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...

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Main Authors: 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
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Language:zho
Published: Editorial Office of Chinese Journal of Public Health 2024-12-01
Series:Zhongguo gonggong weisheng
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Online Access:https://www.zgggws.com/article/doi/10.11847/zgggws1144472
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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.
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institution Kabale University
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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
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