为大都市的初级卫生机构开发卫生紧急响应能力评估框架:基于德尔菲方法和分析层次流程
Qian Li1, Hongjie Yu2, Fan Cheng3
1School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Frontiers in public health
|August 7, 2025
概括
初级卫生机构对于卫生紧急情况至关重要. 这项研究创建了一个评估框架,以评估大都市地区的应急响应能力,提高准备.
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
- 紧急医疗 紧急医疗
背景情况:
- 在卫生紧急情况下,初级卫生机构是最初的响应者.
- 缺乏对其应急响应能力的系统评估.
- 本研究的重点是评估大都会初级卫生机构的复苏能力.
研究的目的:
- 制定一个全面的评估框架,以对初级卫生机构的卫生紧急响应能力进行评估.
- 在大都会范围内评估这些机构的复苏能力.
主要方法:
- 从文献和政府文件中收集了初步指标.
- 在两轮中使用了德尔菲方法,与15名专家 (从业者,官员,研究人员) 进行了两轮.
- 采用分析层次过程 (AHP) 来确定指标权重并构建评估框架.
主要成果:
- 开发了一个框架,其中包括3个一级,11个二级和37个三级指标.
- 达成一致的专家共识 (100%的协议) 和高权威系数 (0.92).
- 关键一级指标权重:预防和监测 (0.286),资源储备和系统建设 (0.335),应急响应和总结 (0.379).
结论:
- 已经建立了一个强大的框架来评估大都会初级卫生机构的卫生紧急响应能力.
- 这一框架可以显著改善中国大都会初级卫生机构应急响应能力的评估系统.
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