Keywords
Chronic diseases
Integration of medical care and preventive services
Evaluation indicator system
Analytic Hierarchy Process
Delphi method
Submitted : 2026-06-15
Accepted : 2026-06-30
Published : 2026-07-15
Abstract
China’s primary healthcare system has vigorously promoted the integration of medical care and preventive services for chronic disease management, yet a mature and validated evaluation tool to quantify its operational effectiveness is still lacking. This study aimed to construct a scientific and practical evaluation indicator system to fill this research gap. Two rounds of Delphi expert consultation were conducted with 15 invited experts, and the Analytic Hierarchy Process (AHP) was applied to determine the weight of each indicator. The finalized system consists of six primary dimensions, including service team building, service facility configuration, service process implementation, medical service effectiveness, health behavior management effectiveness, and service cost control, along with 32 secondary indicators. The established indicator system can provide a methodological reference for researchers and policy-makers to scientifically assess the real-world performance of the integration of medical care and preventive services at the primary care level.
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