上海市社区卫生服务中心国家基本药物制度实施效果的评价指标体系构建
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篇名: 上海市社区卫生服务中心国家基本药物制度实施效果的评价指标体系构建
TITLE:
摘要: 目的:为构建合理的社区卫生服务中心国家基本药物制度实施效果的评价指标体系提供参考。方法:通过采用理论分析、文献研究和专家访谈等方法设计备选评价指标体系框架,进而运用德尔菲法构建上海市社区卫生服务中心国家基本药物制度实施效果的评价指标体系,并运用层次分析法确定各级指标的权重。结果:两轮德尔菲法专家咨询的受访专家积极系数均较高,分别为88.24%(15/17)和86.67%(13/15);第1轮咨询结构指标、过程指标和结果指标的受访专家权威程度系数分别为0.68、0.68和0.69,表明受访专家权威程度较高;第2轮咨询较第1轮的受访专家协调系数有所提高(结构指标、过程指标、结果指标两轮分别为0.286、0.306、0.193和0.345、0.358、0.337),说明经两轮专家咨询后受访专家意见具有较强的一致性。最终形成了由3个一级指标、13个二级指标和27个三级指标构成的评价指标体系。结论:本研究专家选择具有一定的典型性,咨询结果具有较高的可信度,构建的评价指标体系较为合理,权重设置比较科学,是一次方法学上的探索。
ABSTRACT: OBJECTIVE: To provide reference for the construction of suitable evaluation index system for the implementation of National Essential Medicine System in community health service center. METHODS: The frame of evaluation index system was designed by theoretical analysis, literature study and expert interviews methods. Delphi method was used to establish evaluation index system for National Essential Medicine System in Shanghai community health service center. Analytic hierarchy process was adopted to determine the weights of indicators at all levels. RESULTS: The positive coefficients of the two rounds consultations were 88.24% (15/17) and 86.67% (13/15). The authority coefficient of structural index, processing index and result index in the first round consultation were 0.68, 0.68 and 0.69, respectively, which showed that the authority degree was higher. The coefficient of concordance in the second round consultation was higher than the first round (the indexes of structure, process and result in two rounds consultation were 0.286,0.306,0.193 and 0.345, 0.358, 0.337, respectively), which indicated the expert opinions were highly consistent. Established evaluation index system consisted of 3 first-level indexes, 13 second-level indexes and 27 third-level indexes. CONCLUSIONS: The selected experts were representative, the consultation results were reliable, established evaluation index system was rational and the setting of weights was scientific. Also this study was a methodological exploration.
期刊: 2017年第28卷第24期
作者: 洪兰,叶桦
AUTHORS: HONG Lan,YE Hua
关键字: 上海市;社区卫生服务中心;国家基本药物制度;实施;效果;评价指标体系;德尔菲法;层次分析法
KEYWORDS: Shanghai; Community health service center; National Essential Drug System; Implementation; Effect; Evaluation index system; Delphi method; Analytic hierarchy process
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