健康发展与政策研究2024，Vol.27Issue(2)：148-156,9.DOI:10.12458/HDPR.230343
基层全科医生医防融合能力评价指标体系构建
Construction of evaluation index system of general practitioners' integration capability of medical care and preventive services in primary care
摘要
Abstract
Objective To develop an evaluation index system of general practitioners'integration capabilities of medical care and preventive services in primary care,and to explore pathways to enhance their service capabilities.Methods The improved Delphi method was used with the threshold method in indicator screening.The evaluation index system also incorporated the indices of expert enthusiasm,expert consultation authority,and coordination of expert opinions.The analytic hierarchy process(AHP)was then employed to calculate the weight coefficients of the indicators.Results A total of 33 expert consultation questionnaires were distributed,and the effective questionnaire recovery rates for the first and second rounds were 100.0%and 97.0%,respectively.The expert consultation authority coefficient for overall indicators was 0.80.After two rounds of expert consultation,the Kendall's W coefficients for the importance of the tertiary and overall indicators were 0.677 and 0.683.χ2 values were 88.774 and 91.663,respectively,with all P＜0.001.This system comprised 3 first-level indicators,10 second-level indicators,and 36 third-level indicators.Among them,the first-level indicator B"Integrated Capability in terms of capacity,skills,and techniques"had the highest weight of 0.500 0.The top five combined weights in the third-level indicators in descending order were:C11 awareness of actively serving residents(0.081 7),B12 proficient in pre-hospital emergency technology(0.075 7),A11 proficient in rational medication and prevention knowledge(0.067 7),A22 proficient in infectious disease prevention and control theory(0.055 6),and C12 awareness of actively providing health services(0.052 0).Conclusions This article systematically constructed an evaluation index system of general practitioners'integration capabilities of medical care and preventive services in primary care from three dimensions:knowledge structure,capability,skills,techniques along with quality.It offers insights for evaluating general practitioners'integration capability of medical care and preventive services in primary care as well as the systematic design and advance of continuing education and training programs.关键词
全科医生/医防融合能力/评价指标体系/专家德尔菲法/层次分析法Key words
general practitioner/integration capability of medical care and preventive services/evaluation index system/Delphi technique/analytic hierarchy process分类
医药卫生引用本文复制引用
兰晓霞,杨朝晖,岳帅,王苗,刘冬莹..基层全科医生医防融合能力评价指标体系构建[J].健康发展与政策研究,2024,27(2):148-156,9.基金项目
2022年度天津市教育科学规划课题(BKE220013) （BKE220013）
