CAJ | 학술논문

目的探索建立我国突发公共卫生事件监测系统评价指标体系,为开展突发公共卫生事件报告质量评价工作提供依据.方法结合我国突发公共卫生事件监测系统的特点,通过文献综述初步设计指标框架,采用Delphi法对效度与信度进行评价,进而遴选出指标体系.结果突发公共卫生事件监测系统评价指标分为3级:一级指标4项(包括组织体系、网络平台、监测报告和分析利用),二级指标16项,三级指标70项.在一级指标中,组织体系14项,占20.00％;网络平台21项,占30.00％;监测报告24项,占34.29％;分析利用11项,占15.71％.各指标重要性平均得分为4.29 (3.77 ～ 4.94)分,平均变异系数为0.14(0.12～0.16).各指标α信度系数均数为0.84(0.81～0.89).不同指标适用的评估对象不同.结论本指标体系一级指标符合监测系统的特征及目的;二级指标明确了管理控制的核心内容;三级指标可获得性、操作性强.本指标专家认同率高,效度与信度良好,对开展突发公共卫生事件监测系统评估工作具有参考意义.
목적 탐색건립아국돌발공공위생사건감측계통평개지표체계,위개전돌발공공위생사건보고질량평개공작제공의거.방법 결합아국돌발공공위생사건감측계통적특점,통과문헌종술초보설계지표광가,채용Delphi법대효도여신도진행평개,진이린선출지표체계.결과 돌발공공위생사건감측계통평개지표분위3급:일급지표4항(포괄조직체계、망락평태、감측보고화분석이용),이급지표16항,삼급지표70항.재일급지표중,조직체계14항,점20.00％;망락평태21항,점30.00％;감측보고24항,점34.29％;분석이용11항,점15.71％.각지표중요성평균득분위4.29 (3.77 ～ 4.94)분,평균변이계수위0.14(0.12～0.16).각지표α신도계수균수위0.84(0.81～0.89).불동지표괄용적평고대상불동.결론 본지표체계일급지표부합감측계통적특정급목적;이급지표명학료관리공제적핵심내용;삼급지표가획득성、조작성강.본지표전가인동솔고,효도여신도량호,대개전돌발공공위생사건감측계통평고공작구유삼고의의.
Objective To establish a comprehensive evaluation index system for the China Public Health Emergency Events Surveillance System (CPHEESS).Methods A draft index system was built through literature review and under the consideration of the characteristics on CPHEESS.Delphi method was adapted to determine the final index system.Results The index system was divided into primary,secondary and tertiary levels.There were 4 primary indicators:System structure,Network platform,Surveillance implementation reports with Data analysis and utilization.There were 16 secondary and 70 tertiary indicators being set,with System structure including 14 tertiary indicators (accounted for 20.00％),21 Network platforms (accounted for 30.00％).Twenty-four Surveillance implementation reports (accounted for 34.29％),11 Data analysis and utilization (accounted for 15.71％).The average score of importance of each indicators was 4.29 (3.77-4.94),with an average coefficient variation as 0.14 (0.12-0.16).The mean Chronbach' s α index was 0.84 (0.81-0.89).The adaptability of each related facilities indicator was specified.Conclusion The primary indicators were set in accordance with the characteristics and goals of the surveillance systems.Secondary indicators provided key elements in the management and control of the system while the tertiary indicators were available and operative.The agreement rate of experts was high with good validity and reliability.This index system could be used for CPHEESS in future.