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张斓, 黄建始. 中国城市社区人群健康评估指标体系建立[J]. 中国公共卫生, 2010, 26(11): 1378-1380. DOI: 10.11847/zgggws2010-26-11-17
引用本文: 张斓, 黄建始. 中国城市社区人群健康评估指标体系建立[J]. 中国公共卫生, 2010, 26(11): 1378-1380. DOI: 10.11847/zgggws2010-26-11-17
ZHANG Lan, HUANG Jian-shi. Establishment of population health assessment index system for urban community residents in China[J]. Chinese Journal of Public Health, 2010, 26(11): 1378-1380. DOI: 10.11847/zgggws2010-26-11-17
Citation: ZHANG Lan, HUANG Jian-shi. Establishment of population health assessment index system for urban community residents in China[J]. Chinese Journal of Public Health, 2010, 26(11): 1378-1380. DOI: 10.11847/zgggws2010-26-11-17

中国城市社区人群健康评估指标体系建立

Establishment of population health assessment index system for urban community residents in China

  • 摘要: 目的采用德尔菲法函询全国专家意见,建立中国城市社区人群健康评估指标体系。方法对来自全国13个省(市)、自治区的27位专家进行2轮Delphi专家咨询,根据指标重要性得分的均值和变异系数的大小筛选指标,并确定其权重。结果专家的平均从业年限为(24.11±6.73)年;2轮咨询的专家应答率分别为96.30%和88.89%,平均权威系数为(0.86±0.05);2轮咨询的协调系数分别为0.207和0.357,经χ2检验差异具有统计学意义。且第2轮大于第1轮,专家意见逐步趋于一致;最终确立的中国社区人群健康评估指标体系包括3个一级指标(健康影响因素、健康现状和健康结局),9个二级指标和27个三级指标,3个一级指标的权重系数分别为0.333,0.351和0.316。结论德尔菲法对于建立中国城市社区人群健康指标评估体系具有较好的实用价值。

     

    Abstract: ObjectiveTo establish an index system for population health assessment in Chinese comunities with Delphi method.MethodsA two-round Delphi consultaiton was used to choose suitable indicatiors among 27 experts from 13 provinces,municipalities or autonomous regions.The suitable indicators were selected according to the importance recognized by the experts and the coefficient of variation.ResultsThe average time of service in public health of the experts was 24.11±6.73 years.The response rates of the two rounds consultation were 96.30% and 88.89%.The average coefficient of experts'authorities Cr was 0.86±0.05.Kedall's coefficients were 0.207(χR2=182.6,P<0.05)and 0.357(χR2=260.7, P<0.05).The opinions among the experts became consistent from the first round to the second round.The index system was established with 3 first-class indicators(health determinant,health status and health consequence),9 second-class indicators and 27 third-class indicators.The weights of the 3 first-class indicators were 0.333,0.351,and 0.316.ConclusionThe Delphi method is proved to be practical for the establishment of the health assessment index system in commuities of China.

     

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