| 引用本文：石佳琪,崔宇杰,许家宁,等.基于德尔菲法的中国儿童早期发展指标体系构建研究[J].中国卫生政策研究,2025,18(5):35-41 |
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| 基于德尔菲法的中国儿童早期发展指标体系构建研究 |
| 投稿时间：2025-04-14 修订日期：2025-05-09 PDF全文浏览 HTML全文浏览 |
| 石佳琪1，崔宇杰2，许家宁1，李菲菲2，李国红1,3，江帆4 |
| 1.上海交通大学公共卫生学院 上海 200025;2.上海交通大学中国医院发展研究院 上海 200025;3.上海交通大学医学院全球健康学院 上海 200025;4.国家儿童医学中心（上海）、上海交通大学医学院附属上海儿童医学中心 上海 200127 |
| 摘要:目的 本研究旨在构建一套符合我国实际情况的儿童早期发展监测指标体系，以科学、系统地评估各地区儿童早期发展水平与服务能力。方法 以养育照护促进儿童早期发展框架（Nutrition Care Framework，NCF）为理论基础，首先通过文献研究和焦点小组访谈进行指标初选，然后采用德尔菲法进行两轮专家咨询确定评价指标，并使用优序图法确定指标权重。结果 拟定了一级指标6个（良好的健康、充足的营养、回应性照护、早期学习机会、安全保障、需求与投入），二级指标12个，三级指标31个。结论 本研究构建的儿童早期发展指标体系兼顾宏观、中观与微观层次，强调跨部门协作与关注儿童照护者，并引入公平性指标以衡量地区差异。研究结果为量化评估我国各地区儿童早期发展水平与服务能力提供参考，并通过跨部门协作机制和目标导向作用，引导资源聚焦关键领域，为儿童优先发展战略的长效实施与资源保障奠定基础。 |
| 关键词:儿童早期发展 指标体系 德尔菲法 |
| 基金项目:盖茨基金会项目（INV-049539）；上海市加强公共卫生体系建设三年行动计划（2023-2025年）重点学科建设项目（GWVI-11.1-48） |
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| Construction of an early child development index system in China using a Delphi method |
| SHI Jia-qi1, CUI Yu-jie2, XU Jia-ning1, LI Fei-fei2, LI Guo-hong1,3, JIANG Fan4 |
| 1.School of Public Health， Shanghai Jiao Tong University， Shanghai 200025， China;2.China Hospital Development Institute， Shanghai Jiao Tong University， Shanghai 200025， China;3.School of Global Health， Shanghai Jiao Tong University School of Medicine， Shanghai 200025， China;4.National Children’s Medical Center， Shanghai Children’s Medical Center， Shanghai Jiao Tong University School of Medicine， Shanghai 200127， China |
| Abstract:Objective This study aims to construct a monitoring index system for early child development （ECD） that is consistent with China’s actual situation， to scientifically and systematically evaluate the level of ECD and service capacity in various regions.Methods The study was predicated on the theoretical foundation of the Nutrition Care Framework （NCF）. Indicators were initially selected through a literature review and focus group interviews. The evaluation indicators were then determined through two rounds of expert consultation utilising the Delphi method. The Priority Sequence Diagram Method （PSDM） was subsequently implemented to determine indicator weights.Results The final framework encompasses six first-level indicators （good health， adequate nutrition， responsive caregiving， opportunities for learning， security and safety， and demand and investment）， 12 second-level indicators， and 31 third-level indicators.Conclusion The ECD index system constructed in this study integrates macro， meso， and micro levels， emphasises cross-sectoral collaboration and attention to child caregivers， and incorporates equity indicators to measure regional disparities. The research outcomes provide a reference for quantitatively assessing the level of ECD and service capacity across various regions in China. By leveraging mechanisms for cross-sectoral collaboration and goal-oriented approaches， the study provides a framework for the allocation of resources to key areas， thus laying the foundation for the sustained implementation and resource assurance of the child-priority development strategy. |
| Key words:Early child development Indicator system Delphi method |
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