职业与健康 ›› 2025, Vol. 41 ›› Issue (9): 1275-1279.

• 卫生管理与研究 • 上一篇    下一篇

基于德尔菲法的天津市突发公共卫生事件应急机制优化研究

张晓旺1, 金鑫2   

  1. 1.天津大学胸科医院办公室,天津 300222;
    2.天津大学医学院,天津 300072
  • 收稿日期:2025-01-11 修回日期:2025-01-29 出版日期:2025-05-01 发布日期:2025-12-12
  • 作者简介:张晓旺,男,副研究员,主要从事卫生事业管理与医院管理及政策研究工作。
  • 基金资助:
    天津市卫生健康事业管理课题项目(DYKT2025004)

Optimization strategy research of emergency mechanism for public health emergencies in Tianjin based on Delphi Method

ZHANG Xiaowang1, JIN Xin2   

  1. 1. Administrative Office,Tianjin Chest Hospital,Tianjin 300222,China;
    2. Medical School of Tianjin University,Tianjin 300072,China
  • Received:2025-01-11 Revised:2025-01-29 Online:2025-05-01 Published:2025-12-12

摘要: 目的 通过德尔菲法构建天津市应对突发公共卫生事件指标架构,优化突发公共卫生事件应急处理机制。方法 建立研究小组,结合文献检索等方法初步设计调查问卷,2024年5月应用德尔菲法对70名专家进行2轮问卷咨询,并对数据进行分析。结果 2轮专家函询问卷的有效回收率分别是94.3%和91.4%,专家权威系数分别是0.874和0.881,两轮专家意见协调系数分别是0.452、0.501。最终确立天津市应对突发公共卫生体制设计指标架构包含3个一级维度,11个二级维度。结论 天津市突发公共卫生体制较为完备,同时根据实际工作需要完善治理结构,并优化决策机制,实现有效强化辅助措施,夯实应急整体体系的综合保障。

关键词: 公共卫生, 应急机制, 路径优化

Abstract: Objective To construct an indicator framework for Tianjin pubtic health incidents response system design by the Delphi method,and to improve and optimize the emergency response mechanism for public health emergencies. Methods A research group was established,and a preliminary survey questionnaire was designed using methods such as literature search. In May 2024, the Delphi method was applied to conduct two rounds of questionnaire consultation with 70 experts,and the data were analyzed. Results The effective response rates of the two rounds of expert inquiry questionnaires were 94.3% and 91.4%,respectively. The expert authority coefficients were 0.874 and 0.881,respectively. The coordination coefficients of the two rounds of expert opinions were 0.452 and 0.501,respectively. The final establishment of the index framework for Tianjin's response to public health emergencies includes 3 first level dimensions and 11 second level dimensions. Conclusion The emergency public health system in Tianjin is relatively complete. At the same time,the governance structure should be improved according to actual work needs,and the decision-making mechanism should be optimized to effectively strengthen auxiliary measures,thereby consolidating the comprehensive guarantee of the overall emergency system.

Key words: Public health, Emergency response mechanism, Path optimization

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