Chinese General Practice ›› 2026, Vol. 29 ›› Issue (02): 162-169.DOI: 10.12114/j.issn.1007-9572.2023.0834

• Chinese General Practice/Primary Care Services • Previous Articles    

Construction of Emergency Response Capacity Evaluation Indicators System for Major Infectious Diseases in Primary Medical Institutions in Beijing: Based on Emergency Management Theory and the Resilience Concept

  

  1. School of General Practice and Continuing Education, Capital Medical University, Beijing 100069, China
  • Received:2024-04-21 Revised:2024-09-03 Published:2026-01-15 Online:2025-12-11
  • Contact: ZHAO Yali

北京市基层医疗卫生机构重大传染病疫情应急能力评价指标体系的构建研究:基于应急管理理论与韧性理念

  

  1. 100069 北京市,首都医科大学全科医学与继续教育学院
  • 通讯作者: 赵亚利
  • 作者简介:

    作者贡献:

    王佳欣负责研究设计与实施、数据收集与分析、论文撰写;吴浩负责研究设计与指导;赵亚利负责研究设计、数据收集、论文撰写指导,对文章整体负责、监督管理。

  • 基金资助:
    国家卫生健康委员会基层卫生健康司委托"基层服务规范"研究项目; 北京市卫生健康委员会高层次公共卫生技术人才培养计划(2022-1-005); 首都卫生管理与政策研究基地2022年度开放性课题(2022JD05)

Abstract:

Background

Emergency response capacity of primary healthcare institutions in epidemic prevention and control greatly practiced and improved during the prevention and control of COVID-19 epidemic, and in this context, the construction of a more targeted and practical emergency response capacity evaluation indicators system for major infectious diseases in primary medical institutions is necessary.

Objective

To construct an emergency response capacity evaluation indicators system for major infectious diseases in primary medical institutions in Beijing, based on the theory of emergency management and resilience.

Methods

From October to November in 2022, a preliminary emergency response capacity evaluation indicators system for major infectious diseases in primary medical institutions in Beijing, was constructed by literature analysis method, policy induction method, and focus group discussion method. From March to May in 2023, two rounds of correspondence were conducted using the modified delphi method, and the emergency response capacity evaluation indicators system for major infectious diseases in primary medical institutions in Beijing, was determined according to the results of modified Delphi method, and the weights of all of the evaluation indicators were determined by analytic hierarchy process.

Results

The effective recovery rates of the questionnaires in the two rounds of modified Delphi method was 94.4% (17/18) and 100.0% (17/17), respectively, and the expert authority coefficient was 0.84. The coordination coefficients of the importance and operability of the indicators was 0.144 (P<0.05), 0.190 (P<0.05), respectively, in the first round of modified Delphi method; was 0.104 (P<0.05), 0.155 (P<0.05), respectively, in the second round of modified Delphi method. In the eventually formed emergency response capacity evaluation indicators system for major infectious diseases in primary medical institutions in Beijing, there were 3 first-level indicators (preparedness capacity, disposal capacity, and assessment and recovery capacity), 18 second-level indicators, and 56 third-level indicators, and the weight of the 3 first-level indicator was 0.528, 0.333 and 0.140, respectively.

Conclusion

Based on the theoretical framework of emergency management and the concept of resilience, we constructed the emergency response capacity evaluation indicators system for major infectious diseases in primary medical institutions in Beijing, in which the indicators can be dynamically adjusted according to the actual situation, so as to more truly reflect the emergency response capacity for major infectious diseases, and to provide a reference for the evaluation of emergency response capacity for major infectious diseases in primary healthcare institutions.

Key words: Communicable disease control, Emergency responders, COVID-19, Primary medical institutions, Emergency response capacity, Emergency management theory, Resilience concept

摘要:

背景

新型冠状病毒感染疫情(简称新冠疫情)防控工作中,基层医疗卫生机构应急能力得到极大历练与提升,在此背景下构建基层医疗卫生机构重大传染病疫情应急能力评价指标体系需更具针对性与实践性。

目的

在应急管理理论基础上融合韧性理论以构建符合北京市实际情况的基层医疗卫生机构重大传染病疫情应急能力评价指标体系。

方法

2022年10—11月,采用文献分析法、政策归纳法、专题小组讨论法初步构建北京市基层医疗卫生机构重大传染病疫情应急能力评价指标体系;2023年3—5月,通过两轮改良德尔菲专家函询法确立北京市基层医疗卫生机构重大传染病疫情应急能力评价指标体系,并运用层次分析法确定各评价指标权重。

结果

两轮改良德尔菲专家函询问卷有效回收率分别为94.4%(17/18)、100.0%(17/17),专家权威系数为0.84。第一轮改良德尔菲专家函询结果显示,指标重要性、可操作性的协调系数分别为0.144(P<0.05)、0.190(P<0.05);第二轮改良德尔菲专家函询结果显示,指标重要性、可操作性的协调系数分别为0.104(P<0.05)、0.155(P<0.05)。最终形成包含3个一级指标(准备能力、处置能力、评估与恢复能力)、18个二级指标、56个三级指标的北京市基层医疗卫生机构重大传染病疫情应急能力评价指标体系,3个一级指标的权重分别为0.528、0.333、0.140。

结论

本研究基于应急管理理论框架,融合韧性理念,构建了北京市基层医疗卫生机构重大传染病疫情应急能力评价指标体系,可根据实际情况进行动态调整,使之更真实地反映基层医疗卫生机构重大传染病疫情应急能力,为基层医疗卫生机构重大传染病疫情应急工作的评估提供参考。

关键词: 传染病控制, 应急响应者, 新型冠状病毒感染, 基层医疗卫生机构, 应急能力, 应急管理理论, 韧性理念

CLC Number: