Developing a development index system of Shanghai district-level disease prevention and control institutions using the Delphi method
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 7
Abstract
ObjectiveTo construct an evaluation index system for the development of district-level disease prevention and control centers according to the requirements of the modernization of Shanghaiâs disease control system and public health work practicesï¼ and to comprehensively assess the construction and development of district-level disease prevention and control institutions.MethodsAccording to the national and municipal requirements for the development of disease prevention and control institutionsï¼ an index framework was proposed through literature search and expert interviews. 39 representative experts in the field of public health at the nationalï¼ provincialï¼ and municipal ï¼districtï¼ levels were selected to participate in the consultation and construction of the index system. The authority coefficientï¼ the coefficient of variationï¼ etc. were used to carry out quality control and determination of each index on the Delphi method.ResultsThe questionnaire response rate was 100%ï¼ the expert authority coefficient was 0.86ï¼the degree of familiarity was 0.79ï¼ and the judgment basis was 0.92. The coefficients of variation of the necessary indicators in the index system were all <0.25 in the dimension of importanceï¼ and there were statistical differences in the statistical test of Kendallâs W coordination coefficients at all levels and dimensions ï¼all P<0.001ï¼. After multiple rounds of consultationï¼ experts reached a consensusï¼ forming a development evaluation index system of district-level CDCs with 6 first-level indicatorsï¼ 24 second-level indicatorsï¼ and 105 third-level indicators ï¼including 63 necessary indicators and 42 recommended indicatorsï¼.ConclusionThe evaluation index system of Shanghai district-level CDCs based on the Delphi method has good authorityï¼ reliabilityï¼ sensitivity and operability. This indicator system can effectively support the development of Shanghai district-level CDCsï¼ and can be used for evaluation at multiple levels and in an all-round way in the future. The evaluation results can provide an evidence-based basis for the modernization of the disease prevention and control system and the continuous and dynamic updating of the development goals in the future.
Authors and Affiliations
LI Xinyu,SHAO Haiyan,ZU Ping,LU Ye,WANG Lei,JIN Yexin,LIU Fangmin,HE Feilong,WU Chunfeng,CHEN Yong,
Keywords
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