首页|应用改良德尔菲法构建接种单位预防接种服务能力评估工具

应用改良德尔菲法构建接种单位预防接种服务能力评估工具

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目的 构建接种单位预防接种服务能力评估工具.方法 应用改良德尔菲法对预防接种服务能力评估预选指标开展两轮专家咨询和评分,计算各指标评分的均数、标准差、变异系数和满分比,制定筛选界值;应用层次分析法计算各指标权重(总权重为100),最终确定接种单位预防接种服务能力评估工具.结果 两轮专家咨询的问卷回收率分别为100%(35/35)和94.29%(33/35),专家权威系数分别为0.84和0.83,专家评分的协调系数分别为0.212(x2=698.35,P<0.001)和0.214(x2=813.33,P<0.001).最终确定的预防接种服务能力评估工具包括3个一级指标、12个二级指标和43个三级指标;其中一级指标包括配置能力、运行能力和服务产出,权重分别为19.76、49.05和31.19.结论 本研究构建的接种单位预防接种服务能力评估工具可靠性好且覆盖指标全面,可应用于实践并加以优化.
Modified Delphi technique construction of a tool for assessing vaccination clinic services capacity
Objective To develop a tool for assessing vaccination clinic services capacity.Methods We used a modified Delphi technique to conduct two rounds of expert consultation and scoring of candidate indicators for assessing vaccination clinic services capacity.We calculated means,standard deviations,coefficients of variation,and full-score ratios of each indicator to formulate screening boundaries.We used an analytic hierarchy process to calculate weights for each indicator(weights total to 100)and finalize the assessment tool.Results Response rates of the two rounds of expert consultation were 100%(35/35)and 94.29%(33/35),with expert authority coefficients being 0.84 and 0.83 and concordance coefficients for experts'scores being 0.212(x2=698.35,P<0.001)and 0.214(x2=813.33,P<0.001).The final assessment tool included three primary,12 secondary,and 43 tertiary indicators.The primary indicators included configuration capacity,implementation capacity,and service outputs,with weights of 19.76,49.05,and 31.19.Conclusions The vaccination services capacity assessment tool had a comprehensive set of indicators and had good reliability.The tool can be used and optimized in practice.

Vaccination clinicVaccination servicesCapacityAssessment toolDelphi method

胡入月、刘丽珺、曹雷、陈俊磊、李力、张莎、刘欣、张肇南、宋祎凡、余文周

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传染病溯源预警与智能决策全国重点实验室,中国疾病预防控制中心,北京 102206

中国疾病预防控制中心免疫规划中心,北京 100050

四川省疾病预防控制中心,四川成都 610041

福建省疾病预防控制中心,福建 福州 350012

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接种单位 预防接种服务 能力 评估工具 德尔菲法

2024

中国疫苗和免疫
中国疾病预防控制中心

中国疫苗和免疫

CSTPCD北大核心
影响因子:2.311
ISSN:1006-916X
年,卷(期):2024.30(6)