Study on the Construction of Evaluation Index System for Stroke Prevention and Screening Capacity of Primary Medical and Health Institutions

doi:10.3969/j.issn.1673-5765.2025.03.007

Abstract

Abstract: Objective To construct a scientific and effective evaluation index system for stroke prevention and screening capacity of primary medical and health institutions, serving as guidance and reference for related research.
Methods Through literature search, group discussion, and literature research, and combined with the expert opinions of the Shenzhen Neurological Disease Medical Prevention Integration Project Group, a preliminary evaluation index system for stroke prevention and screening capacity of primary medical and health institutions was developed. On this basis, experts who have participated in the construction of the Stroke Emergency Map of China or Stroke Prevention Map were invited to be the subjects of the Delphi consultation. Based on the results of the consultation, the coefficients of expert positivity, expert authority, and expert coordination were calculated. After two rounds of consultation and group discussions, the final index system was established.
Results A total of 22 experts who have participated in the construction of the Stroke Emergency Map of China or Stroke Prevention Map were invited. All questionnaires for the two rounds of expert consultation were returned and valid, with an expert participation rate of 100% for both rounds. The expert authority coefficients were 0.795 and 0.790, respectively. The Kendall’s concordance coefficients of the importance of expert questionnaires were 0.233 (χ2=240.752, P<0.001) and 0.338 (χ2=349.240, P<0.001), respectively. The final index system consisted of 9 primary and 47 secondary indicators.
Conclusions This study constructed an evaluation index system for stroke prevention and screening capacity of primary medical and health institutions based on stroke prevention and treatment practices and the Delphi method. It has high reliability, comprehensiveness and scientificity. The application effects of the index system in different regions and the weight of the indicators still need to be further validated and studied.

Key words: Primary medical and health institution; Stroke prevention and screening capacity; Delphi method; Index system

摘要： 目的构建一套科学、有效的基层医疗卫生机构卒中预防筛查能力评价指标体系，为相关研究提供参考。
方法通过文献检索、小组讨论和文献研究，并结合深圳市神经系统疾病医防融合项目组专家意见，初步拟定基层医疗卫生机构卒中预防筛查能力评价指标体系。在此基础上，采用德尔菲法，邀请参与过中国卒中急救地图或卒中预防地图建设的专家作为函询对象，根据函询结果计算专家积极程度、权威程度和协调程度，经过两轮函询及小组讨论最终确定指标体系。
结果共邀请参与过中国卒中急救地图或卒中预防地图建设的专家22位，两轮专家函询问卷全部收回且有效，专家积极程度均为100%。专家权威系数分别为0.795和0.790，专家问卷重要性的肯德尔协调系数分别为0.233（χ2=240.752，P<0.001）和0.338（χ2=349.240，P<0.001）。最终确立的指标体系由9个一级指标和47个二级指标构成。
结论本研究基于卒中防治实践和德尔菲法构建的基层医疗卫生机构卒中预防筛查能力评价指标体系，具有较高的可靠性、全面性和科学性，指标体系在不同地区的应用效果和指标权重仍有待进一步验证和研究。

关键词: 基层医疗卫生机构; 卒中预防筛查能力; 德尔菲法; 指标体系

CLC Number:

LIU Chao, CHI Feng, QIN Lifen, LI Yanlei, REN Lijie. Study on the Construction of Evaluation Index System for Stroke Prevention and Screening Capacity of Primary Medical and Health Institutions[J]. Chinese Journal of Stroke, 2025, 20(3): 305-312.

刘超, 池枫, 覃立芬, 李艳蕾, 任力杰. 基层医疗卫生机构卒中预防筛查能力评价指标体系构建研究[J]. 中国卒中杂志, 2025, 20(3): 305-312.

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