Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model
ObjectiveTo construct an evaluation index system in accordance with the practical implementation of county-level medical treatment and prevention integration in China, and to provide guiding principles and evaluation tools for its scientific development. MethodsUsing the rainbow model as a theoretic...
Saved in:
Main Authors: | , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | zho |
Published: |
Editorial Office of Chinese Journal of Public Health
2024-12-01
|
Series: | Zhongguo gonggong weisheng |
Subjects: | |
Online Access: | https://www.zgggws.com/article/doi/10.11847/zgggws1144472 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
_version_ | 1823859464746303488 |
---|---|
author | Cancan LI Chengyue LI Zijing WANG Zhongliang BAI Ren CHEN Qunhong SHEN Lingzhong XU Chuan PU Anning MA Junwen GAO Hua WANG Mo HAO Zhi HU |
author_facet | Cancan LI Chengyue LI Zijing WANG Zhongliang BAI Ren CHEN Qunhong SHEN Lingzhong XU Chuan PU Anning MA Junwen GAO Hua WANG Mo HAO Zhi HU |
author_sort | Cancan LI |
collection | DOAJ |
description | ObjectiveTo construct an evaluation index system in accordance with the practical implementation of county-level medical treatment and prevention integration in China, and to provide guiding principles and evaluation tools for its scientific development. MethodsUsing the rainbow model as a theoretical foundation, a theoretical framework and a pool of candidate indicators for evaluating county-level medical-preventive integration were established through policy analysis and literature review. The Delphi method and analytic hierarchy process (AHP) were used to determine the index system and corresponding weights. ResultsThe response rates for the two rounds of expert consultation were 87% and 100%, respectively, with an average authority coefficient of 0.79. The coordination coefficients of the expert opinions were 0.222 and 0.359 (both P < 0.05). After two rounds of expert consultation, an evaluation index system was established, which included 6 first-level, 15 second-level, and 37 third-level indicators. ConclusionsThe construction of the index system was guided by appropriate theoretical principles, followed scientific methodology, adhered to systematic procedures, maintained rigorous processes, and produced reliable results to promote and enhance the development and sustainability of county-level medical-preventive integration in China. |
format | Article |
id | doaj-art-481d5c766f9f4d1daafdda9bbb297ddc |
institution | Kabale University |
issn | 1001-0580 |
language | zho |
publishDate | 2024-12-01 |
publisher | Editorial Office of Chinese Journal of Public Health |
record_format | Article |
series | Zhongguo gonggong weisheng |
spelling | doaj-art-481d5c766f9f4d1daafdda9bbb297ddc2025-02-11T02:11:59ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-12-0140121481148610.11847/zgggws11444721144472Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow modelCancan LI0Chengyue LI1Zijing WANG2Zhongliang BAI3Ren CHEN4Qunhong SHEN5Lingzhong XU6Chuan PU7Anning MA8Junwen GAO9Hua WANG10Mo HAO11Zhi HU12Key Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Anhui Medical University, Hefei 230032, ChinaResearch Center for Health Development Strategy, Fudan University, Shanghai 200032, ChinaKey Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Anhui Medical University, Hefei 230032, ChinaKey Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Anhui Medical University, Hefei 230032, ChinaKey Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Anhui Medical University, Hefei 230032, ChinaSchool of Public Policy and Management, Tsinghua University, Beijing 100084, ChinaHealth Service Management Branch, Chinese Preventive Medicine Association, Shanghai 200032, ChinaHealth Service Management Branch, Chinese Preventive Medicine Association, Shanghai 200032, ChinaHealth Service Management Branch, Chinese Preventive Medicine Association, Shanghai 200032, ChinaHealth Commission of Anhui Province, Hefei 230000, ChinaJiangsu Commission of Health, Nanjing 210008, ChinaResearch Center for Health Development Strategy, Fudan University, Shanghai 200032, ChinaKey Laboratory of Public Health Social Governance, Philosophy and Social Sciences of Anhui Province, Anhui Medical University, Hefei 230032, ChinaObjectiveTo construct an evaluation index system in accordance with the practical implementation of county-level medical treatment and prevention integration in China, and to provide guiding principles and evaluation tools for its scientific development. MethodsUsing the rainbow model as a theoretical foundation, a theoretical framework and a pool of candidate indicators for evaluating county-level medical-preventive integration were established through policy analysis and literature review. The Delphi method and analytic hierarchy process (AHP) were used to determine the index system and corresponding weights. ResultsThe response rates for the two rounds of expert consultation were 87% and 100%, respectively, with an average authority coefficient of 0.79. The coordination coefficients of the expert opinions were 0.222 and 0.359 (both P < 0.05). After two rounds of expert consultation, an evaluation index system was established, which included 6 first-level, 15 second-level, and 37 third-level indicators. ConclusionsThe construction of the index system was guided by appropriate theoretical principles, followed scientific methodology, adhered to systematic procedures, maintained rigorous processes, and produced reliable results to promote and enhance the development and sustainability of county-level medical-preventive integration in China.https://www.zgggws.com/article/doi/10.11847/zgggws1144472medical-prevention integrationrainbow modelindex systemdelphi methodanalytic hierarchy process |
spellingShingle | Cancan LI Chengyue LI Zijing WANG Zhongliang BAI Ren CHEN Qunhong SHEN Lingzhong XU Chuan PU Anning MA Junwen GAO Hua WANG Mo HAO Zhi HU Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model Zhongguo gonggong weisheng medical-prevention integration rainbow model index system delphi method analytic hierarchy process |
title | Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model |
title_full | Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model |
title_fullStr | Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model |
title_full_unstemmed | Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model |
title_short | Development of a problem-oriented index system for evaluating the integration of medical treatment and prevention at county level: a Delphi study based on the rainbow model |
title_sort | development of a problem oriented index system for evaluating the integration of medical treatment and prevention at county level a delphi study based on the rainbow model |
topic | medical-prevention integration rainbow model index system delphi method analytic hierarchy process |
url | https://www.zgggws.com/article/doi/10.11847/zgggws1144472 |
work_keys_str_mv | AT cancanli developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT chengyueli developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT zijingwang developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT zhongliangbai developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT renchen developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT qunhongshen developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT lingzhongxu developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT chuanpu developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT anningma developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT junwengao developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT huawang developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT mohao developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel AT zhihu developmentofaproblemorientedindexsystemforevaluatingtheintegrationofmedicaltreatmentandpreventionatcountyleveladelphistudybasedontherainbowmodel |