【摘要】 目的 构建符合我国县域医防融合工作实际的评价指标体系，为引领和推动县域医防融合工作科学发展提供指导原则和评价手段。方法 以彩虹模型为理论依据，通过政策分析、文献复习等方法确定县域医防融合评价指标体系的理论框架和备选指标库；运用德尔菲专家咨询法和层次分析法确定指标体系及其权重。结果 两轮专家咨询的积极系数分别为87%和100%，权威系数均值均为0.79，意见协调系数分别为0.222和0.359（均P <0.05）；经过两轮专家咨询后建立了包含6个一级指标、15个二级指标以及37个三级指标的县域医防融合评价指标体系。结论 指标的构建有适宜的理论指导，遵循了科学方法，符合科学程序，过程严谨、结果可靠；对促进和提高未来我国县域医防融合工作的科学性和可持续发展具有现实指导意义。更多还原

【Abstract】 Objective To construct an evaluation index system in accordance with the practical implementation of county-level medical treatment and prevention integration in China, and to provide guiding principles and evaluation tools for its scientific development. Methods Using the rainbow model as a theoretical foundation, a theoretical framework and a pool of candidate indicators for evaluating county-level medical-preventive integration were established through policy analysis and literature review. The Delphi method and analytic hierarchy process(AHP) were used to determine the index system and corresponding weights. Results The response rates for the two rounds of expert consultation were 87% and 100%, respectively, with an average authority coefficient of 0.79. The coordination coefficients of the expert opinions were 0.222 and 0.359(both P < 0.05). After two rounds of expert consultation, an evaluation index system was established, which included 6 first-level, 15 second-level, and 37 third-level indicators. Conclusions The construction of the index system was guided by appropriate theoretical principles, followed scientific methodology,adhered to systematic procedures, maintained rigorous processes, and produced reliable results to promote and enhance the development and sustainability of county-level medical-preventive integration in China.更多还原