Department of Pediatrics, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Inj Prev. 2010 Jun;16(3):154-60. doi: 10.1136/ip.2009.025007.
To develop a set of national injury indicators for Canadian children and youth which will eventually be used to reflect and monitor identified prevention priorities.
The Canadian Injury Indicators Development Team brought together injury researchers, policy makers, and practitioners to develop injury indicators in the following areas: overall health services implications; motor vehicle occupant; sports, recreation, and leisure; violence; and trauma care, quality, and outcomes. A modified-Delphi process was used to establish a set of indicators that met evidence-based criteria, were useful, and that would prompt action. Each indicator was rated by 132 respondent injury experts and stakeholders on its usefulness and ability to prompt action to reduce injury among Canadian children and youth.
From an initial list of 51 indicators, a refined set of 34 indicators was established. Indicators were grouped into three categories related to: policies; risk and protective factors; and outcomes. Indicators related to motor vehicle injury were rated as most useful and most able to prompt action. Injury mortality rate and injury hospitalisation rate were also rated highly for both usefulness and ability to prompt action. Policy, violence, sport and recreation, and trauma indicators were all rated higher for usefulness, but somewhat lower for ability to prompt action.
Results suggest that a broad-based modified-Delphi process is an important first step in developing useful and relevant indicators for injury prevention activity focused on Canadian children and youth.
为加拿大儿童和青少年开发一套国家伤害指标，最终用于反映和监测已确定的预防重点。
加拿大伤害指标开发团队汇集了伤害研究人员、政策制定者和从业者，以在以下领域制定伤害指标：整体卫生服务影响；汽车乘客；运动、娱乐和休闲；暴力；以及创伤护理、质量和结果。采用改良 Delphi 法建立了一套符合循证标准、有用且能促使采取行动的指标。132 名回应者伤害专家和利益攸关方对每个指标的有用性和减少加拿大儿童和青少年伤害的能力进行了评分。
从最初的 51 个指标中，确定了一套 34 个指标。指标分为与政策相关、与风险和保护因素相关以及与结果相关的三个类别。与机动车伤害相关的指标被评为最有用和最能促使采取行动。伤害死亡率和伤害住院率在有用性和促使行动能力方面也得到了高度评价。政策、暴力、运动和娱乐以及创伤指标在有用性方面的评分都较高，但在促使行动的能力方面的评分则较低。
结果表明，广泛采用改良 Delphi 法是为专注于加拿大儿童和青少年的伤害预防活动制定有用和相关指标的重要第一步。
