The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications

Abstract Background The increasing of exchange activities among public health institutes and experts globally calls for a standardized operation to construct public health field investigation and short-term study hub (Field Study Hub). This can funcion as a platform to share experience in public hea...

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Main Authors: Ning Feng, Yanhui Dong, Shelan Liu, Xiaoping Dong
Format: Article
Language:English
Published: BMC 2022-10-01
Series:Global Health Research and Policy
Subjects:
Online Access:https://doi.org/10.1186/s41256-022-00273-z
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author Ning Feng
Yanhui Dong
Shelan Liu
Xiaoping Dong
author_facet Ning Feng
Yanhui Dong
Shelan Liu
Xiaoping Dong
author_sort Ning Feng
collection DOAJ
description Abstract Background The increasing of exchange activities among public health institutes and experts globally calls for a standardized operation to construct public health field investigation and short-term study hub (Field Study Hub). This can funcion as a platform to share experience in public health development in an accurate and comprehensive manner that would benefit global practices. This research aims to establish a supportive indicator system to guide the construction work. Methods Delphi method including two rounds of surveys were conducted among 82 senior public health experts. A structured questionnaire was designed to collect the opinions of the experts on the necessity of setting and feasibility of measurement for proposed 5 dimensions of 49 indicators and 7 additionally proposed ones. Percentage and score were used to describe the assessments, χ2 and t tests to compare differences, Kappa and Cronbach’s alpha values to assess intra-rater and inter-rater reliabilities. Significance level α was 0.05. Bonferroni adjustment was used in the comparison of experts’ judgment basis. Results The percentages of experts choosing “Very good” or “Good” for necessity and feasibility in rounds 1 and 2 were 73.1–97.6% (85.8% ± 7.5%), 64.6–93.9% (82.8% ± 6.7%), 73.8–100% (91.0% ± 6.2%) and 72.5–100% (89.2% ± 7.3%) respectively. The scores of necessity were higher than those of feasibility, and the differences in the dimensions of “Key experience”, “Capacity for logistic support” and the total were statistically significant (t11 = 2.920, t12 = 3.035, t31 = 4.448, t32 = 2.664, tt1 = 3.794, tt2 = 3.007, P < 0.05). The fourteen most necessary indicators were identified. The judgment bases of “Theory” and “Experience” were higher than “Knowledge” and “Intuition” statistically significantly (round 2: χTK 2 = 39.020, χEK 2 = 67.692, χTI 2 = 45.823, χEI 2 = 76.515, P < 0.0125). The Kappa values exceeded 40 with the maximum as 75 and the Cronbach’s alphas exceeded 0.8000 with the maximum as 0.9732. Conclusions A set of 5 dimensions of 56 indicators with good necessity and feasibility were developed to technically support and well evaluate the construction of field study hub in public health institutions. This was of high significance because it tended to provide a preliminary baseline for the standardized practice in global health. Also, the present research might serve as a methodological reference for the development of other indicator sets.
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spelling doaj.art-9867096c6e384e50bd4978067dc4f2f92022-12-22T03:22:25ZengBMCGlobal Health Research and Policy2397-06422022-10-017111410.1186/s41256-022-00273-zThe construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implicationsNing Feng0Yanhui Dong1Shelan Liu2Xiaoping Dong3Center for Global Public Health, Chinese Center for Disease Control and PreventionInstitute of Child and Adolescent Health, School of Public Health, Peking UniversityDepartment of Infectious Diseases, Zhejiang Provincial Center for Disease Control and PreventionNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and PreventionAbstract Background The increasing of exchange activities among public health institutes and experts globally calls for a standardized operation to construct public health field investigation and short-term study hub (Field Study Hub). This can funcion as a platform to share experience in public health development in an accurate and comprehensive manner that would benefit global practices. This research aims to establish a supportive indicator system to guide the construction work. Methods Delphi method including two rounds of surveys were conducted among 82 senior public health experts. A structured questionnaire was designed to collect the opinions of the experts on the necessity of setting and feasibility of measurement for proposed 5 dimensions of 49 indicators and 7 additionally proposed ones. Percentage and score were used to describe the assessments, χ2 and t tests to compare differences, Kappa and Cronbach’s alpha values to assess intra-rater and inter-rater reliabilities. Significance level α was 0.05. Bonferroni adjustment was used in the comparison of experts’ judgment basis. Results The percentages of experts choosing “Very good” or “Good” for necessity and feasibility in rounds 1 and 2 were 73.1–97.6% (85.8% ± 7.5%), 64.6–93.9% (82.8% ± 6.7%), 73.8–100% (91.0% ± 6.2%) and 72.5–100% (89.2% ± 7.3%) respectively. The scores of necessity were higher than those of feasibility, and the differences in the dimensions of “Key experience”, “Capacity for logistic support” and the total were statistically significant (t11 = 2.920, t12 = 3.035, t31 = 4.448, t32 = 2.664, tt1 = 3.794, tt2 = 3.007, P < 0.05). The fourteen most necessary indicators were identified. The judgment bases of “Theory” and “Experience” were higher than “Knowledge” and “Intuition” statistically significantly (round 2: χTK 2 = 39.020, χEK 2 = 67.692, χTI 2 = 45.823, χEI 2 = 76.515, P < 0.0125). The Kappa values exceeded 40 with the maximum as 75 and the Cronbach’s alphas exceeded 0.8000 with the maximum as 0.9732. Conclusions A set of 5 dimensions of 56 indicators with good necessity and feasibility were developed to technically support and well evaluate the construction of field study hub in public health institutions. This was of high significance because it tended to provide a preliminary baseline for the standardized practice in global health. Also, the present research might serve as a methodological reference for the development of other indicator sets.https://doi.org/10.1186/s41256-022-00273-zIndicatorPublic healthHubNecessityFeasibilityCoherence
spellingShingle Ning Feng
Yanhui Dong
Shelan Liu
Xiaoping Dong
The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications
Global Health Research and Policy
Indicator
Public health
Hub
Necessity
Feasibility
Coherence
title The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications
title_full The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications
title_fullStr The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications
title_full_unstemmed The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications
title_short The construction of Chinese indicator system on public health field investigation and short-term study hub: experience and implications
title_sort construction of chinese indicator system on public health field investigation and short term study hub experience and implications
topic Indicator
Public health
Hub
Necessity
Feasibility
Coherence
url https://doi.org/10.1186/s41256-022-00273-z
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