Abstract: Background　The 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 services，making the assessment of their competencies essential for advancing this integration. However，the 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. Objective　This study aims to develop an indicator system for assessing the service capability of primary care doctors in the integration of medical and preventive care，providing a reference framework for evaluating and improving their competencies. Methods　From June to August 2023，purposive sampling was employed to select consulting experts specializing in theoretical research，practical implementation，and administrative management related to the integration of medical and preventive services. A two-round Delphi method was conducted following informed consent，with questionnaires distributed via WeChat or email. The proposed competency evaluation framework was discussed，refined，and finalized. Analytic hierarchy process（AHP）was subsequently utilized to determine the weight of each indicator. Results　The 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 0.181（P<0.001）and 0.371（P<0.001），indicating significant consensus among experts. The finalized framework comprises three primary indicators，nine secondary indicators，and 26 tertiary indicators. Conclusion　The constructed indicator system is scientifically rigorous and reliable，identifying 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.

Key words: Physicians, primary care；Primary care doctors；Integration of medical and preventive care；Service capability；Indicator system；Delphi method；Analytic hierarchy process

摘要： 背景　医防融合作为满足居民不断增长的医疗卫生需求的必然结果，能够有效促进人民健康。基层医生作为开展医防融合服务的先锋，其能力评价对推进医防融合工作具有重要作用。然而，目前基层医生医防融合服务能力评价指标尚未得到充分探究和建立。目的　构建基层医生医防融合服务能力指标体系，为评价与提高基层医生医防融合服务能力提供参考。方法　2023年6—8月，采用目的抽样法，在从事医防融合理论研究、医防融合实践工作及行政管理3类人员中选取咨询专家。本研究使用德尔菲法开展2轮专家咨询，获得专家知情同意后，以微信或电子邮件的方式发送咨询问卷。根据专家咨询对基层医生医防融合服务能力指标体系进行讨论和定稿。最后使用层次分析法确定各指标权重。结果　第一轮咨询问卷回收率96.7%，第二轮问卷回收率100.0%。专家权威系数为0.885。两轮专家咨询的肯德尔系数分别为0.181（P<0.001）和0.371（P<0.001）。最终构建了包含3个一级指标、9个二级指标、26个三级指标的基层医生医防融合服务能力指标体系。结论　本研究构建的基层医生医防融合服务能力指标体系具有科学性和可靠性，并且确定了基层医生医防融合服务能力的核心要素，为精确评价基层医生医防融合服务能力提供借鉴。

关键词: 医生, 初级保健；基层医生；医防融合；服务能力；指标体系；德尔菲法；层次分析法