Lu L N, He X G, Zhu J F, Xu X, Zhang R, Hu X, Zou H D
Shanghai Eye Disease Prevention and Treatment Center, Shanghai Eye Hospital, Shanghai 200040, China.
Zhonghua Yan Ke Za Zhi. 2016 Nov 11;52(11):814-824. doi: 10.3760/cma.j.issn.0412-4081.2016.11.004.
To establish an assessment system, including indexes and scoring methods, that can be used for performance evaluation of the provincial blindness prevention technical guidance group properly and effectively . The indexes and scoring methods were set based on the core content of The " National Plan of Prevention and Treatment of Blindness (2012-2015)" , the specific requirement and target of the World Health Organization (WHO) "For the General Eye Health: Global plan of Action (2014-2019)" , and the current situation of the China's provinces and autonomous regions. These indexes should be of effectiveness, feasibility, comparability, guidance and advancing. Formed by a literature review of candidate indicators, the framework of the system is built by qualitative assessment. With the Delphi method, the system was further revised and improved. Empirical pilot study was then used to prove the feasibility, followed by the final qualitative analysis that establish the " Chinese provincial Blindness prevention technical guidance group performance evaluation system" . Through the literature review and qualitative assessment, a six dimensional system framework was built, including 6 first-level indicators, 16 second-level indicators, and 29 third-level indicators through Delphi method evaluation. With the variation coefficient method, the coeffiences of the first-level index weight were calculated as: Organization and management 0.15, Development and implementation of blindness prevention plans 0.15, Implementation of blindness prevention projects 0.14, Training 0.17, Health education 0.18, and Cooperation and exchanges 0.21. The specific scoring method for this system is confirmed as: data and files check, field interview, and record interview, sampling investigation. Empirical pilot study was conducted in the Jilin, Guizhou and Gansu provinces, and the self-assessment results from local experts were consistent with the scores from the systems. This system established is appropriate at current time, and it can effectively evaluate the performance of the Chinese provincial Blindness prevention technical guidance group. .
建立一个能够适当地、有效地用于省级防盲技术指导组绩效评估的体系，包括指标和评分方法。指标和评分方法基于《全国防盲治盲规划（2012 - 2015年）》的核心内容、世界卫生组织（WHO）《增进全民眼健康：全球行动计划（2014 - 2019年）》的具体要求和目标以及中国各省自治区的现状来设定。这些指标应具有有效性、可行性、可比性、指导性和先进性。通过对候选指标的文献回顾形成体系框架，并通过定性评估构建。采用德尔菲法对体系进行进一步修订和完善。然后通过实证试点研究证明其可行性，最后进行定性分析，确立“中国省级防盲技术指导组绩效评估体系”。通过文献回顾和定性评估，构建了一个六维度的体系框架，经德尔菲法评估，包括6个一级指标、16个二级指标和29个三级指标。采用变异系数法计算一级指标权重系数为：组织管理0.15、防盲规划制定与实施0.15、防盲项目实施0.14、培训0.17、健康教育0.18、合作与交流0.21。该体系具体评分方法确定为：资料与档案核查、现场访谈、记录访谈、抽样调查。在吉林、贵州和甘肃三省进行了实证试点研究，当地专家的自评结果与体系评分一致。所建立的该体系在当前是适宜的，能够有效评估中国省级防盲技术指导组的绩效。
