摘要
目的建立科学、规范的社会工作者(社工)介入严重精神障碍社区服务综合评价指标体系。方法采用文献资料法和德尔菲法,建立社工介入严重精神障碍社区服务综合评价指标体系框架并编制专家咨询问卷;于2015年5—8月采用电子邮件的方式对10例从事临床精神医学、精神科护理、社会医学、社会工作、社区精神病学、公共卫生领域工作且具有10年及以上专业技术工作经历、中级及以上职称的专家进行两轮咨询,根据专家意见的协调程度和集中程度,对指标进行增减和修改,建立社工介入严重精神障碍社区服务综合评价指标体系及其权重。结果两轮专家咨询,均发放问卷10份,回收有效问卷10份,有效回收率均为100%。专家的熟悉系数、判断系数、权威系数分别为0.725、0.850、0.788。两轮专家意见协调系数(W)分别为0.403、0.464,差异均有统计学意义(P<0.05)。构建了一个包括3个一级指标(资源投入、服务绩效、工作结果)、13个二级指标和58个三级指标的社工介入严重精神障碍社区服务综合评价指标体系,其中一级指标的权重分别为0.338 0、0.331 0、0.331 0。结论专家的积极程度高,权威性和协调性较好,筛选出的综合指标可为社工介入严重精神障碍社区服务综合评价提供依据。
Objective To establish a scientific and standardized comprehensive evaluation index system of social workers involved in the community services of patients with severe mental disorder. Methods By the literature and Delphi methods, the frame of this comprehensive evaluation index system was established and the expert consultation questionnaire was designed. From May to August in 2015, a two -round consultation was made to 10 experts by e -mail, and all these experts were engaged in clinical psychiatry, psychiatric care, social medicine, social work, community psychiatry, public health, and had 10 years or above of professional and technical working experience, and had intermediate titles or above. According to the degree of coordination and concentration concerning experts＇ opinion, the increase and decrease and modification of indexes were carried out, and the comprehensive evaluation index system of social workers involved in the community services of patients severe mental disorder and its weight were established. Results A total of 10 questionnaires were sent out in each round of the two - round expert consultation, 10 were valid, and the effective response rate was 100%. The familiarity coefficient, judgment coefficient, and authority coefficient of experts were 0. 725, 0. 850 and 0. 788 respectively. The coordination coefficient （W） in the two -round expert consultation was 0. 403 and 0. 464 respectively, and they were significantly different （P 〈 0. 05 ） . The comprehensive evaluation index system established here included 3 first - level indexes （resource inputs, service performance, work results） , 13 secondary indexes and 58 tertiary indexes. The weights of the first - level indexes were 0. 338 0, 0. 331 0, 0. 331 0 respectively. Conclusion Experts have high positivity, and good authority and coordination. The comprehensive indexes screened out for social workers involved in the community services of patients with severe mental disorder provide a basis for evaluation.
出处
《中国全科医学》
CAS
北大核心
2017年第13期1543-1548,共6页
Chinese General Practice
基金
上海市卫生和计划生育委员会科研项目(20134342)--社会工作者介入重性精神疾病社区治疗康复培训模块及评价指标研究
关键词
社会工作
精神障碍
社区卫生服务
综合评价指标体系
Social work
Mental disorders
Community health services
Comprehensive evaluation index system
