Li Qian, Yu Hongjie, Cheng Fan, Kuang Haidong, Zhang Xiaoqiong, Shao Yuqing, Ma Xiaoxue, Li Jingyu, Li Yan, Zhu Yanhong, Lv Yipeng
School of Public Health, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Jiading District Center for Disease Control and Prevention, Shanghai, China.
Front Public Health. 2025 Jul 23;13:1577853. doi: 10.3389/fpubh.2025.1577853. eCollection 2025.
BACKGROUND: Primary health institutions, as the "first on-site responders," play a crucial role in responding to health emergencies. However, there are few studies on the systematic assessment of their emergency response capabilities. We aimed to develop a health emergency response capability evaluation framework for primary health institutions to assess the resuscitation capacity in metropolis. METHODS: In the first stage, we collected preliminary indicators through literature and government documents concerning the primary health evaluation. Afterward, we utilized the Delphi method to consult 15 frontline health emergency response practitioners, health management officials, and research experts. After two rounds of questionnaire consultations, participants scored the importance and feasibility of all indicators. Subsequently, we employed the analytic hierarchy process (AHP) to determine the weights assigned to each indicator and construct the framework of health emergency response capability evaluation for primary health institutions. RESULTS: We developed a framework for evaluating the health emergency response capabilities of primary health institutions in metropolis, comprising 3 first-level indicators, 11 s-level indicators, and 37 third-level indicators. In both rounds of consultation, experts provided a unanimous positive consensus, with a 100% agreement rate. The authority coefficient was 0.92 for both rounds, and the -value of Kendall's W was statistically significant (<0.001). Furthermore, compared to the first round, the level of coordination among experts improved in the second round. In the process of judging matrices, the consistency ratios (CRs) of indicators at all levels were less than 0.1. For first-level indicators, including "prevention and monitoring," "resource reserve and system construction," and "emergency response and summarization," the respective weight values were 0.286, 0.335, and 0.379, respectively. CONCLUSION: This study developed a framework for evaluating the health emergency response capabilities of primary health institutions in metropolis. This framework can help improve the evaluation systems for emergency response capacity in primary health institutions in China's metropolis.
背景：基层医疗卫生机构作为“第一现场响应者”，在应对突发公共卫生事件中发挥着关键作用。然而，目前针对其应急能力的系统评估研究较少。我们旨在构建一个针对基层医疗卫生机构的突发公共卫生事件应急能力评估框架，以评估大城市的复苏能力。 方法：在第一阶段，我们通过文献和政府文件收集了有关基层医疗卫生评估的初步指标。随后，我们采用德尔菲法咨询了15名一线突发公共卫生事件应急从业者、卫生管理人员和研究专家。经过两轮问卷调查，参与者对所有指标的重要性和可行性进行了评分。随后，我们运用层次分析法（AHP）确定每个指标的权重，并构建基层医疗卫生机构突发公共卫生事件应急能力评估框架。 结果：我们构建了一个大城市基层医疗卫生机构突发公共卫生事件应急能力评估框架，包括3个一级指标、11个二级指标和37个三级指标。在两轮咨询中，专家们均给出了一致的肯定性共识，同意率为100%。两轮的权威系数均为0.92，Kendall's W的p值具有统计学意义（<0.001）。此外，与第一轮相比，第二轮专家之间的协调程度有所提高。在判断矩阵过程中，各级指标的一致性比率（CR）均小于0.1。对于一级指标，包括“预防与监测”、“资源储备与体系建设”和“应急处置与总结”，其权重值分别为0.286、0.335和0.379。 结论：本研究构建了一个大城市基层医疗卫生机构突发公共卫生事件应急能力评估框架。该框架有助于完善我国大城市基层医疗卫生机构应急能力评估体系。
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