中国卒中杂志2025，Vol.20Issue(3)：305-312,8.DOI:10.3969/j.issn.1673-5765.2025.03.007
基层医疗卫生机构卒中预防筛查能力评价指标体系构建研究
Study on the Construction of Evaluation Index System for Stroke Prevention and Screening Capacity of Primary Medical and Health Institutions
摘要
Abstract
Objective To construct a scientific and effective evaluation index system for stroke prevention and screening capacity of primary medical and health institutions,serving as guidance and reference for related research. Methods Through literature search,group discussion,and literature research,and combined with the expert opinions of the Shenzhen Neurological Disease Medical Prevention Integration Project Group,a preliminary evaluation index system for stroke prevention and screening capacity of primary medical and health institutions was developed.On this basis,experts who have participated in the construction of the Stroke Emergency Map of China or Stroke Prevention Map were invited to be the subjects of the Delphi consultation.Based on the results of the consultation,the coefficients of expert positivity,expert authority,and expert coordination were calculated.After two rounds of consultation and group discussions,the final index system was established. Results A total of 22 experts who have participated in the construction of the Stroke Emergency Map of China or Stroke Prevention Map were invited.All questionnaires for the two rounds of expert consultation were returned and valid,with an expert participation rate of 100%for both rounds.The expert authority coefficients were 0.795 and 0.790,respectively.The Kendall's concordance coefficients of the importance of expert questionnaires were 0.233(χ2=240.752,P<0.001)and 0.338(χ2=349.240,P<0.001),respectively.The final index system consisted of 9 primary and 47 secondary indicators. Conclusions This study constructed an evaluation index system for stroke prevention and screening capacity of primary medical and health institutions based on stroke prevention and treatment practices and the Delphi method.It has high reliability,comprehensiveness and scientificity.The application effects of the index system in different regions and the weight of the indicators still need to be further validated and studied.关键词
基层医疗卫生机构/卒中预防筛查能力/德尔菲法/指标体系Key words
Primary medical and health institution/Stroke prevention and screening capacity/Delphi method/Index system分类
临床医学引用本文复制引用
刘超,池枫,覃立芬,李艳蕾,任力杰..基层医疗卫生机构卒中预防筛查能力评价指标体系构建研究[J].中国卒中杂志,2025,20(3):305-312,8.基金项目
深圳市医防融合-神经系统疾病项目深圳市大鹏新区医疗健康集团2023年度科研项目(DPJTKY202310) （DPJTKY202310）
