Shenzhen Center for Disease Control and Prevention, No. 8 Longyuan Road, Nanshan District, Shenzhen, 518055, China.
Erasmus MC, University Medical Center Rotterdam, Postbus 2040, 3000, CA, Rotterdam, The Netherlands.
Public Health. 2015 Jan;129(1):43-51. doi: 10.1016/j.puhe.2014.10.016. Epub 2014 Dec 30.
This study sought consensus-based indices for quality assessment of the public health service (QAPHS) to evaluate the service quality of public health in Shenzhen and other cities in China.
A qualitative study.
A list of quality assessment indices was formed based on Donabedian theory. These indices were presented to an expert panel in a two-round Delphi study to establish a consensus view. A weight of indices was established to validate the applicability and practicability of the framework. The specialist authority coefficient and Kendall's W were also calculated based on statistical analysis.
A total of 30 experts participated in the Delphi study. Consensus was reached on four first-grade indices, nine second-grade indices and 28 third-grade indices. The specialist authority coefficient (Cr) was high (between 0.88 and 0.92), while Kendall's coefficient (W) of all the indices was ＞0.5 with statistical significant differences (P ＜ 0.05). This indicated correlation among panelists and had high reliability.
A unified and hierarchical quality assessment index framework for public health services was established. The framework should be further tested and improved in practice.
本研究旨在寻求基于共识的公共卫生服务质量评估指标（QAPHS），以评估中国深圳和其他城市的公共卫生服务质量。
定性研究。
根据 Donabedian 理论，形成了一套质量评估指标清单。这些指标在两轮 Delphi 研究中提交给专家小组，以达成共识。建立了指标权重，以验证框架的适用性和实用性。还根据统计分析计算了专家权威系数和 Kendall's W。
共有 30 名专家参加了 Delphi 研究。就 4 项一级指标、9 项二级指标和 28 项三级指标达成共识。专家权威系数（Cr）较高（在 0.88 至 0.92 之间），而所有指标的 Kendall 系数（W）均＞0.5，差异具有统计学意义（P ＜ 0.05）。这表明小组成员之间存在相关性，且具有较高的可靠性。
建立了统一的、分层的公共卫生服务质量评估指标框架。该框架应在实践中进一步测试和改进。
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