层次分析法在社区医务人员综合评价心脑血管病防控措施中的应用
首发时间:2018-05-28
摘要:【目的】为达到慢性病社区防控工作高效率运行目的,笔者通过综合措施权重的研究向读者介绍一种有效的综合评估方法与技术。【方法】用两两比较的方法在社区医务人员中开展调查。应用层次分析法,在建立矩阵模型的基础上对调查信息进行特征向量计算和一致性检验分析,最终通过算术平均数的计算获得各项措施的权重比例。【结果】建立了措施选择、准则和方案3层11项元素的1个结构模型,据此形成了6个矩阵模型,内容覆盖国家慢病规划中5项评价要素和苏州市现有28个工作项目。本次共调查36人,平均年龄38.69岁,参与慢性病防控工作时间平均为7.28年。调查对象调查信息准则层、方案层中的减少死亡、减少发病、降低疾病负担、控制危险因素和提高疾病管理量6项符合一致性要求的人数分别占调查人数的30.56%、50.00%、50.00%、66.67%、61.11%和61.11%。以符合一致性要求调查信息为数据源所获得的权重比例为健康教育25.04%、全民健康生活方式24.05%、心脑血管病管理17.51%、控烟17.37%和高危人群筛查与管理16.02%。【结论】基层社区医务人员认为健康教育和全民健康生活方式工作在慢性病防控工作当中地位最为重要,研究结果给出了明晰的数量值。研究结果有助检测现有工作的不足和指导调整方案的策划。
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Applied Research on Analytic Hierarchy Process in Comprehensive Evaluation for CCVD Prevention and Control Measure from GP
Abstract:[Objective] To achieve high performance for chronic diseases prevention and controlling in community, we introduce an effective method for comprehensive evaluation with our study on comprehensive measures’ weight. [Methods] Firstly, we asked some information with questionnaire from the general practitioners (GP) for pairwise comparison. Then, we calculated the eigenvalue and tested data consistency on the basis of building matrix models through application of analytic hierarchy process (AHP). Finally, we obtained various measures’ weight through the calculation of arithmetic average. [Results] We succeeded to build a structure model which contains 3-levels (measures, criteria and projects) structure and 11 elements. Then, we generated 6 matrix models including 5 key elements of national planning for chronic diseases prevention and controlling, 28 current work items of Suzhou according to the structure model above. The average age and average work age of 36 participators in our investigation were 38.69 and 7.28 years. The proportions of participators which fit the relative consistencies in criteria level and project level such as reducing death, disease occurrence, disease burden and control risk factors and increasing quantity of disease management were 30.56%, 50.00%, 50.00%, 66.67%,6 1.11% and 61.11% respectively. Furthermore, we obtained the weights of health education (25.04%), National Action of Health Life-style (24.05%), cardio-cerebrovascular disease (CCVD) management (17.51%), smoking control and screening (17.37%), and managing high-risk population of CCVD (16.02%) from the above data source. [Conclusion] As a result, the GP think that health education and National Action of Health Life-style are most important in all measures, and a clear number of values are provided in the study. With these results, we can also find out the deficiency of current work and get guidance for adjusting work projects.
Keywords: NCD measure comprehensive evaluation AHP
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层次分析法在社区医务人员综合评价心脑血管病防控措施中的应用
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