农村老年慢性病患者健康贫困脆弱风险指标体系构建

Construction of health poverty vulnerability risk index system for rural elderly chronic patients

目的构建农村老年慢性病患者健康贫困脆弱风险指标体系。方法通过文献研究、半结构式访谈、实地调研、专家咨询及层次分析法,确定农村老年慢性病患者健康贫困脆弱风险指标及各指标权重。结果2轮专家咨询问卷回收率分别为100%、94.1%,专家权威系数分别为0.918、0.928,肯德尔和谐系数分别为0.201、0.242(均P<0.05)。最终形成的农村老年慢性病患者健康贫困脆弱风险指标体系包括6个一级指标、19个二级指标、78个三级指标。结论构建的农村老年慢性病患者健康贫困脆弱风险指标体系具有较高的可靠性、合理性,可为农村老年慢性病患者健康贫困脆弱风险识别和应对提供参考。

Objective To construct health poverty vulnerability risk index system for rural elderly chronic patients.Methods Through literature review,semi-structured interviews,on-site survey,expert consultation,and the analytic hierarchy,the health poverty vulnerability risk indicators and the weights of each indicator were identified for rural elderly chronic patients.Results The response rates of the 2 rounds expert consultation were 100%and 94.1%,the expert authority coefficients were 0.918 and 0.928,and the Kendall coordination coefficients were 0.201 and 0.242(both P<0.05).The final health poverty vulnerability risk index system for rural elderly chronic patients included 6 primary indicators,19 secondary indicators,and 78 tertiary indicators.Conclusion The health poverty vulnerability risk index system for rural elderly chronic patients has good reliability and rationality,and it can provide references for identifying and coping with the health poverty and vulnerability risks for rural elderly chronic patients.