The Study On Establishing Both Of The System Of Screening Index And The Screening Mode Of Appropriate Health Technique

Objective To establish a scientific and perfect system of screening index to provide scientific information and Decision basis for the establishment of Appropriate Health Technique (AHT) source and the admittance of AHT. To establish a screening mode to provide an effective method for the screening of AHT.Methods (1) The establishment of the system of screening index was based on the research of literature and the Delphi method. The RSR and percent-weight method were used to calculate the weight-value of the indexes. (2) The appropriate health techniques used in the tenth five-year plan were evaluated by the system of screening index, and then the evaluating results were tested by the spearman rank correlation analysis. (3) The Cronbach's alpha coefficient and Factor Analysis were used to evaluate the reliability and validity of screening index system. (4) The main diseases endangering the health of the masses were obtained through baseline survey, from which the requirements in rural areas were evaluated. With the former results, some appropriate health techniques were selected and spread in rural areas.Results (1) The system of screening index includes 5 primary and 17 secondary indexes. The weight-values of the primary indexes are characteristics (0.1901), security (0.2586), effectiveness (0.2700), economy (0.1559), social suitability (0.1255), and those of the secondary indexes were science (0.0184), maturity (0.0210), completeness (0.0403), requirements for environment and equipment (0.0331), training (0.0226), operability (0.0318), skill requirements for user (0.0229), adverse reaction rate (0.1336), adverse reaction intensity (0.1250), efficiency (0.1260), effectiveness (0.1440), cost-profit of medical agency (0.0672), cost-effectiveness of patient (0.0672), people's demands (0.0377), acceptability of medical agency (0.0232), doctor's acceptability (0.0289), patient's acceptability (0.0358). (2) The one-vote veto indexes were completeness, adverse reaction rate, efficiency, adverse reaction intensity, effectiveness, requirements for environment and equipment. (3) The Spearman rank correlation coefficient of comprehensive scores and usage rate was 0.811(P<0.01). (4) The total Cronbach's alpha coefficient of the screening index system was 0.863. The Cronbach's alpha coefficients of the five primary indexes were characteristics (0.883), security (0.842), effectiveness (0.916), economy (0.806), social suitability (0.923). (5) The main diseases endangering the health of the masses in rural areas were upper respiratory infection, pneumonia, chronic bronchitis (CB) , hypertensive disease, surgical trauma, gastritis, fracture, pneumocardial disease (PHD), cholecystitis, diabetes, cervical syndrome (CS), coronary artery disease, appendicitis, appendagitis, uropoiesis infection, pharyngitis, amygdalitis, arthrophlogosis, and so on.(6) Sixteen appropriate health techniques were selected, which included eleven western health technology and five appropriate health techniques of Chinese Traditional Medicine. Eight were from the health technique source of the state and eight were selected from provincial source. (7) The screening mode of AHT was appraisal of demands, categorization and allocation of the appropriate health techniques and determination of the appropriate health techniques.Conclusion (1) The screening index system of rural AHT could reflect the definition, characteristic and screening principle of AHT, and evaluate the AHT objectively. The system is reasonable, feasible, reliable and valid. (2) The quality of health techniques recommended by the state should meet the actual conditions that to spread and use. (3) It is very imperative to establish and improve admittance mechanism of the AHT under the evaluation of the AHT. (4) The requirements survey reflected the actual demands of rural areas, which was the basic evidence of screening AHT.(5)The appropriate health techniques selected in this research met the demands of the medical personnel, and servied the masses. The screening mode was useful and feasible.