面向低收入国家地区卫生系统服务提供的多维绩效工具的前瞻性内容和表面有效性：一项德尔菲研究。
Face and content validity of a prospective multidimensional performance instrument for service delivery in district health systems in low-income countries: a Delphi study.
机构信息
CIHLMU Center for International Health, Ludwig-Maximilians-Universität München, Ziemssenstr. 1, München, Germany.
Department of Health Policy and Management, Jimma University, Aba Jifar 1 Street, Jimma 378, Ethiopia.
出版信息
Int Health. 2020 May 1;12(3):184-191. doi: 10.1093/inthealth/ihz064.
BACKGROUND
Valid performance indicators help to track and improve health services. The aim of this study was to test the face and content validity of a set of performance indicators for service delivery in district health systems of low-income countries.
METHODS
A Delphi method with three stages was used. A panel of experts voted (yes vs no) on the face value of performance indicators. Agreement on the inclusion of indicators was a score of >75% and ≥50% during stages one and two, respectively. During stage three, indicators with a mean score of ≥3.8 on a five-point scale were included. The panel also rated the content validity of the overall set of indicators.
RESULTS
The panel agreed on the face value of 59 out of 238 performance indicators. Agreement on the content validity of the set of indicators reached 100%. Most of the retained indicators were related to the capacity of health facilities, the quality of maternal and child health services and HIV care and treatment.
CONCLUSIONS
Policymakers in low-income countries could use a set of performance indicators with modest face and high content validity, and mainly aspects of capacity and quality to improve health service delivery in districts.
背景
有效的绩效指标有助于跟踪和改进卫生服务。本研究旨在检验一套适用于低收入国家地区卫生系统服务提供的绩效指标的表面有效性和内容有效性。
方法
采用三轮德尔菲法。专家组对绩效指标的表面有效性进行了（是/否）投票。在第一和第二阶段，指标的纳入标准分别为>75%和≥50%的同意率。在第三阶段，五分制平均得分≥3.8 的指标被纳入。专家组还对整体指标集的内容有效性进行了评分。
结果
专家组对 238 项绩效指标中的 59 项达成了共识。指标集的内容有效性的一致性达到了 100%。保留的大多数指标与卫生设施的能力、母婴保健服务以及艾滋病毒护理和治疗的质量有关。
结论
低收入国家的政策制定者可以使用一套具有适度表面有效性和较高内容有效性的指标集，主要集中在能力和质量方面，以改善地区卫生服务的提供。
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