基于全健康理念的血吸虫病消除阶段综合干预绩效评价指标体系研究

中国血吸虫病防治杂志（中英文） ›› 2026, Vol. 38 ›› Issue (3): 240-249.

基于全健康理念的血吸虫病消除阶段综合干预绩效评价指标体系研究

章妍妍1, 2，刘婧姝3，李欣辰1, 2，张其羽4，张晓溪1, 2*，周晓农1, 2, 3*

1 上海交通大学医学院⁃国家热带病研究中心全球健康学院（上海 200025）；2 上海交通大学公共卫生学院（上海 200025）；3 中国疾病预防控制中心寄生虫病预防控制所（国家热带病研究中心）、国家卫生健康委员会寄生虫病原与媒介生物学重点实验室、WHO热带病合作中心、国家级热带病国际联合研究中心（上海 200025）；4 上海市宝山区疾病预防控制中心（上海市宝山区卫生健康监督所）

出版日期:2026-06-25 发布日期:2026-07-23
通讯作者: 张晓溪 zhangxiaoxi@sjtu.edu.cn，周晓农 zhouxn@nipd.chinacdc.cn
作者简介:章妍妍，女，硕士研究生。研究方向：全健康治理、卫生政策研究
基金资助:
国家自然科学基金项目（72204160）；国家重点研发计划专项（2024YFE0199000）；比尔及梅琳达·盖茨基金会项目（INV⁃046218）；上海市卫生健康委员会临床研究专项（20244Y0007）；国家卫健委重点实验室开放课题（NHCKFKT2022⁃16）

Construction of a One Health⁃based performance evaluation indicator system for integrated interventions for schistosomiasis control during the elimination phase

ZHANG Yanyan1, 2, LIU Jingshu3, LI Xinchen1, 2, ZHANG Qiyu4, ZHANG Xiaoxi1, 2*, ZHOU Xiaonong1, 2, 3*

1 School of Global Health, Chinese Center for Tropical Diseases Research and Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; 2 School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China; 3 National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention (Chinese Center for Tropical Diseases Research), National Health Commission Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Center for International Research on Tropical Diseases, Shanghai 200025, China; 4 Shanghai Baoshan District Disease Prevention and Control Center (Baoshan District Health Supervision Institute), China

Online:2026-06-25 Published:2026-07-23

摘要/Abstract

摘要： 目的　基于全健康理念构建血吸虫病消除阶段综合干预绩效评价指标体系，明确干预绩效评价的维度与内涵，为后续实际防控工作绩效评价提供方法学参考。方法　在文献分析基础上，结合小组讨论和专题研讨等方法初步构建指标体系。选择19名血吸虫病防治领域专家开展两轮德尔菲专家咨询，计算专家积极程度、意见集中程度、意见协调程度和专家权威程度，结合评分结果和专家意见对指标进行优化和完善，构建最终指标体系。采用层次分析法确定各级指标归一化权重。结果　经文献分析、小组讨论和专题研讨，初步构建了血吸虫病综合干预绩效评价指标体系，包括4个一级指标、8个二级指标、20个三级指标。两轮专家咨询问卷回收率均为100.00%。第一轮专家咨询中，专家判断依据、熟悉程度评分和权威系数范围分别为0.88 ~ 1.00、0.74 ~ 0.99和0.82 ~ 0.99，第二轮分别为0.88 ~ 0.98、0.73 ~ 0.98和0.81 ~ 0.98。第一轮各指标合理性、重要性和可操作性肯德尔协调系数分别为0.201、0.252、0.221，第二轮分别为0.267、0.319、0.296；经检验，两轮肯德尔协调系数均有统计学意义（[χ2] = 112.063、140.415、123.386、121.939、145.393、135.072，P均 < 0.05）。经过优化调整，最终形成的指标体系包括4个一级指标、7个二级指标、14个三级指标。一级指标中，“健康绩效”“经济绩效”“生态绩效”和“社会绩效”的归一化权重分别为40.44%、13.88%、11.67%和34.01%。二级指标中，“疾病负担水平”和“健康公平促进”的归一化权重均为100.00%，“资源消耗”和“生产能力”的权重均为50.00%，“水体与土壤调节”“大气环境调节”和“物种保育”的归一化权重均为33.33%。结论　本研究构建了基于全健康理念的血吸虫病消除阶段综合干预绩效评价指标体系，纳入了包含健康、经济、生态和社会等多个维度的绩效评价指标，为血吸虫病综合干预的跨部门协同治理绩效评价提供了工具。

关键词: 血吸虫病, 全健康, 消除阶段, 综合干预, 绩效评价, 德尔菲法

Abstract: Objective　To construct a One Health⁃based performance evaluation indicator system for integrated interventions for schistosomiasis in the elimination phase, clarify the dimensions and connotations of intervention performance evaluation, and provide methodological reference for subsequent real⁃world performance evaluation in schistosomiasis control. Methods　On the basis of literature analysis, a preliminary indicator system was developed through group discussion and expert consultation. Nineteen experts in schistosomiasis control were invited to participate in two rounds of Delphi consultation. Expert response rate, degree of consensus, coordination of opinions, and authority were assessed. The indicators were optimized and refined according to the scoring results and expert feedback, and the analytic hierarchy process was used to determine the normalized weights of indicators at each level. Results　Through literature analysis, group discussion, and expert consultation, a preliminary performance evaluation indicator system for integrated interventions for schistosomiasis was developed, consisting of 4 first⁃level indicators, 8 second⁃level indicators, and 20 third⁃level indicators. The response rates of the two rounds of expert consultation were both 100.00%. In the first round, the ranges of the experts' judgment coefficient, familiarity coefficient, and authority coefficient were 0.88 ~ 1.00, 0.74 ~ 0.99, and 0.82 ~ 0.99, respectively; in the second round, the corresponding ranges were 0.88 ~ 0.98, 0.73 ~ 0.98, and 0.81 ~ 0.98, respectively. In the first round, Kendall's coefficients of concordance for the rationality, importance, and operability of the indicators were 0.201, 0.252, and 0.221, respectively; in the second round, the corresponding values were 0.267, 0.319, and 0.296, respectively. The Kendall's coefficients of concordance in both rounds were statistically significant ([χ2] = 112.063, 140.415, 123.386, 121.939, 145.393, and 135.072, all P < 0.05). After optimization and revision, the final indicator system consisted of 4 first⁃level indicators, 7 second⁃level indicators, and 14 third⁃level indicators. Among the first⁃level indicators, the normalized weights of "health performance", "economic performance", "ecological performance", and "social performance" were 40.44%, 13.88%, 11.67%, and 34.01%, respectively. Among the second⁃level indicators, the normalized weights of "disease burden level" and "promotion of health equity" were both 100.00%; those of "resource consumption" and "production capacity" were both 50.00%; and those of "water and soil regulation", "atmospheric environmental regulation", and "species conservation" were all 33.33%. Conclusions　A One Health⁃based performance evaluation indicator system was constructed for integrated interventions for schistosomiasis in the elimination phase. The system incorporates performance evaluation indicators across multiple dimensions, including health, economic, ecological, and social domains, and provides a tool for evaluating the performance of cross⁃sector collaborative governance in integrated schistosomiasis interventions.

Key words: One Health, Schistosomiasis, Elimination phase, Integrated intervention, Performance evaluation, Delphi method

中图分类号:

R532.21

章妍妍, 刘婧姝, 李欣辰, 张其羽, 张晓溪, 周晓农. 基于全健康理念的血吸虫病消除阶段综合干预绩效评价指标体系研究[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 240-249.

ZHANG Yanyan, LIU Jingshu, LI Xinchen, ZHANG Qiyu, ZHANG Xiaoxi, ZHOU Xiaonong. Construction of a One Health⁃based performance evaluation indicator system for integrated interventions for schistosomiasis control during the elimination phase[J]. Chinese Journal of Schistosomiasis Control, 2026, 38(3): 240-249.

[1]	何君逸, 张利娟, 郭苏影, 李仕祯, 李银龙, 杨帆, 曹淳力, 许静, 李石柱. 2025年全国血吸虫病防治进展[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 223-231.
[2]	万佳嘉, 吴子松, 陈琳, 王楠楠, 张宇, 蒲晨, 李荣智, 蒙先洪, 徐亮, 尚婧晔, 陆定, 钟波, 刘阳. 从流行到清零：四川省血吸虫病防治历程[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 232-239.
[3]	周理岗, 何奇凌, 张利娟, 许静, 吕山, 李石柱. 我国血吸虫病疫情75年的演变：基于历史文献的重建与启示[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 250-259.
[4]	张雨欣, 沈君瑶, 薛伟洁, 毛晨旭, 王子玲, 雷志刚, 周莎, 苏川. 巨噬细胞胞葬减轻日本血吸虫病肝脏损害的机制研究[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 274-286.
[5]	施倩雯, 胡一河, 吴敬之, 戴宁彬. 苏州市晚期血吸虫病患者慢性病共病现状[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 293-298.
[6]	沈美芬, 宋静, 王丽芳, 张云, 江华, 周济华, 颜嘉琦, 孙佳昱, 陈春琼, 张宗亚, 王洪琼, 杜春红, 董毅. 云南省野鼠血吸虫感染监测[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 299-303.
[7]	朱李芸, 林磊, 徐宁, 龙萍, 杨馨然, 周雨, 公衍峰, 姜庆五, 周艺彪. 印度芽孢杆菌F19发酵液灭螺活性稳定性评价[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(3): 304-308, 336.
[8]	宁斯奇, 董毅, 杜春红, 王丽芳, 张云, 和玉荷, 江华, 孙佳昱, 陈春琼, 颜嘉琦, 周济华, 张宗亚, 王洪琼, 沈美芬, 宋静. 云南省血吸虫病传播阻断后螺情监测[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(2): 200-206.
[9]	陆申宁, 杨坤, 钱颖骏, 王多全, 吕山, 周晓农. 中非热带病防控合作成效与未来展望[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 1-7, 37.
[10]	李伟, 张键锋, 施亮, 王涛, 冯云, 刘璐, 杨坤. 2012—2024年江苏省血吸虫病监测[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 8-13.
[11]	吴俊, 罗美群, 谢曙英, 朱荣华, 徐慧, 汤龙, 胡飞, 丁晟. 血清Mac⁃2结合蛋白对血吸虫病肝纤维化严重程度的诊断价值[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 38-43.
[12]	尚婧晔, 俞铖航, 吴子松, 蒙先洪, 徐慧蓉, 王朝富, 郑彬, 李石柱, 刘阳. 自然灾害后血吸虫病传播风险评估指标体系的构建[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 60-68.
[13]	徐立梧, 李炯莹. 疾病诊断相关分组在血吸虫病防治中的优势劣势机会威胁分析[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 74-78.
[14]	朱文, 罗华堂, 王浩, 熊月琳, 刘聪. 2005—2024年钉螺控制相关研究可视化分析[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 84-91.
[15]	徐安东, 朱红, 许静, 李石柱. 血吸虫病传播风险评估技术研究进展：全球视角与中国实践[J]. 中国血吸虫病防治杂志（中英文）, 2026, 38(1): 100-108.