结核与肺部疾病杂志2024，Vol.5Issue(2)：120-127,8.DOI:10.19983/j.issn.2096-8493.2024035
运用德尔菲评价法构建学校结核病防控策略新体系
Construction of a new system of school tuberculosis prevention and control strategy using Delphi evaluation method
摘要
Abstract
Objective:To construct a new system of school tuberculosis prevention and control strategy by using Delphi evaluation method.Methods:Based on the national school tuberculosis prevention and control guidelines,as well as relevant literature on school tuberculosis prevention and control strategies in Wanfang Data,China Network Knowledge Infrastructure and other databases,and in combination with the current situation of tuberculosis prevalence in schools in Guangzhou,the implementation of preventive and control measures in schools,and the follow-up visits of cases and close contacts,the Guangzhou Institute of Tuberculosis Prevention and Treatment formulated a preliminary framework of school tuberculosis prevention and control strategy system,which involves 58 strategies in four major categories.Twenty-one experts across the country were organized to conduct two rounds of consultation on strategies.A new system of school tuberculosis prevention and control strategies and the weighting of the strategies was established based on the importance and feasibility of the selected strategies by using indicators such as expert positive index,expert authority coefficient(Cr);including degree of familiarity(Cs)and judgment basis(Ca),degree of concentration of experts'opinions(including frequency range of full importance scores,frequency range of full feasibility scores,mean of composite scores and coefficient of variation(CV),degree of coordination of experts'opinions(Kendall's coordination coefficient),and coefficient of weighting of the strategies,etc.Results:The expert positivity index in both rounds of consultation was 100.0％(21/21),and the Cs,Ca,Cr,frequency range of full importance scores,frequency range of full feasibility scores,mean of composite scores and CV ranges in the first round of expert consultation were 0.83±0.11,0.95±0.07,0.90±0.07,5.36％to 98.28％,1.79％to 96.85％,4.36±0.75,0.05 to 0.20,respectively,and the Kendall coordination coefficients of the strategies was 0.343(x2=484.79,P=0.000);the results of the second round of expert consultation were 0.85±0.09,0.94±0.08,0.90±0.07,8.62％to 97.83％,6.52％to 95.53％,4.51±0.60,0.02 to 0.16,and 0.433(x2=315.24,P=0.000),respectively.Experts'opinions were highly concentrated,and finally a new school tuberculosis prevention and control strategy system including 3 primary strategies,7 secondary strategies and 25 tertiary strategies was established,as well as the weight of each strategy.Conclusion:The Delphi evaluation method was used to construct a new school tuberculosis prevention and control strategy system,and a new school tuberculosis prevention and control strategy suitable for the region was initially established,providing a scientific reference for promoting the precise prevention and control of schools tuberculosis.关键词
结核/学校/策略/德尔菲Key words
Tuberculosis/School/Strategy/Delphi method分类
医药卫生引用本文复制引用
林莹,雷宇,钟敏儿,杜雨华..运用德尔菲评价法构建学校结核病防控策略新体系[J].结核与肺部疾病杂志,2024,5(2):120-127,8.基金项目
广州市卫生健康科技重大项目(2020A031003) （2020A031003）
广州市卫生健康科技项目(20241A010038)Guangzhou Health Science and Technology Project(2020A031003) （20241A010038）
Guangzhou Health Seience and Technology Project(20241A010038) （20241A010038）
