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引用本文:李静,周驰,梁楚西,等.中西医协同创伤救治服务能力评价指标体系的构建研究基于德尔菲法和层次分析法[J].中国卫生政策研究,2025,18(9):23-30
中西医协同创伤救治服务能力评价指标体系的构建研究基于德尔菲法和层次分析法
投稿时间:2025-07-28  修订日期:2025-09-10  PDF全文浏览  HTML全文浏览
李静1,2,周驰1,梁楚西3,杨磊1
1.杭州师范大学公共管理学院 浙江杭州 310036;2.北京大学人民医院创伤救治中心/国家创伤医学中心 北京 100044;3.北京大学人民医院 北京 100044
摘要:目的 构建一套科学、合理的中西医协同创伤救治服务能力评价指标体系,为评估区域创伤救治体系的中西医协同效能提供工具。方法 基于协同治理理论框架,通过文献分析、专题小组讨论初拟指标池;采用两轮德尔菲专家咨询法筛选指标,运用层次分析法确定指标权重。结果 构建包含5个一级指标、19个二级指标、45个三级指标的评价体系,专家积极系数(0.923)、权威系数(0.929)、协调系数(0.24)均符合要求。结论 该指标体系兼具科学性与可操作性,可助力中西医协同创伤救治服务的标准化建设和动态优化。
关键词:创伤救治  中西医协同  服务能力  评价指标体系  德尔菲法  层次分析法
Study on the construction of evaluation index system for service capacity of integrated Traditional Chinese and Western medicine trauma rescue: Based on Delphi method and analytic hierarchy process
LI Jing1,2, ZHOU Chi1, LIANG Chu-xi3, YANG Lei1
1.School of Public Administration, Hangzhou Normal University, Hangzhou Zhejiang 310036, China;2.Trauma Center/National Center for Trauma Medicine, Peking University People's Hospital, Beijing 100044, China;3.Peking University People's Hospital, Beijing 100044, China
Abstract:Objective To construct a scientific and reasonable evaluation index system for the service capacity of integrated Traditional Chinese and Western medicine trauma rescue, providing a tool for assessing the synergistic efficacy of regional trauma rescue systems.Methods Based on the collaborative governance theory framework, an initial indicator pool was developed through literature analysis and focus group discussions. Two rounds of Delphi expert consultation were conducted to screen indicators, and the analytic hierarchy process was used to determine weights.Results The final system included 5 first-level indicators, 19 second-level indicators, and 45 third-level indicators. Experts positive coefficients (0.923), authority coefficient (0.929) and coordination coefficient (0.24) met requirements.Conclusions The index system demonstrates scientific rigor and operability, supporting the standardized construction and dynamic optimization of integrated Traditional Chinese and Western medicine trauma rescue services.
Key words:Trauma rescue  Integrated Traditional Chinese and Western medicine  Service capacity  Evaluation index system  Delphi method  Analytic hierarchy process
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