Objectives To provide methodology support for the tracking assessment of specific resolution execution through evidence-based construction of tracking assessment index system for resolution execution of WHO essential medicine accessibility resolution, so as to further promote and improve the establishment of national essential medicine policies, and offer a methodology reference to survey and assess the resolution executions in other public health fields.Methods A multi-disciplinary team was set up to preliminarily construct the index system by means of earlier system assessment index through index screening based on Delphi method. The weight of each index was determined by analytic hierarchy process.Results After two rounds of expert consultation, the index system available for resolution execution measures and results of WHO essential medicine accessibility were established, including 9 indexes of resolution execution measures. Meanwhile, the execution results of index contained 4 first class indexes, 13 second class indexes and 36 third class indexes. Each of the indexes obtained its own weight according to degree of importance.Conclusions In this study, the assessment index for resolution execution of essential medicine accessibility is established, however, the empirical research is still required to further verify the scientificity as well as feasibility of this index system.
Citation:
LIN Mao, JIANG Lucan, ZENG Linan, ZHANG Yang, GUI Ge, ZHANG Lingli. Construction of tracking assessment methods of resolution execution of WHO essential medicine accessibility. Chinese Journal of Evidence-Based Medicine, 2019, 19(10): 1145-1150. doi: 10.7507/1672-2531.201902090
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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- 2. World Health Organization. Sixty-seventh World Health Assembly. Available at: http://www.who.int/mediacentre/events/2014/wha67/en/.
- 3. World Health Assembly. Access to Essential Medicine (WHA67.22). Available at: http://apps.who.int/gb/ebwha/pdf_files/WHA67-REC1/A67_2014_REC1-ch.pdf#page=25.
- 4. 林茂, 蒋璐灿, 曾力楠, 等. WHO基本药物可及性决议执行情况追踪评估方法系列研究之一: 系统评价. 中国循证医学杂志, 2019, 19(4): 1-10.
- 5. Dalkey N, Helmer O. An experimental application of the Delphi method to the use of experts. Manag Sci, 1963, 9(3): 458-467.
- 6. 曾光. 现代流行病学方法与应用. 北京: 北京医科大学中国协和医科大学联合出版社, 1994: 250-270.
- 7. 夏萍. 定点医院基本医疗保险业务监督评价指标体系研究. 成都: 四川大学, 2004.
- 8. 程琮, 刘一志, 王如德. Kendall协调系数W检验及其SPSS实现. 泰山医学院学报, 2010, 31(7): 487-490.
- 9. Diakoulaki D, Mavrotas G, Papayannakis L. Determining objective weights in multiple criteria problems: The critic method. Comp Oper Res, 1995, 22(7): 763-770.
- 10. 郭金玉, 张忠彬, 孙庆云. 层次分析法的研究与应用. 中国安全科学学报, 2008, (5): 148-153.
- 11. 伍琳, 孙艳杰. 德尔菲法简介及在护理学中的应用现状. 护理研究, 2015, (29): 3599-3601.
- 12. 张志强, 顾啸天, 熊季霞. 公立医院综合绩效评价指标体系构建方法分析. 医学与社会, 2015, 28(10): 5-8.
- 13. 孙振球. 医学统计学. 北京: 人民卫生出版社, 2002: 377-380.