摘要
目的构建卫生机构应急能力评价指标体系,为基层卫生机构更好开展应急能力评价提供有效工具。方法对文献研究并进行筛选,整合及处理相关信息,实施评价指标归类处理,采用德尔菲法梳理并统计分析有关评价指标体系的评价指标集,体系制订框架以及评价内容和评价指标纳入情况。结果18名专家访谈有效问卷16份,无效问卷2份,完全满足调查需求;专家权威系数达0.81,具有高度权威性,且可信度有保障;除去医疗机构灾难易损性评估、现状评估类评估相关文献6篇,非基层卫生机构文献11篇,非基层卫生事件应对能力评价标准文献9篇,最终纳入文献8篇,且均为期刊论文;每一项评估指标设定所用评价方法主要以主观评分法、德尔菲法为主;梳理得出基层卫生机构应急能力评价指标4个一级指标、14个二级指标、50个三级指标;通过整理与分析二级指标和三级指标评价结构,得到10个一级指标,29个二级指标,40个三级指标的基层卫生机构应急能力评价指标体系。结论利用适用性及科学性均较高的应急能力评价指标体系可以为基层卫生机构更好展开应急能力评估,以及提高其自身应急能力评估效率与质量提供有效依据。
Objective To provide effective tools for better evaluation of emergency response capabilities of grassroots health institutions and to construct an evaluation index system for emergency response capabilities of health institutions.Methods By researching and screening the literature,integrating and processing relevant information,the evaluation indicators were classified and processed.In addition,methods such as selection consultation according to the"Delphi method",sort out and statistically analyze the evaluation index set of the evaluation index system,the system formulation framework,the evaluation content and the inclusion of evaluation indicators.Results 16 valid questionnaires and 2 invalid questionnaires were interviewed by 18 experts,fully meeting the survey needs.The expert authority coefficient reaches 0.81,which is highly authoritative and has guaranteed credibility,excluding 6 related literatures on disaster vulnerability assessment and current situation assessment of medical institutions,11 literatures on non-primary health institutions,and 9 literatures on non-primary health event response capability evaluation standards,8 literatures were finally included,all of which were journal articles.The evaluation methods used in setting each evaluation indicator are mainly subjective scoring method and Delphi method.After sorting out,4 first-level indicators,14 second-level indicators,and 50 third-level indicators were obtained for the evaluation of emergency response capabilities of primary health institutions.By sorting out and analyzing the evaluation structure of secondary indicators and third-level indicators,an evaluation index system for emergency response capabilities of grassroots health institutions was obtained with 10 first-level indicators,29 second-level indicators,and 40 third-level indicators.Conclusion The use of an emergency response capability evaluation index system with high applicability and scientificity can provide effective basis for grassroots health institutions to better carry ou
作者
曹伟加
罗健斌
谢亿强
胡惠玲
张雪君
CAO Weijia;LUO Jianbin;XIE Yiqiang;HU Huiling;ZHANG Xuejun(Community Health Service Center,Luopu Street,Panyu District,Guangzhou,Guangdong Province,510000 China)
出处
《中国卫生产业》
2024年第4期204-208,216,共6页
China Health Industry
关键词
基层卫生机构
应急能力
评价指标
体系构建
Primary health institutions
Emergency response capabilities
Evaluation indicators
System construction
