Abstract
Abstract
Background
The performance evaluation of the Centers for Disease Control and Prevention (CDC) is crucial for enhancing the quality of public health services. With the ongoing reform of the CDC system in China, the existing performance evaluation system faces challenges. This study used the Delphi method to develop a new performance evaluation system for China’s provincial, city, and county-level CDC.
Methods
Following the “Structure-Process-Outcome” model, assessment indicators were systematically collected. Indicators were modified and screened through two Delphi rounds based on CDC responsibilities, health development, and national policies. Twenty-four experts provided ratings and recommendations, and the research team evaluated questionnaire reliability, expert positivity, expert authority, and opinion consistency.
Results
The preliminary index system identified through the literature review and pre-survey included 11 primary, 30 secondary, and 64 tertiary indicators. After the first round of consultation, two secondary indicators and 11 tertiary indicators were removed and 22 tertiary indicators were added. After the second round of consultation, three secondary indicators and 11 tertiary indicators were removed and three tertiary indicators were added, at which point the p-value of the test for Kendall’s coefficient of concordance W was < 0.001 and the coefficient of variation was within acceptable limits (< 0.25), so the consultation was concluded. The final index system included 11 primary, 25 secondary, and 67 tertiary indicators.
Conclusions
This study responded to the CDC system reform by developing a comprehensive performance evaluation index system for provincial, city, and county-level CDC in China. The index system is both scientifically grounded and practical, serving as an effective tool for promoting the high-quality work of CDC organizations.
Funder
National Natural Science Foundation of China
Publisher
Springer Science and Business Media LLC
Reference46 articles.
1. DeAngelo JW, Beitsch LM, Beaudry ML, Corso LC, Estes LJ, Bialek RG. Turning point revisited: launching the next generation of performance management in public health. J Public Health Manag Pract. 2014;20(5):463–71.
2. Young AC, Lowry G, Mumford K, Graaf C. CDC’s prevention status reports: monitoring the status of public health policies and practices for improved performance and accountability. J Public Health Manag Pract. 2018;24(2):121–8.
3. Zhang N, Mao A, Wang D, Wang K, Qiu W. Development history, bottleneck and suggestions of evaluation system on centers for disease prevention and control in China. Chin J Public Health. 2023;39(04):540–4.
4. Ministry of Health of the People’s Republic of China. Performance evaluation standards for disease prevention and control work. 2008. http://www.nhc.gov.cn/cmsresources/mohjbyfkzj/cmsrsdocument/doc2934.pdf.
5. Ministry of Health of the People’s Republic of China. Performance evaluation standards for disease prevention and control work (2012 edition). 2013. http://www.nhc.gov.cn/jkj/s7914g/201304/83776ef55cee4269b6ab02f1fd9fc3f3.shtml.