基于德尔菲法的公共卫生事件中家庭服务需求指标体系构建

 目的 确立公共卫生事件中家庭服务需求指标及其权重,以建立系统完整、科学可行及具有推广性的家庭服务需求指标体系（family service needs index system,FSNIS）。方法 于2020年9月邀请21位国内公共卫生、安全与应急等领域专家参与德尔菲专家咨询,根据咨询结果调整指标并采取层次分析法确定最终指标权重。结果 根据德尔菲专家咨询结果构建的需求指标体系,包括4个一级指标、14个二级指、32个三级指标。采用层次分析法分别得到各级指标的权重,其中一级指标权重：“家庭安全需求（family safety needs,FSN）”为0.268,“家庭健康需求（family health needs,FHN）”为0.257,“家庭生活需求（family life needs,FLN）”为0.252,“家庭精神文化需求（family spiritual and cultural needs,FSCN）”为0.221。排在前5位的三级指标权重依次为：“通风”0.034,“突发事件时期特殊物资”0.034,“舆情引导和信息透明”0.033,“公共设备设施”0.033,“食品来源”0.033。结论 本研究构建的公共卫生事件中家庭服务评估指标及其权重客观可信,可为政策制定者推进社区层面的家庭服务建设提供科学参考和依据。

The construction of the family service needs index system (FSNIS) in public health events based on Delphi method

Objective To construct family service needs index system (FSNIS) and their weights in public health events, and establish a systematic, scientifically feasible and popular family service evaluation index system.Methods We invited 21 domestic experts in the fields of public health, safety and emergency to participate in the Delphi expert consultation during Sept 2020.Then we adjusted the index according to the consultation results and adopted the analytic hierarchy process to determine the final index weights.Results The needs index system was constructed according to the consultation results of Delphi experts included 4 first-level indicators, 14 second-level indicators, and 32 third-level indicators. The weights of index at all levels were obtained by using the analytic hierarchy process.Among them, the weight of the first-level indicators: "family safety needs (FSN)" was 0.268, "family health needs (FHN)" was 0.257, "family life needs (FLN)" was 0.252, and "family spiritual and cultural needs (FSCN)" was 0.221.The top five three-level indicator weights: "ventilation" was 0.034, "special supplies during emergencies" was 0.034, "public opinion guidance and information transparency" was 0.033, "public equipment and facilities" was 0.033, and "food source" was 0.033.Conclusion The evaluation index and weights of family services in public health events constructed in this study were objective and credible, which can provide a scientific reference and basis for policymakers to promote the construction of family services at the community level.