基于德尔菲法的临床医生对突发呼吸道传染病应对能力指标体系构建

Construction of the index system of clinicians’ability to cope with outburst respiratory infectious diseases based on Delphi method

目的运用德尔菲(Delphi)法构建临床医生对突发呼吸道传染病应对能力指标体系,为开发临床医生对呼吸道传染病应对能力培训项目提供内容框架。方法基于文献分析和理论研究构建应对能力指标体系初稿,运用德尔菲法对23名专家进行2轮咨询,使用层次分析法计算指标权重。结果2轮专家咨询的函询问卷有效回收率均为100%,第一轮及第二轮专家权威系数分别为0.81、0.84;肯德尔和谐系数为0.110~0.350,差异均具有统计学意义(均P<0.01)。经过两轮专家咨询后形成临床医生对突发呼吸道传染病应对能力指标体系,包括3个一级指标、17个二级指标、49个三级指标。结论该指标体系不仅可用于评价临床医生对突发呼吸道传染病应对能力,同时可作为临床医生应对呼吸道传染病防控能力培训项目的内容框架。

Objective To construct an index system of clinicians’ability to cope with outburst respiratory infectious diseases,and provide a framework for developing corresponding training programs.Methods Based on literature analysis and theoretical research,the first draft of competency index system was constructed,2 rounds of consultation to 23 experts were conducted using Delphi method,and the index weights were calculated by analytic hie-rarchy process.Results The effective recovery rate of correspondence questionnaire in 2 rounds of expert consultation was 100%,and the expert authority coefficients of the first and second rounds were 0.81 and 0.84,respectively.Kendall’s coefficient of concordant was 0.110-0.350,with statistical significance(all P<0.01).After two rounds of expert consultation,an index system of clinicians’ability to cope with outburst respiratory infectious di-seases has been formed,including 3 first-level indexes,17 second-level indexes and 49 third-level indexes.Conclusion This index system not only can be used to evaluate clinicians’ability to cope with outburst respiratory infectious di-seases,but also can be used as content framework for the training program of clinicians’ability to cope with respiratory infectious diseases.