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目的因地制宜构建广西艾滋病抗病毒治疗项目实施效果评价指标体系。方法采用文献法和德尔菲(Delphi)法遴选指标,根据指标重要性均数的差值比较法构造判断矩阵,应用层次分析法计算各指标权重并进行一致性检验。结果建立由4个一级指标和25个二级指标构成的评价体系,一级指标包括投入、过程、产出、效果,其权重分别为0.277 6,0.095 3、0.160 3和0.466 8;一致性指数为0.037 4。二级指标“耐药发生比例”、“治疗病人脱失情况”、“治疗病人病死率”、“医务人员接受过正规培训情况”、“专职医务人员比例”、“当地到位经费数”、“临床治疗经费占总经费的比例”权重排名前7位。结论构建的效果评价指标体系科学、合理、实用,为广西艾滋病政策评价提供科学依据。耐药性、依从性、病死率是反映效果和质量的重要指标,医务人员正规培训及流动性,治疗经费投入从很大程度影响地区项目的实施。
Objective To construct the evaluation index system of implementation effect of Guangxi AIDS antiviral therapy according to local conditions. Methods The literature and Delphi method were used to select the indicators. The judgment matrix was constructed according to the comparison of the means of the mean of the importance of the indicators. The analytic hierarchy process was used to calculate the weights of the indicators and to test the consistency. Results The evaluation system consisted of four first-level indicators and twenty-five second-level indicators. The first-level indicators included inputs, processes, outputs and effects with weights of 0.277 6,0.095 3,0.160 3 and 0.466 8 respectively. Consistency The index is 0.037 4. Secondary indicators “the proportion of drug resistance ”, “treatment of patient loss ”, “treatment of patient mortality ”, “medical staff have received formal training ”, “full-time medical staff ratio ”,“ Local funds ”,“ the proportion of the total funding for clinical treatment ”ranked the top seven. Conclusion The construction of the evaluation index system of effect is scientific, reasonable and practical, and provides a scientific basis for the evaluation of Guangxi AIDS policy. Drug resistance, compliance, and mortality are important indicators of effectiveness and quality. Regular training of medical staff and liquidity and funding for treatment have largely affected the implementation of projects in the region.