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J Zhejiang Univ (Med Sci)  2018, Vol. 47 Issue (2): 137-142    DOI: 10.3785/j.issn.1008-9292.2018.04.05
    
Establishing assessment indexes for emergency response capability of disease control and prevention institutions
CHEN Rong(),HE Yongchao,ZHANG Fang,LU Yinhao,HE Yi*()
Department of Emergency Management, Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
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Abstract  

Objective: To establish an emergency response capability assessment indexes for disease control and prevention institutions. Methods: Health emergency response capability assessment indexes of Shanghai Centers for Disease Control and Prevention(CDCs) was drafted based upon documentary analysis, expert consultation and focus group discussion according to duties and features of emergency work of CDCs. The assessment indexes were determined by applying Delphi method (18 experts), and the weights of indexes were determined using analytic hierarchy process and proportional distribution method. And then the established index system was used to assess the emergency response capability of CDCs in Shanghai. Results: Two rounds of expert consultations were conducted. Kendall's coefficient of concordance was 0.420 and 0.495 at the first and second round of expert consultations respectively. After two rounds of consultations, the expert authority score was above 0.7. There were 7 primary indexes, 24 secondary indexes and 84 third-level indexes. The seven primary indexes included emergency management system, emergency response team, surveillance and early-warning ability, emergency response capacity, emergent supply capability, communication and cooperation, scientific research and exchange, with systematic weights of 0.2123, 0.1754, 0.1334, 0.1916, 0.1281, 0.0962 and 0.0630, respectively. According to the investigation, Shanghai Municipal Center for Disease Control and Prevention ranked first in the total score of emergency response capability evaluation. Conclusion: The indexes identified in this study have good reliability and feasibility, and can be used in assessment of emergency response capability in disease prevention and control institutions.



Key wordsPreventive medicine/organization & administration      Public health      Delphi technique      Evaluation studies     
Received: 06 January 2018      Published: 24 July 2018
CLC:  R18  
Corresponding Authors: HE Yi     E-mail: chenrong@scdc.sh.cn;heyi@scdc.sh.cn
Cite this article:

CHEN Rong,HE Yongchao,ZHANG Fang,LU Yinhao,HE Yi. Establishing assessment indexes for emergency response capability of disease control and prevention institutions. J Zhejiang Univ (Med Sci), 2018, 47(2): 137-142.

URL:

http://www.zjujournals.com/med/10.3785/j.issn.1008-9292.2018.04.05     OR     http://www.zjujournals.com/med/Y2018/V47/I2/137


疾病预防控制机构卫生应急能力评估指标体系构建

目的: 构建疾病预防控制(以下简称疾控)机构卫生应急能力评估指标体系。方法: 以上海市为例,根据疾控机构在卫生应急工作中的职责和特点,在文献检索、专家访谈和小组讨论的基础上,拟定疾控机构卫生应急能力评估指标框架。全国甄选18名专家,采用德尔菲法进行两轮咨询,应用层次分析法计算一、二级指标权重,采用比例分配法计算三级指标权重,建立评估指标体系,并对上海市疾控中心和下辖16个区疾控中心进行调查,并计算卫生应急能力总分。结果: 共进行两轮专家咨询,协调系数分别为0.420和0.495,所有专家的权威系数均超过0.7。构建的卫生应急能力评估指标体系由7项一级指标、24项二级指标和84个三级指标组成。一级指标分别为体系建设、队伍建设、监测预警能力、应急处置能力、应急保障能力、信息沟通与部门协作、科研与合作交流能力,权重分别为0.2123、0.1754、0.1334、0.1916、0.1281、0.0962、0.0630。调查结果显示,上海市疾控中心在17个疾控中心中卫生应急能力总分排名第一。结论: 本研究构建的指标体系可以较好地评估疾控机构的卫生应急能力。


关键词: 预防医学/组织和管理,  公共卫生,  德尔菲技术,  评价研究 
一级指标 二级指标 三级指标
括号内为权重.
A体系建设(0.2123) A1政策保障(0.0535) A11单位应急能力建设和发展规划情况(0.4836);A12应急奖惩政策完善率(0.5164)
A2机构设立(0.0417) A21设立专门的应急管理机构(0.3333);A22有专门的应急管理工作人员(0.3513); A23建立运行良好的应急指挥决策信息系统(0.3154)
A3应急制度(0.0365) A31应急制度完善率(1.0000)
A4应急管理机制(0.0428) A41应急组织指挥体系(0.2077);A42现场处置机制(0.1974);A43监测预警机制(0.1974);A44保障机制(0.2001);A45联防联控机制(0.1974)
A5应急预案(0.0378) A51应急预案、技术方案完整率(0.2021);A52应急预案更新频次(0.1862);A53应急预案、技术方案的可操作性(0.2075);A54专业人员对预案、技术方案的知晓情况(0.2021);A55开展应急预案演练次数(0.2021)
B队伍建设(0.1754)B1专家库(0.0384) B11设立应急专家库(0.2559);B12专家专业构成合理(0.2390);B13建立专家库管理制度(0.2457);B14专家库的信息更新和动态管理(0.2594)
B2应急队伍(0.0685) B21组建应急队伍(0.2172);B22建立应急队伍管理制度(0.2067);B23应急队伍专业分布(0.1938);B24应急队伍专项训练(0.1989);B25应急队伍专项经费(0.1834)
B3培训演练(0.0685) B31制订年度培训演练计划(0.2585);B32制订培训教材、演练方案(0.2585);B33开展培训、演练的频次和覆盖率(0.2415);B34开展培训、演练的效果评估(0.2415)
C监测预警能力(0.1334)C1监测系统运转(0.0290) C11疫情分析频次(0.2365);C12事件报告及时率(0.2635);C13事件报告完整率(0.2500);C14开展舆情监测(0.2500)
C2监测系统管理(0.0314) C21网络直报质量(0.2611);C22制订监测报告流程(0.2575);C23对医疗机构的网络直报督导覆盖率(0.2407);C24对医疗机构的网络直报督导频次(0.2407)
C3风险评估(0.0383) C31开展风险评估(0.3420);C32建立风险评估工作机制(0.3205);C33风险评估结果的利用(0.3375)
C4预警(0.0347) C41开展突发公共卫生事件预警(0.5170);C42建立预警信息通报机制(0.4830)
D应急处置能力(0.1916)D1应急指挥协调(0.0576) D11建立应急领导组织并分工明确(0.5139);D12启动应急响应的情况(0.4861)
D2现场调查处置(0.0616) D21事件规范处置率(0.2122);D22事件查明率(0.1830);D23事件处理及时率(0.2069);D24调查报告上报及时率(0.1964);D25事件控制及时性(0.2015)
D3实验室检测(0.0456) D31检测项目开展率(0.1292);D32检测人员培训合格证上岗率(0.1220);D33仪器设备装备情况(0.1312);D34应急样本检测情况及质量(0.1276);D35最高生物安全防护等级(0.1220);D36实验室质量管理(0.1276);D37实验室开展计量认证/认可通过率(0.1202);D38实验室外部质控考核合格率(0.1202)
D4总结评估(0.0268) D41处置后开展总结评估(0.5066);D42重大事件处置总结评估(0.4934)
E应急保障能力(0.1281)E1经费保障(0.0703) E11应急部门日常经费预算和开支情况(0.3383);E12年度应急储备金情况(0.3383); E13应急时财政追加经费情况(0.3234)
E2物资管理(0.0289) E21制订应急物资管理制度(0.3378);E22应急物资储备目录和计划(0.3245);E23应急物资管理和获得便利(0.3377)
E3应急物资储备(0.0289) E31个人防护和携行装备情况(0.3469);E32应急车辆配备情况(0.3243);E33应急物品储备齐全率(0.3288)
F信息沟通与部门协作(0.0962)F1应急宣传教育(0.0262) F11宣传教育材料(0.5076);F12宣传教育途径(0.4924)
F2风险沟通(0.0337) F21建立风险沟通的机制(0.1742);F22有指定的信息发布组或发言人(0.1674);F23与媒体沟通及报道情况(0.1608);F24与临床医务人员的沟通(0.1693);F25开展风险沟通技巧培训(0.1630);F26舆情监测与快速反馈(0.1653)
F3区域或部门协作(0.0363) F31与横向同级部门的联动(0.3488);F32与本辖区其他联防联控单位的联动(0.3389); F33与相邻省份疾控中心以及辖区地市县疾控中心的联动(0.3123)
G科研与合作交流能力(0.0630)G1开展应用性应急课题研究(0.0287) G11研究立项情况(0.3250);G12应急科研经费(0.3450);G13研究成果应用(0.3300)
G2应急相关交流与合作(0.0343) G21主持和参与交流活动次数(0.4962);G22交流合作涉及的部门(0.5038)
Tab 1 Assessment indexes and weights for emergency response capability of disease control and prevention institutions
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