三级综合医院突发公共卫生事件应急准备能力评价指标体系的构建

Construction of an evaluation index system for public health emergency preparedness in tertiary general hospitals

目的构建适用于我国三级综合医院突发公共卫生事件应急准备能力评价指标体系。方法基于文献回顾、理论分析、专家小组会议和德尔菲函询法,运用层次分析法构建应急准备能力评价指标体系。结果2轮函询问卷回收率均为100%,专家权威程度为0.879,肯德尔和谐系数分别为0.172、0.621(P<0.001),最终形成7个一级指标、20个二级指标和74个三级指标。一级指标及其权重分别为:指挥与管理(权重0.209)、应急信息沟通(权重0.123)、应急安全(权重0.092)、预检分诊(权重0.209)、紧急应变(权重0.034)、应急人力资源(权重0.123)和应急装备物资(权重0.209)。结论构建的三级综合医院突发公共卫生事件应急准备能力评价指标具有较好的科学性和适用性,可以为调查、规范和提升三级综合医院突发公共卫生事件应急准备能力,完善医院公共卫生应急能力指标体系提供依据。

Objective To construct an evaluation index system for public health emergency preparedness in tertiary general hospitals in China.Methods Based on a literature review,theoretical analysis,expert panel meetings,and the Delphi method,the analytic hierarchy process was used to construct the evaluation index system for emergency preparedness capacity.Results The response rates of the two rounds of questionnaires were 100%,the authority degree of experts was 0.879,and the Kendall coordination coefficients were 0.172 and 0.621(P<0.001),respectively.Finally,seven first-level indicators,20 second-level indicators,and 74 third-level indicators were formed.The first-level indicators and their weights were:command and management(weight 0.209),emergency information communication(weight 0.123),emergency safety(weight 0.092),pre-check and triage(weight 0.209),emergency response(weight 0.034),emergency human resources(weight 0.123),and emergency equipment and materials(weight 0.209).Conclusions The evaluation index system for public health emergency preparedness capacity in tertiary general hospitals constructed in this study has good scientific and practical applicability.It can provide a basis for investigating,standardizing,and improving the public health emergency preparedness capacity in tertiary general hospitals,and it can also provide a basis for improving the index system of public health emergency capacity in hospitals.