Zhuhai Center for Disease Control and Prevention, Zhuhai, Guangdong, China.
Guangdong Pharmaceutical University, Guangzhou, Guangdong, China.
PLoS One. 2022 Apr 4;17(4):e0266093. doi: 10.1371/journal.pone.0266093. eCollection 2022.
At present, there are some no-notice drill mode evaluation systems for public health emergencies in Chinese hospitals, which are the subjects of assessment in this study. However, there is a lack of CDC. This study builds a set of no-notice drill mode evaluation systems for public health emergencies that involve the CDC.
The indexes for these systems were based on the performance of two no-notice drills for public health emergencies in Guangdong Province. Twenty experts were invited to screen the indicators during two rounds of the Delphi method to determine the weight of first- and second-level indexes through the analytic hierarchy process, and the weight of the third-level index was calculated using the percentage method.
After two rounds of expert consultation, we obtained four first-level indicators, twenty-six second-level indicators and eighty-six third-level indicators. According to the weight calculated by analytic hierarchy process, the weights of the first-level indicators are emergency preparation (0.2775), verification and consultation regarding an epidemic situation (0.165), field investigation and control (0.3925) and summary report (0.165). Sensitivity analysis shows that the stability of the index is good.
The no-notice drill mode evaluation system for public health emergencies constructed in this study can be applied to public health departments such as the CDC. Through promotion, it can provide a scientific basis for epidemiological investigation assessment.
目前国内医院对于突发公共卫生事件的无脚本演练模式评价体系多为自行设定的课题，缺乏疾控中心的参与。本研究构建了一套包含疾控中心参与的突发公共卫生事件无脚本演练模式评价体系。
本研究指标体系来源于广东省两轮突发公共卫生事件无脚本演练的表现，通过两轮德尔菲法邀请 20 位专家对指标进行筛选，采用层次分析法确定一、二级指标权重，三级指标权重采用百分权重法计算。
经过两轮专家咨询，得出了 4 个一级指标、26 个二级指标和 86 个三级指标。根据层次分析法计算的权重，一级指标的权重分别为应急准备（0.2775）、疫情核实与咨询（0.165）、现场调查与控制（0.3925）和总结报告（0.165）。敏感性分析表明，该指标稳定性良好。
本研究构建的突发公共卫生事件无脚本演练模式评价体系可应用于疾控中心等公共卫生部门，通过推广可为流行病学调查评估提供科学依据。
