Abstract:

Objective To establish a scientific，accurate and effective evaluation index system for medical-emergency support capacity during major events，so as to provide a reference for rationally assessing and improving the capacity of relevant medical institutions in Tianjin，and for comprehensively promoting the high-quality development of medical-emergency support in the city. Methods On the basis of literature retrieval and analysis，expert interviews and theoretical research，a draft evaluation index system for medical-emergency support capacity in major events was preliminarily formulated. The Delphi method and the analytic hierarchy process（AHP） were applied to finalize the index system and calculate the weights. Results The two rounds of expert consultation showed high positive response，authority coefficient and coordination of opinions. The final evaluation index system for medical-emergency support capacity during major events comprised 7 first-level indicators，including organization management，team management，material management，financial management，mission management，in-hospital treatment-support management and satisfaction management，23 second-level indicators，such as establishment of organizational system，establishment of medical expert database，creation and updating of material ledgers，etc.，and 53 third-level indicators，such as clarifying management rules，personnel responsibilities and work procedures; forming large-，medium- and small-scale professional medical-emergency support teams under the principle of "combining peacetime with emergency，full-time with part-time"; timely equipping and updating necessary instruments，medicines and consumables for the teams，etc.. Conclusion The constructed evaluation index system is well-structured and reasonably weighted，with high reliability，and can serve as an effective tool for assessing，managing and decision-making regarding medical-emergency support capacity in major events.

Key words: Major events, Medical-emergency support capacity, Evaluation index, System, Delphi method, Analytic hierarchy process