天津市免疫规划疫苗脱漏儿童影响因素调查分析

发布时间：2018-02-25 09:49

本文关键词： 免疫规划疫苗影响因素德尔菲法　出处：《现代预防医学》2017年09期 　论文类型：期刊论文

【摘要】：目的了解天津市免疫规划疫苗脱漏儿童影响因素以制定更加科学合理的管理策略。方法通过文献检索和专家访谈得到可能导致儿童脱漏免疫规划疫苗的因素,采用德尔菲咨询法,对选取的40名专家开展咨询。通过统计分析影响因素重要性得分的算术均数和变异系数对影响因素进行筛选,并确定各影响因素的权重。结果两轮咨询专家的积极系数分别为95%和100%,专家熟悉程度与权威系数分别为0.86和0.88;协调系数分别为0.74和0.87。经过两轮专家咨询,天津市免疫规划疫苗脱漏儿童影响因素共筛选出5个一级条目,12个二级条目,31个三级条目。一级条目中,管理策略、经费保障、宣传动员权重最高,分别为0.26、0.23、0.18,其各自次级条目中跨部门合作、预算额度和媒体宣传权重较高,分别为0.40、0.54、0.61。结论应从争取跨部门合做政策,提高专项经费投入,加强媒体宣传等多方面入手,制定更加科学、合理、高效的免疫规划疫苗脱漏儿童干预策略。
[Abstract]:Objective to understand the influencing factors of immunization planning vaccine in children in Tianjin in order to make a more scientific and reasonable management strategy. By using Delphi method, 40 selected experts were consulted. The influence factors were screened through statistical analysis of the arithmetic mean and coefficient of variation of the importance score of the influencing factors. Results the positive coefficients of the two rounds of consultation experts were 95% and 100, the familiarity and authority coefficients of experts were 0.86 and 0.88, the coordination coefficients were 0.74 and 0.87 respectively. A total of 5 first-level items, 12 second-level items and 31 third-level items were screened out from the influencing factors of vaccine leakage in Tianjin immunization program. Among the first-level items, management strategy, funds guarantee and propaganda mobilization were the most important items. They are 0.26 / 0.230.18 respectively, and their respective sub-items are inter-departmental cooperation, with a high budget quota and a high weight of media publicity, respectively, 0.400.540.61.Conclusion it is necessary to start with various aspects, such as striving for a policy of inter-departmental cooperation, increasing special funding input, and strengthening media publicity, and so on. To develop more scientific, rational and efficient immunization planning vaccine leak-free children intervention strategy.
【作者单位】：天津市疾病预防控制中心;
【基金】：天津市卫生和计划生育委员会科技专项:基于大数据分析的天津市免疫规划脱漏儿童预警模型构建(2015KZ052)
【分类号】：R186

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