中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
4期
348-351
,共4页
李仁忠%梁明理%陈诚%赵津%王黎霞
李仁忠%樑明理%陳誠%趙津%王黎霞
리인충%량명리%진성%조진%왕려하
德尔菲技术%结核,抗多种药物性%评价研究
德爾菲技術%結覈,抗多種藥物性%評價研究
덕이비기술%결핵,항다충약물성%평개연구
Delphi technique%Tuberculosis,multidrug-resistant%Evaluation,studies
目的 通过德尔菲法筛选出耐多药结核病( MDR-TB)诊断治疗管理的评价体系.方法 从有丰富经验的MDR-TB 工作者中筛选出30名专家,采用3轮德尔菲咨询法征询专家对60个MDR-TB诊断治疗管理拟评价指标的评分及建议,统计分析每轮咨询时专家意见的集中程度(用各指标评分均数和满分比来反映)、协调程度(用协调系数w来反映),计算变异系数、积极系数、权威系数(Cr)等,重新确定指标体系后再次咨询专家建议,并以积极系数和协调系数衡量德尔菲法的效果.结果 3轮专家咨询的积极系数均为100％(30/30),提出建议专家分别占专家总数的40％(12/30)、53％ (16/30)、10％(3/30).第一、二轮咨询Cr值分别为0.82、0.86.经第一、二轮咨询,修改了6个指标,删除了26个指标,最终确定了评价体系的34个指标,其中10个为核心指标,34个指标的平均分均高于4.7,变异系数均低于0.1.3轮专家咨询w值分别为0.36、0.25和0.68.结论通过德尔菲法筛选MDR-TB诊断治疗管理指标效果较好,共确定了包含34个指标的MDR-TB防治工作评价体系.
目的 通過德爾菲法篩選齣耐多藥結覈病( MDR-TB)診斷治療管理的評價體繫.方法 從有豐富經驗的MDR-TB 工作者中篩選齣30名專傢,採用3輪德爾菲咨詢法徵詢專傢對60箇MDR-TB診斷治療管理擬評價指標的評分及建議,統計分析每輪咨詢時專傢意見的集中程度(用各指標評分均數和滿分比來反映)、協調程度(用協調繫數w來反映),計算變異繫數、積極繫數、權威繫數(Cr)等,重新確定指標體繫後再次咨詢專傢建議,併以積極繫數和協調繫數衡量德爾菲法的效果.結果 3輪專傢咨詢的積極繫數均為100％(30/30),提齣建議專傢分彆佔專傢總數的40％(12/30)、53％ (16/30)、10％(3/30).第一、二輪咨詢Cr值分彆為0.82、0.86.經第一、二輪咨詢,脩改瞭6箇指標,刪除瞭26箇指標,最終確定瞭評價體繫的34箇指標,其中10箇為覈心指標,34箇指標的平均分均高于4.7,變異繫數均低于0.1.3輪專傢咨詢w值分彆為0.36、0.25和0.68.結論通過德爾菲法篩選MDR-TB診斷治療管理指標效果較好,共確定瞭包含34箇指標的MDR-TB防治工作評價體繫.
목적 통과덕이비법사선출내다약결핵병( MDR-TB)진단치료관리적평개체계.방법 종유봉부경험적MDR-TB 공작자중사선출30명전가,채용3륜덕이비자순법정순전가대60개MDR-TB진단치료관리의평개지표적평분급건의,통계분석매륜자순시전가의견적집중정도(용각지표평분균수화만분비래반영)、협조정도(용협조계수w래반영),계산변이계수、적겁계수、권위계수(Cr)등,중신학정지표체계후재차자순전가건의,병이적겁계수화협조계수형량덕이비법적효과.결과 3륜전가자순적적겁계수균위100％(30/30),제출건의전가분별점전가총수적40％(12/30)、53％ (16/30)、10％(3/30).제일、이륜자순Cr치분별위0.82、0.86.경제일、이륜자순,수개료6개지표,산제료26개지표,최종학정료평개체계적34개지표,기중10개위핵심지표,34개지표적평균분균고우4.7,변이계수균저우0.1.3륜전가자순w치분별위0.36、0.25화0.68.결론통과덕이비법사선MDR-TB진단치료관리지표효과교호,공학정료포함34개지표적MDR-TB방치공작평개체계.
Objective To filter the indicators of evaluation on the diagnosis,treatment and management of MDR-TB through Delphi.Methods Three rounds Delphi was implemented by asking for the 30 experts' score and suggestion of 60 evaluation indicators.The experts were selected from experienced MDR-TB workers.Then the concentration degree( with each indicator's score average and full mark rate to reflect) and coordinnation degree (with coordination coefficient w to reflect) were analyzed,and the coefficient of variation of each indicator,enthusiasm and authority coefficient Cr etc were calculated.After that,new indicators system was constructed and the experts' were asked for suggestion again.The enthusiasm and coordinate coefficient were used to measure the effect of Delphi.Results All of the enthusiasm coefficients of experts in three rounds were 100％ (30/30),and 40％ (12/30),53％ (16/30) and 10％(3/30) of the experts gave suggestions.The degrees of experts' authority in the first 2 ronnds were high and the averages were 0.82 and 0.86,respectively.A total of 34 indicators were left after 6 indicators modified and 26 indicators deleted.The 10 indicators were the core indicators,and the average scores of 34 indicators were all higher than 4.7 and the coefficients of variation were less than 0.1,respectively.The coordination coefficients of specialists' opinion were 0.36,0.25 and 0.68,respectively.Conclusion The final evaluation indicator system include 34 indicators,and the result of the filtering indicators on the diagnosis,treatment and management of MDR-TB through Delphi is good.
