Construction of health risk assessment index system for  assessing the risk of  chronic diseases based on the concept of massive health

Abstract

Background : Massive health, a national strategy in China, calls for maintaining people’s health in an all-round way. This puts forward a new challenge for family doctors (FDs) to improve the ability of chronic diseases management. As the main service force in the community, FDs need to change the service concept and improve their management level of chronic diseases. In the background of massive health, we aimed to construct the health risk assessment index system (HRAIS), with the hope of helping FDs to carry out chronic disease management, especially to identify and monitor main chronic diseases and their risk factors in the community. Methods : Available health indexes, national health databases and chronic disease surveillance systems were reviewed to identify potential indexes and evaluation methods of the indexes. Delphi method was performed to establish the HRAIS, and the analytic hierarchy process was used to calculate the indexes weight. Results : The final HRAIS included 4 first-level indexes and 38 second-level indexes. We also determined the evaluation methods for the 38 indexes. The authority coefficient was 0.86. The Kendall’s W for the two rounds of Delphi consultation were 0.202 and 0.210, respectively ( p < 0.001). The weights of the first-level indexes from high to low were physiological health (0.4094), psychosocial health (0.2895), health-related behaviors (0.2047) and environment (0.0965). Conclusion : The HRAIS is a multi-dimension and multi-index tool, which can be used as a guideline for FDs in early screening, early intervention and classified management of main chronic diseases. Keywords : Chronic diseases, Health risk assessment, Index system, Family doctors, Massive health