Hu Tong, Liu Mingyuan, Tian Xin, Xin Youqing
School of Public Health, Capital Medical University, No.10 Xitoutiao, Youanmenwai Street, Fengtai District, Beijing, 100069, China.
Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, No.95 Yongan Street, Xicheng District, Beijing, 100050, China.
BMC Infect Dis. 2024 Dec 18;24(1):1397. doi: 10.1186/s12879-024-10269-4.
The capacity of tertiary general hospitals to prevent and treat respiratory infectious diseases plays a key role in effectively containing the spread of major epidemics within hospitals and ensuring early treatment for patients. This, in turn, helps control the transmission of diseases at the societal level and safeguard public health. However, there is a lack of detailed indicators for assessing hospitals' capacity in this area, which makes it difficult to evaluate and manage practices. Therefore, this study aimed to develop a comprehensive evaluation index system to assess the capabilities of tertiary general hospitals in preventing and treating respiratory infectious diseases.
This study utilizes a three-dimensional evaluation model, "Structure-Process-Outcome" as the theoretical basis and first-level index of the indicator system for evaluating the abilities of tertiary general hospitals in preventing and treating respiratory infectious disease. A combination of literature review, semi-structured interviews, and Delphi expert consultation was employed to ensure comprehensive and reliable indicators. The hierarchical analysis method (AHP) was used to determine the weights of the indicators.
The effective response rates for the two rounds of the Delphi survey were 95.2% and 100%, respectively. The expert authority coefficients were 0.905 and 0.923, respectively. Kendall's W for the importance of all the indicators increased from 0.274 to 0.327 (P < 0.001), and for feasibility, it increased from 0.198 to 0.240 (P < 0.001). After two rounds of expert consultation, a final evaluation indicator system was established, including 3 first-level indicators, 12 s-level indicators, and 41 third-level indicators, with assigned weights.
This study establishes a comprehensive evaluation index system, providing a scientific basis for evaluating the capacity of tertiary general hospitals to prevent and treat respiratory infectious diseases. The system provides valuable reference for improving hospital preparedness and response strategies, and for evaluating the infectious disease prevention and treatment system in Beijing, China.
三级综合医院预防和治疗呼吸道传染病的能力在有效遏制医院内重大疫情传播以及确保患者早期治疗方面发挥着关键作用。这反过来有助于在社会层面控制疾病传播并保障公众健康。然而，目前缺乏评估医院在该领域能力的详细指标，这使得实践评估和管理变得困难。因此，本研究旨在建立一个综合评价指标体系，以评估三级综合医院预防和治疗呼吸道传染病的能力。
本研究采用“结构 - 过程 - 结果”三维评价模型作为评价三级综合医院预防和治疗呼吸道传染病能力指标体系的理论基础和一级指标。采用文献综述、半结构化访谈和德尔菲专家咨询相结合的方法，以确保指标全面且可靠。运用层次分析法（AHP）确定指标权重。
两轮德尔菲调查的有效回复率分别为95.2%和100%。专家权威系数分别为0.905和0.923。所有指标重要性的肯德尔W系数从0.274增至0.327（P < 0.001），可行性方面从0.198增至0.240（P < 0.001）。经过两轮专家咨询，建立了最终评价指标体系，包括3个一级指标、12个二级指标和41个三级指标，并赋予了权重。
本研究建立了一个综合评价指标体系，为评估三级综合医院预防和治疗呼吸道传染病的能力提供了科学依据。该体系为改进医院的防范和应对策略以及评估中国北京的传染病预防和治疗体系提供了有价值的参考。
