世界卫生组织关于感染和预防和控制的新全球框架的指标和目标:e-Delphi研究
Giovanni Satta1, Paul Rogers1, Joao Bana E Costa2
1Infection Prevention and Control Unit and Hub, Department of Integrated Health Services, World Health Organization (WHO), Geneva, Switzerland.
在世界卫生组织感染预防和控制 (IPC) 监测框架 (MF) 的指标和目标上达成共识. 这一框架将有助于追踪全球IPC的进展.
科学领域:
- 公共卫生
- 传染病控制
- 医疗保健政策
背景情况:
- 世界卫生组织 (WHO) 为预防和控制感染制定了全球行动计划 (GAP) 和监测框架 (MF).
- 采用了e-Delphi调查以促进IPC多元化指标和目标的共识.
研究的目的:
- 达成世卫组织IPC监测框架 (MF) 的指标和目标的共识.
- 建立一个标准化的方法来监测感染预防和控制 (IPC) 的全球进展.
主要方法:
- 一个e-Delphi寻求共识的练习,包括两个连续的调查轮.
- 参与者使用5点的利克尔特等级来评估指标和目标, 并将它们列为优先级.
- 达成共识的定义是>70%的同意和<5%的不同意.
主要成果:
- 在134个指标和27个目标上达成了高度共识,只有一个指标在第一轮没有达成共识.
- 16个指标显示不同意度超过5%,其中3个指标在第二轮被拒绝.
- 由于竞争的优先事项,研究排名较低,而IPC监督得到强烈支持.
结论:
- 一个强有力的共识建设过程导致了对拟议的IPC指标和目标的高度一致.
- 所有国家在2024年5月举行的第77届世界卫生大会上通过了世卫组织的IPC GAP和MF.
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