Objective: To establish an emergency response capability assessment indexes for disease control and prevention institutions.
Methods: Health emergency response capability assessment indexes of Shanghai Centers for Disease Control and Prevention(CDCs) was drafted based upon documentary analysis, expert consultation and focus group discussion according to duties and features of emergency work of CDCs. The assessment indexes were determined by applying Delphi method (18 experts), and the weights of indexes were determined using analytic hierarchy process and proportional distribution method. And then the established index system was used to assess the emergency response capability of CDCs in Shanghai.
Results: Two rounds of expert consultations were conducted. Kendall's coefficient of concordance was 0.420 and 0.495 at the first and second round of expert consultations respectively. After two rounds of consultations, the expert authority score was above 0.7. There were 7 primary indexes, 24 secondary indexes and 84 third-level indexes. The seven primary indexes included emergency management system, emergency response team, surveillance and early-warning ability, emergency response capacity, emergent supply capability, communication and cooperation, scientific research and exchange, with systematic weights of 0.2123, 0.1754, 0.1334, 0.1916, 0.1281, 0.0962 and 0.0630,respectively. According to the investigation, Shanghai Municipal Center for Disease Control and Prevention ranked first in the total score of emergency response capability evaluation.
Conclusions: The indexes identified in this study have good reliability and feasibility, and can be used in assessment of emergency response capability in disease prevention and control institutions.
目的: 构建疾病预防控制（以下简称疾控）机构卫生应急能力评估指标体系。
方法: 以上海市为例，根据疾控机构在卫生应急工作中的职责和特点，在文献检索、专家访谈和小组讨论的基础上，拟定疾控机构卫生应急能力评估指标框架。全国甄选18名专家，采用德尔菲法进行两轮咨询，应用层次分析法计算一、二级指标权重，采用比例分配法计算三级指标权重，建立评估指标体系，并对上海市疾控中心和下辖16个区疾控中心进行调查，并计算卫生应急能力总分。
结果: 共进行两轮专家咨询，协调系数分别为0.420和0.495，所有专家的权威系数均超过0.7。构建的卫生应急能力评估指标体系由7项一级指标、24项二级指标和84个三级指标组成。一级指标分别为体系建设、队伍建设、监测预警能力、应急处置能力、应急保障能力、信息沟通与部门协作、科研与合作交流能力，权重分别为0.2123、0.1754、0.1334、0.1916、0.1281、0.0962、0.0630。调查结果显示，上海市疾控中心在17个疾控中心中卫生应急能力总分排名第一。
结论: 本研究构建的指标体系可以较好地评估疾控机构的卫生应急能力。