Study On Assessment Index System And Evaluation Methods For Appropriate Health Technology

Objectives To establish an assessment index system and developevaluation methods for provincial appropriate health technology，andprovide basis for decision making for appropriate health technology library.Methods Literature review and expert consultation were used to buildindex system and determine the index weight. Linear-weighted sum wasused to calculate the composite score of the index system.“Expertssimulation”, Cronbach αand Spearman correlation analysis were used toevaluate the reliability and validity of the index system. Microsoft Excel2007/2010and SAS9.1were used for data entry and analysis.Results The assessment index system was established, including5first-level indicators,14second-level indicators,28third-level indicators,and19forth-level indicators. The first-level indicators are scientific,technical implementation requirements, safety, effectiveness, and suitability,which were separately weighted0.18、0.18、0.21、0.21、0.22. The optionalindicators were separately designed for the effectiveness as secondary indicators. Sensitivity and specificity were for diagnostic technology,precision and the accuracy were for detection technology, efficiency andquality of life of patients were for treatment techniques, and the protectionrate and the effect of index were for prevention techniques.In the practical study, all of the nine health technologies were scoredover90points. The diagnosis and treatment technologies for COPD wereaveragely scored97.34and for childhood asthma were96.01.Conclusions A comprehensive, scientific, and operable index systemwas established. And the evaluation methods were developed. It’s a key forselection of appropriate health technology, and it is significant forassessment and promotion of appropriate health technology. Thepracticality and feasibility of the index system and evaluation methodswere confirmed in the practical application. However, there were still somedeficiencies need to be improved in the further study.