医疗机构肠道门诊设置策略指标

目的在霍乱低流行状态下，修订肠道门诊设置策略和设置指标。方法通过对74名专家进行两轮专家咨询法制定肠道门诊设置的策略、指标体系。采用层次分析法和比例分配法，分别确定一级指标和二级指标的权重。结果制定监测预警、公共卫生职能、消毒及院内感染控制、政府职能、治疗、肠道门诊设置、作用评估、人员和设备8个一级指标及权重；一级医院14个二级指标及权重；二、三级医院20个二级指标及权重。结论通过专家咨询法制定的肠道门诊设置策略和指标体系科学可信，能指导合理分配医疗资源，对卫生行政部门重新制定肠道门诊设置策略和指标体系具有指导意义。

Setting strategy and index for establishment of diarrhea outpatient clinic in medical institution

ObjectiveTo revise setting strategy and index for the establishment of diarrhea outpatient clinics in Tianjin—an area with low epidemic cholera.MethodsThe two rounds of Delphi expert consultation were used to set the strategy and index system for the establishunent of diarrhea outpatient clinic.The weights of first-class indicator and second-class indicator were determined by analytic hierarchy process(AHP)and prorportion method.ResultsThe authoritative coefficient was 0.888 5.The epidemic strength of cholera was classified as normal,low,and high epidemic.The setting strategy for the establishment of diarrhea outpatient clinic was made for the time of prior operation and during the operation.Eight first-class indicators included government function,setting,staff and instrument,treatment,disinfection and protection,nosocomial infection control,public health function,surveillance,early warning and evaluation.Fourteen indicators for first-grade hospitals and twenty indicators for second-grade hospitals were also set up.ConclusionThe setting strategy and index system for establishment of diarrhea outpatient clinic were set up with Delphi expert consultation.The index system could be adopted to guide the medical resource assignment and to revise setting strategy and index for diarrhea outpatient service.