背景:疾病控制和预防中心(CDC)的绩效评估对于提高公共卫生服务质量至关重要。随着我国疾控中心体制改革的不断深入,现有的绩效评价体系面临挑战。本研究采用德尔菲法建立了一套新的我国省级绩效评价体系,城市,县级疾控中心。
方法:遵循“结构-过程-结果”模型,系统收集评估指标。根据CDC的职责,通过两轮Delphi对指标进行了修改和筛选,健康发展,和国家政策。二十四位专家提供评级和建议,研究小组评估了问卷的可靠性,专家积极性,专家权威,和意见的一致性。
结果:通过文献综述和预调查确定的初步指标体系包括11个主要的,30次,和64个三级指标。经过第一轮磋商,删除了两个二级指标和11个三级指标,增加了22个三级指标。第二轮磋商后,删除了三个二级指标和11个三级指标,增加了三个三级指标,此时,肯德尔协调系数W检验的p值<0.001,变异系数在可接受的范围内(<0.25),所以磋商结束了。最终的指标体系包括11个主要的,25次,67项三级指标。
结论:本研究针对疾病预防控制中心体制改革,建立了省级综合绩效评价指标体系,城市,和中国县级疾控中心。指标体系既科学基础又实用,作为促进疾病预防控制中心组织高质量工作的有效工具。
The performance evaluation of the Centers for Disease Control and Prevention (CDC) is crucial for enhancing the quality of public health services. With the ongoing reform of the CDC system in China, the existing performance evaluation system faces challenges. This study used the Delphi method to develop a new performance evaluation system for China\'s provincial, city, and county-level CDC.
Following the \"Structure-Process-Outcome\" model, assessment indicators were systematically collected. Indicators were modified and screened through two Delphi rounds based on CDC responsibilities, health development, and national policies. Twenty-four experts provided ratings and recommendations, and the research team evaluated questionnaire reliability, expert positivity, expert authority, and opinion consistency.
The preliminary index system identified through the literature review and pre-survey included 11 primary, 30 secondary, and 64 tertiary indicators. After the first round of consultation, two secondary indicators and 11 tertiary indicators were removed and 22 tertiary indicators were added. After the second round of consultation, three secondary indicators and 11 tertiary indicators were removed and three tertiary indicators were added, at which point the p-value of the test for Kendall\'s coefficient of concordance W was < 0.001 and the coefficient of variation was within acceptable limits (< 0.25), so the consultation was concluded. The final index system included 11 primary, 25 secondary, and 67 tertiary indicators.
This study responded to the CDC system reform by developing a comprehensive performance evaluation index system for provincial, city, and county-level CDC in China. The index system is both scientifically grounded and practical, serving as an effective tool for promoting the high-quality work of CDC organizations.