Construction of an evaluation indicator system for the county-township-village integrated prevention, control and treatment capabilities of chest pain centers in county-level hospitals_West China Medical Journal

Authors：

WU Yan ¹ ,  ZHAO Changwei ² , DU Tingting ³ , MAIMAITI Yisireyili ² , ZHANG Fengye ¹

1. School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang 830017, P. R. China;
2. Graduate Education Section, Department of Education, Xinjiang Uygur Autonomous Region People’s Hospital, Urumqi, Xinjiang 830001, P. R. China;
3. Continuing Education Section, Department of Education, Xinjiang Uygur Autonomous Region People’s Hospital, Urumqi, Xinjiang 830001, P. R. China;

Corresponding?author：

ZHAO Changwei, Email: 78498595@qq.com

Keywords：

Chest pain centers; county-township-village integrated; Delphi method

DOI：

10.7507/1002-0179.202509091

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To construct an evaluation indicator system for the county-township-village integrated prevention, control and treatment capabilities of chest pain centers in county-level hospitals, providing a reference for improving China’s chest pain treatment network. Methods We determined the initial items of the indicator system based on evidence-based medicine, invited experts to conduct two rounds of inquiry using the Delphi method, discussed and revised the indicators, and determined the weights of each indicator based on the analytic hierarchy process. Results A total of 25 experts participated in the consultation. Their areas of expertise included nursing, clinical medicine, medical technology, health service management. The effective response rates of the two rounds of expert consultation questionnaires were 82.76% and 88.00%, respectively, with expert authority levels of 0.84 and 0.88, respectively. In the first round of expert consultation, Kendall coordination coefficient was 0.103 and χ2 value was 151.211 (P<0.001). The Kendall coordination coefficient for the second round was 0.132, with χ2 value of 199.648 (P<0.001). The final evaluation indicator system for the county-township-village integrated prevention, control and treatment capabilities of chest pain centers in county-level hospitals comprised 4 first-level indicators, 10 second-level indicators, and 54 third-level indicators. Conclusion The evaluation indicator system constructed in this study demonstrates scientific validity and reliability, laying a foundation for further validation and application.

Citation： WU Yan, ZHAO Changwei, DU Tingting, MAIMAITI Yisireyili, ZHANG Fengye. Construction of an evaluation indicator system for the county-township-village integrated prevention, control and treatment capabilities of chest pain centers in county-level hospitals. West China Medical Journal, 2026, 41(5): 779-784. doi: 10.7507/1002-0179.202509091 Copy

1.	劉明波, 何新葉, 楊曉紅, 等. 《中國心血管健康與疾病報告 2024》要點解讀. 臨床心血管病雜志, 2025, 41(7): 492-511.
2.	李佳, 代萍, 陳白霞, 等. 基層醫療機構胸痛診療現狀及地市胸痛聯盟的構建研究. 黑龍江醫學, 2025, 49(6): 737-739, 743.
3.	國家衛生健康委員會, 國家發展和改革委員會. 《醫療衛生強基工程實施方案》發布. 中國衛生人才, 2025(11): 4-5.
4.	霍勇. 中國胸痛中心建設理論與醫學模式. 中國介入心臟病學雜志, 2021, 29(1): 1-3.
5.	陳存川, 張慧芳, 范博陽, 等. 基層醫生醫防融合服務能力評價指標體系構建. 中國全科醫學, 2026: 1-7.
6.	Wu C, Wu P, Li P, et al. Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study. BMC Infect Dis, 2021, 21(1): 791.
7.	孫振球. 醫學綜合評價方法及其應用. 北京: 化學工業出版社, 2006: 53-55.
8.	Yang Z, Zhai H, Liang S. Construction of an evaluation index system for undergraduate nursing teachers’ curriculum humanistic competence: a Delphi study in China. BMC Nurs, 2023, 22(1): 284.
9.	Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs, 2000, 32(4): 1008-1015.
10.	李啟淵. 中醫醫院信息化水平評價指標體系構建與實證研究. 廣州: 廣州中醫藥大學, 2024.
11.	劉玲. 急性心肌梗死并發惡性心律失常的早期識別與急救護理. 全科護理, 2015(34): 3486-3487.
12.	許盼, 余世成, 馮俊, 等. 胸痛中心建設對急性心肌梗死患者救治效率及預后的影響研究. 中國循證心血管醫學雜志, 2024, 16(7): 810-812, 841.
13.	Zahler D, Lee-Rozenfeld K, Ravid D, et al. Relation of lowering door-to-balloon time and mortality in ST segment elevation myocardial infarction patients undergoing percutaneous coronary intervention. Clin Res Cardiol, 2019, 108(9): 1053-1058.
14.	Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J, 2018, 39(2): 119-177.
15.	De Luca G, Suryapranata H, Ottervanger JP, et al. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts. Circulation, 2004, 109(10): 1223-1225.
16.	高潤霖. 從急性心肌梗死治療指南看再灌注治療策略的選擇. 中華心血管病雜志, 2005, 33(11): 1061-1064.
17.	曹俊達, 王琦, 劉海龍, 等. 基于胸痛中心的區域協同救治體系對急性 ST 段抬高型心肌梗死患者救治及預后的影響. 江西醫藥, 2021, 56(4): 445-447.
18.	汪蒙. 胸痛中心在區域協同救治體系建設中的作用分析. 蘭州: 甘肅中醫藥大學, 2022.
19.	楊葉, 華飛, 劉宏波, 等. 常州市院前急救和院內救治無縫銜接的現狀與展望. 中華衛生應急電子雜志, 2020, 6(6): 375-377.
20.	Rahman A. Chest pain. Aust J Gen Pract, 2024, 53(7): 437-442.
21.	黃滿花, 卿勇, 陳百堅, 等. 健康教育對院前胸痛病人就醫方式和首次醫療接觸時間的影響. 中西醫結合心腦血管病雜志, 2023, 21(24): 4603-4606.
22.	蔡晗, 吳鋒, 高靜, 等. 急性心肌梗死的多位一體的健康宣教體系. 中國醫藥導報, 2022, 19(12): 194-197.
23.	程婧, 黃文潔, 周紅燕, 等. “1120”綜合健康模式對提高居民胸痛急救相關認知技能的影響. 當代護士(下旬刊), 2021, 28(7): 6-8.
24.	易紹東, 田燕, 周民偉, 等. 胸痛中心的持續改進與質量控制. 中國數字醫學, 2015, 10(10): 102-104.
25.	馬玲玲, 馮俊, 孫召金, 等. 胸痛中心持續改進對急性 ST 段抬高型心肌梗死患者再灌注及預后的影響. 中國循證心血管醫學雜志, 2025, 17(3): 305-308.

1. 劉明波, 何新葉, 楊曉紅, 等. 《中國心血管健康與疾病報告 2024》要點解讀. 臨床心血管病雜志, 2025, 41(7): 492-511.
2. 李佳, 代萍, 陳白霞, 等. 基層醫療機構胸痛診療現狀及地市胸痛聯盟的構建研究. 黑龍江醫學, 2025, 49(6): 737-739, 743.
3. 國家衛生健康委員會, 國家發展和改革委員會. 《醫療衛生強基工程實施方案》發布. 中國衛生人才, 2025(11): 4-5.
4. 霍勇. 中國胸痛中心建設理論與醫學模式. 中國介入心臟病學雜志, 2021, 29(1): 1-3.
5. 陳存川, 張慧芳, 范博陽, 等. 基層醫生醫防融合服務能力評價指標體系構建. 中國全科醫學, 2026: 1-7.
6. Wu C, Wu P, Li P, et al. Construction of an index system of core competence assessment for infectious disease specialist nurse in China: a Delphi study. BMC Infect Dis, 2021, 21(1): 791.
7. 孫振球. 醫學綜合評價方法及其應用. 北京: 化學工業出版社, 2006: 53-55.
8. Yang Z, Zhai H, Liang S. Construction of an evaluation index system for undergraduate nursing teachers’ curriculum humanistic competence: a Delphi study in China. BMC Nurs, 2023, 22(1): 284.
9. Hasson F, Keeney S, McKenna H. Research guidelines for the Delphi survey technique. J Adv Nurs, 2000, 32(4): 1008-1015.
10. 李啟淵. 中醫醫院信息化水平評價指標體系構建與實證研究. 廣州: 廣州中醫藥大學, 2024.
11. 劉玲. 急性心肌梗死并發惡性心律失常的早期識別與急救護理. 全科護理, 2015(34): 3486-3487.
12. 許盼, 余世成, 馮俊, 等. 胸痛中心建設對急性心肌梗死患者救治效率及預后的影響研究. 中國循證心血管醫學雜志, 2024, 16(7): 810-812, 841.
13. Zahler D, Lee-Rozenfeld K, Ravid D, et al. Relation of lowering door-to-balloon time and mortality in ST segment elevation myocardial infarction patients undergoing percutaneous coronary intervention. Clin Res Cardiol, 2019, 108(9): 1053-1058.
14. Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: the task force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J, 2018, 39(2): 119-177.
15. De Luca G, Suryapranata H, Ottervanger JP, et al. Time delay to treatment and mortality in primary angioplasty for acute myocardial infarction: every minute of delay counts. Circulation, 2004, 109(10): 1223-1225.
16. 高潤霖. 從急性心肌梗死治療指南看再灌注治療策略的選擇. 中華心血管病雜志, 2005, 33(11): 1061-1064.
17. 曹俊達, 王琦, 劉海龍, 等. 基于胸痛中心的區域協同救治體系對急性 ST 段抬高型心肌梗死患者救治及預后的影響. 江西醫藥, 2021, 56(4): 445-447.
18. 汪蒙. 胸痛中心在區域協同救治體系建設中的作用分析. 蘭州: 甘肅中醫藥大學, 2022.
19. 楊葉, 華飛, 劉宏波, 等. 常州市院前急救和院內救治無縫銜接的現狀與展望. 中華衛生應急電子雜志, 2020, 6(6): 375-377.
20. Rahman A. Chest pain. Aust J Gen Pract, 2024, 53(7): 437-442.
21. 黃滿花, 卿勇, 陳百堅, 等. 健康教育對院前胸痛病人就醫方式和首次醫療接觸時間的影響. 中西醫結合心腦血管病雜志, 2023, 21(24): 4603-4606.
22. 蔡晗, 吳鋒, 高靜, 等. 急性心肌梗死的多位一體的健康宣教體系. 中國醫藥導報, 2022, 19(12): 194-197.
23. 程婧, 黃文潔, 周紅燕, 等. “1120”綜合健康模式對提高居民胸痛急救相關認知技能的影響. 當代護士(下旬刊), 2021, 28(7): 6-8.
24. 易紹東, 田燕, 周民偉, 等. 胸痛中心的持續改進與質量控制. 中國數字醫學, 2015, 10(10): 102-104.
25. 馬玲玲, 馮俊, 孫召金, 等. 胸痛中心持續改進對急性 ST 段抬高型心肌梗死患者再灌注及預后的影響. 中國循證心血管醫學雜志, 2025, 17(3): 305-308.

West China Medical Journal

Construction of an evaluation indicator system for the county-township-village integrated prevention, control and treatment capabilities of chest pain centers in county-level hospitals

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content