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1, the background is a public health emergencies happen suddenly, causing or threatening to cause serious harm to the public health major infectious diseases, mass unexplained illness, major food and occupational poisoning and other serious impact on public health events. Public health emergencies with sudden and accidental, serious socio-economic harm, suffering and groups, event handling, and the unity and coordination of risk decisions and timeliness characteristics. Since 2003 the \According to the Ministry of Health announced a national public health emergency information display, in 2007, received a total of 31 outside the country except Hong Kong, Macao and Taiwan province, white autonomous regions and municipalities reported to public health emergencies through the management information system reports unexpected public health events of 2552, the reported cases of 98,254 people, killed 515 people. Visible, China's annual public health emergencies prevention and severe situation. Medical staff is to deal with public health emergencies of the subject. Each time after the occurrence of a public health emergency, requires a lot of medical personnel involved in responding. For example, in Wenchuan after the earthquake, the country of about 100,000 people participate in earthquake relief health health and epidemic prevention work. Accumulated sick personnel treat the injured Lee about 4.37 million passengers, carry out surgery nearly 40,000 times, 90,000 inpatients who accumulated to 20 provinces, autonomous regions and municipalities transfer the sick and wounded a thousand. 2, the purpose and significance in response to public health emergencies, people gradually recognized the need to strengthen the hospital emergency-type human resources management. According to hospital medical care system, especially in response to public health emergencies in the responsibilities and role in building a set of adaptation capacity to respond to public health emergencies evaluation of the scientific, rational, reliable and feasible comprehensive evaluation system, and as a hospital respond to public health emergencies when pumping group, selection, training, reserve emergency personnel, to create a pull out, there is the level of ability of the emergency-type personnel, improve public health emergencies emergency hospital level, has a very important practical significance. 3, first through the literature analysis methods, reference standards and expert consultation method, in strict compliance with building comprehensive evaluation index system on the basis of general principles, develop a preliminary public health emergency response capacity medical personnel evaluation system framework. For screening index, with the first round of the Delphi method expert advice, will evaluate each index level of importance into a very important, very important, important, not very important, unimportant five levels, and to give the corresponding quantitative value 10,7.5,5,2.5,0. According to expert feedback from a comprehensive analysis of the indicators necessary to add, subtract, delete, repair, and later determine the public health emergency response capacity medical personnel evaluation index system. A second round of Delphi expert consultation The main purpose is to obtain the weight of each indicator. According to experts, the assignment of the indicators seek the average score, the average score of the cumulative index to calculate the share of the total score for each indicator score proportion as the index weighting coefficients are used to build a public health emergency medical personnel ability to cope linear model. The subject of this study is the Delphi method, influence the selection of experts is a key element of success Delphi Method. Thus, by selecting 6 qualification, identified a total of 31 consultants. All experts consulted first round to the second round of consultation with two experts who was unable to accept advice. Through expert analysis of structural analysis and degree of authority that the selected consultant has extensive public health emergency response experience, but also very familiar with the sudden public health incidents, the law of development of medical workers respond to emergencies public health events should have the qualities and capabilities should also be very clear, with a typical representative, to ensure the accuracy and reliability of the survey results. Two Delphi expert consultation quality control results primarily by calculating response rates and expert coordination coefficient to reflect. 4, the results of the first round of the Delphi method expert advice after receiving expert opinions on revising the preliminary development of indicators, adjusting the structure of the individual indicators and some indicators do a re-description of the content to determine the public health emergency medical personnel in responding Evaluation indicators to basic profiles, knowledge, practices and skills as an indicator three indicators, including indicators under the basic overview of a subdivided age, working hours, education, job title, state of health, academic and professional backgrounds working seven aspects as two indicators; indicator in a knowledge system is subdivided under basic knowledge, basic knowledge, expertise, management expertise, legal knowledge, psychological knowledge and other knowledge-seven parties and as the two indicators; in practice and skills to the next level indicators subdivided technical expertise, training exercises, participation experience, communication and coordination, as well as exposure of five aspects of two indicators, which form a complete structure with two public health emergency medical personnel in responding capacity evaluation index system. By the second round of the Delphi method expert advice, access to an index and two index weights. Ultimately, the establishment of a public health emergency response capacity evaluation medical personnel initially linear model: Y = 0.281X 1 0.344X 2 0.375X 3 . X 1 = 0.124X 11 0.147X 12 0.128X 13 0.145X 14 0.181X 15 0.061X 16 0.215X 17 . X 2 = 0.168X 21 < / sub> 0.164X 22 0.178X 23 0.129X 24 0.132X 25 0.142X 26 < / sub> 0.087X 27 . X 3 = 0.23X 31 0.203X 32 0.205X 33 0.18X 34 0.182X 35 . Wherein: Y represents comprehensive evaluation score; X 1 , X 2 , X 3 , respectively, three-level indicators evaluation score; X < sub> 11 , X 12 , ..., X 17 , respectively, the first one indicator next seven two indicators scored; X 21 , X 22 , ..., X 27 , respectively, the second an indicator next seven two indicators scored; X 31 , X 32 , ..., X 35 , respectively, the third one indicator next five two indicators scored; each individual indicator scores depending on the particular circumstances and the composite score by percentile or one thousand points system. Quality control in effect, two experts in response rates were: 100% and 94%, two expert coordination coefficients were: 0.448 and 0.765. Two coordination coefficient by x 2 test, the results were statistically significant, indicating that the two expert opinions have better coordination. 5 Conclusions and discussion of this topic is based mainly on public health emergencies in recent years, the frequent occurrence and more diverse species, leading to increased demand for medical staff as the background research, focusing on public health emergency hospital human resources management, to medical personnel in responding to public health emergencies ability to study foothold in Delphi, literature analysis, expert consultation, scientific and statistical analysis methods such as the integrated use of technical means to explore the evaluation of medical personnel in responding to public health emergencies ability indicators, and build an initial comprehensive evaluation model. Characteristics of the place of this study are: 1, the first public health emergency built capacity to respond to medical personnel evaluation system to build an evaluation index system of the core values ??and the main purpose is scientific, objective and comprehensive evaluation of the assessment made by an object. Public health emergency response capacity of medical personnel evaluation system is a complex system of indicators, reference literature currently available for almost nothing. This study is mainly through the Delphi method, first established a complete set of public health emergency response capacity of medical personnel evaluation system. 2, has a better objective evaluation of this research institutes to establish an index system is mainly for capacity evaluation. Capacity is an abstract concept, in essence, the genus of human nature and the inherent potential of objectivity indicators selected range is relatively small, direct evaluation of the difficulties are. In this study, the selection of indicators on abandoned some of the subjectivity relatively strong indicators, the main objective of the indicators chosen, increasing the comparability and operability. 3, strong adaptability and medical personnel evaluation system established in this study is the evaluation index system of evaluation of the object. Medical staff is a collection of concepts, including various types of medical personnel, different professional backgrounds and division caused by the nature of work and work characteristics are not the same. In this study, build public health emergency response capacity medical personnel evaluation system, pay attention to choose the generic indicators established in this study therefore index evaluation system applicable to all involved in responding to public health emergencies of medical personnel in responding Evaluation. 4, a variety of comprehensive evaluation methods applied in this study is the subject of the Delphi method with the idea. Delphi expert advice to ensure accurate and reliable results, set strict conditions for the selection of experts, which requires not only experts have a wealth of practical experience, but also requires experts have a high academic level. In addition to using Delphi, the study also used the literature review, expert interviews, statistical analysis and other methods, subjective methods coupled with objectivity method combining Institute try to ensure that evaluation index system build accurate and reliable results. This study is just a public health emergency constructed response capabilities medical personnel evaluation system framework, a clear evaluation of the twelve indicators to determine the appropriate weighting factor, but not the actual evaluations, the practical effect of how yet need for empirical research, follow-up work may consider using multivariate mathematical statistics, expert assessment score and other methods to test the model reliability and validity of this evaluation system to improve the practicality and reliability. Secondly, in theory, the evaluation index system of indicator data obtained in different populations should establish standardized evaluation methods, such as medicine, medicine, nursing, technical and medical management expertise, skills assessment should be consistent with the degree of difficulty . This study that the model is a simple linear model initially, because the complexity of public health emergencies, capacity evaluation varied, medical staff determines the diversity of public health emergency response capacity evaluation medical personnel system, the selection of indicators, and methods of use must also have in practice, constantly optimize the sound.
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