A quality assessment index framework for public health services: a Delphi study

作者：Zhao, Z. G.^*; Cheng, J. Q.; Xu, S. L.; Hou, W. L.; Richardus, J. H.

来源：Public Health, 2015, 129(1): 43-51.

DOI：10.1016/j.puhe.2014.10.016

• Quality assessment
• Public health service
• Index
• Delphi

Objectives: This study sought consensus-based indices for quality assessment of the public health service (QAPHS) to evaluate the service quality of public health in Shenzhen and other cities in China. @@@ Study design: A qualitative study. @@@ Methods: A list of quality assessment indices was formed based on Donabedian theory. These indices were presented to an expert panel in a two-round Delphi study to establish a consensus view. A weight of indices was established to validate the applicability and practicability of the framework. The specialist authority coefficient and Kendall's W were also calculated based on statistical analysis. @@@ Results: A total of 30 experts participated in the Delphi study. Consensus was reached on four first-grade indices, nine second-grade indices and 28 third-grade indices. The specialist authority coefficient (Cr) was high (between 0.88 and 0.92), while Kendall's coefficient (W) of all the indices was >0.5 with statistical significant differences (P < 0.05). This indicated correlation among panelists and had high reliability. @@@ Conclusions: A unified and hierarchical quality assessment index framework for public health services was established. The framework should be further tested and improved in practice.

• 出版日期2015-1
• 单位深圳市疾病预防控制中心; 中国医科大学