服务"占有最高的权重(0.1332),二级指标"实验室检测能力"占有最高的权重(0.0524),三级指标中"是否配备痰标本/菌株运输箱、储存痰标本/菌株的冰箱等设备"的权重最高(0.0165)。结论本研究建立的耐多药结核病防控的绩效评价指标体系全面、客观,具有较高可信性和可操作性。

Objective To establish an indicator system for performance evaluation on the prevention and control of multidrug resistant tuberculosis(MDR-TB).Methods Literature review and analysis were used to select primary indicators for the evaluation.Two rounds of Delphi consultation were conducted among 19 experts for the assessment and identification of the primary indicators.A series of related coefficients were calculated,including weight coefficients calculated with fuzzy comprehensive evaluation method.Results The average age of the 19 experts was 44.26 years and the mean years of professional work was 19.42 for the experts.Both coefficients of experts′motivation were 95%for the two rounds consultation.The finally established indicator system consisted of 8 first,20 second,and 70 third level indicators.The indicators with the greatest weight were laboratory support(0.1332),laboratory detection capability(0.0524),and equipments for transportation and preservation of sputum specimens and bacterial strain samples(0.0165)among the first-,second-,and third-level indicators,respectively.Conclusion The established indicator system for the evaluation of MDRTB prevention and control is of reliability and operability.