基层医生医防融合服务能力评价指标体系构建

BackgroundThe integration of medical and preventive care has emerged as an essential strategy to address the increasing healthcare demands of the population and effectively enhance public health outcomes. Primary care doctors play a pivotal role in implementing the integration of medical and preventive servicesmaking the assessment of their competencies essential for advancing this integration. Howeverthe indicators for evaluating the primary care doctors' service capabilities in the integration of medical and preventive care have not yet been comprehensively explored and established. ObjectiveThis study aims to develop an indicator system for assessing the service capability of primary care doctors in the integration of medical and preventive careproviding a reference framework for evaluating and improving their competencies. MethodsFrom June to August 2023purposive sampling was employed to select consulting experts specializing in theoretical researchpractical implementationand administrative management related to the integration of medical and preventive services. A two-round Delphi method was conducted following informed consentwith questionnaires distributed via WeChat or email. The proposed competency evaluation framework was discussedrefinedand finalized. Analytic hierarchy processAHPwas subsequently utilized to determine the weight of each indicator. ResultsThe response rates for the first and second rounds of consultation were 96.7% and 100%respectively. The expert authority coefficient was 0.885. Kendall's coefficients of concordance for the two rounds were 0.181P<0.001and 0.371P<0.001indicating significant consensus among experts. The finalized framework comprises three primary indicatorsnine secondary indicatorsand 26 tertiary indicators. ConclusionThe constructed indicator system is scientifically rigorous and reliableidentifying the core elements required to assess the service capabilities of primary care doctors in the integration of medical and preventive care. This framework provides a valuable reference for accurately evaluating and enhancing the capacity of primary care doctors to integrate medical and preventive services.