为中国疾病控制和预防中心开发绩效评估指数系统:德尔菲共识研究
Huimin Sun1, Ying Wang2, Huanle Cai2
1Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China.
Global health research and policy
|July 23, 2024
概括
为中国的疾病控制和预防中心 (CDC) 开发了一种新的绩效评估系统,使用德尔菲方法. 该系统旨在在正在进行的CDC改革期间改善公共卫生服务质量.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 疾病控制和预防中心 (CDC) 的绩效评估对公共卫生服务质量至关重要.
- 中国的CDC系统改革对现有的绩效评估框架提出了挑战.
- 中国的省级,市级和县级疾病预防控制中心需要一个新的评估系统.
研究的目的:
- 为中国的省级,市级和县级疾病预防控制中心开发一个新的,全面的绩效评估系统.
- 将评估系统与中国正在进行的CDC系统改革保持一致.
- 创建一个以科学为基础和实用的工具,以提高CDC的绩效.
主要方法:
- 德尔菲方法被用来系统地收集和完善评估指标.
- 根据"结构-流程-结果"模型开发了指标.
- 进行了两轮专家咨询,有24名专家提供评级和建议.
主要成果:
- 最终绩效评估指数系统包括11个初级指标,25个二级指标和67个三级指标.
- 指标的改进包括在两个Delphi轮中删除和添加三级和二级指标.
- 统计分析证实了专家共识的可靠性和一致性 (肯达尔的Wp<0.001).
结论:
- 一个科学 robust 和实用性绩效评估指数系统中国的CDCs已经成功开发.
- 这个新系统直接解决了来自CDC系统改革的需求.
- 开发的索引系统旨在促进CDC组织内的高质量工作.
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