卫生发展援助动因分析指标体系构建

Establishment of index system for motivation analysis of development assistance for health

目的:构建卫生发展援助动因分析指标体系,以深入了解当今以发达国家为主的援助国自21世纪以来的卫生发展援助动因,并为卫生发展援助动因提供量化分析工具。方法:基于“混合模型”(hybrids models)构建初始动因分析理论框架,运用德尔菲专家咨询法进行指标筛选,采用层次分析法确定指标权重。结果:构建了包含4个一级指标、10个二级指标、22个三级指标的指标体系。4个一级指标分别为:援助国政治利益、援助国经济利益、援助国安全利益、受援国需求。两轮专家咨询的问卷有效回收率均为95.5%,专家权威系数为0.867,Kendall’s W系数分别为0.216~0.322,结果可靠。结论:本研究初步构建了一套用于分析卫生发展援助动因的指标体系,有助于增加对援助国援助行为的理解,加强与他国在卫生发展援助的协调合作。同时,该指标体系为中国未来在卫生发展援助决策方面提供了辅助的量化分析工具。

Objective:To establish an index system of motivation analysis of development assistance for health(DAH),so as to gain a deeper understanding of the motivations behind DAH provided predominantly by developed countries since the 21st century.Additionally,this study aims to offer a quantitative tool for DAH motivation analysis.Methods:An initial theoretical framework for motivation analysis was constructed based on“hybrid models”.The Delphi method was used for indexes screening,and the analytic hierarchy process was employed to determine index weights.Results:The index system was comprised of 4 primary indexes,10 secondary indexes,and 22 tertiary indexes.The 4 primary indexes are:political interests of donor countries,economic interests of donor countries,security interests of donor countries,and the needs of recipient countries.The effective response rates for two rounds of consultations were both 95.5%,with an authority coefficient of 0.867 and Kendall’s W coefficients ranging from 0.216 to 0.322,indicating the reliability of the results.Conclusion:The index system for analyzing the motivation of DAH was preliminarily established by this research,which helps enhance the understanding of donors DAH behaviors and strengthens coordination and cooperation with other donors in DAH.And it provides a quantitative analytical tool to assist in future DAH decision making for Chinese government.