TRADITIONAL CHINESE MEDICINE MEDICAL-PREVENTIVE INTEGRATION EVALUATION SCALE BASED ON THE DELPHI METHOD：DEVELOPMENT AND VALIDATION

Abstract

This study aims to develop an evaluation scale for the integration of Traditional Chinese Medicine (TCM) in medical-preventive care, based on the Rainbow Model of Integrated Care. It thoroughly explores six key dimensions: System Integration, Organisational Integration, Professional Integration, Clinical Integration, Functional Integration, and Normative Integration. Initially, a two-round Delphi expert consultation was conducted (with effective response rates of 100% and 94.74%, expert authority coefficients of 0.90 and 0.91, and Kendall's coordination coefficients of 0.23 and 0.82, respectively), resulting in the screening and confirmation of an evaluation system comprising 17 secondary indicators and 57 tertiary indicators. Subsequently, a questionnaire based on this indicator system was designed and distributed to 120 practitioners engaged in TCM medical-preventive integration. Statistical analysis was employed to validate the scale's reliability and validity. The results showed that the overall Cronbach’s α coefficient of the scale was 0.976, the KMO value was 0.902, and the cumulative variance contribution rate of common factors reached 70.88%, indicating high internal consistency and structural validity. The conclusion demonstrates that the constructed indicator system exhibits good coordination, with concentrated and highly positive expert opinions. The reliability and validity test results of the scale are ideal, providing a scientific basis for the systematic evaluation of TCM medical-preventive integration efforts and supporting policy formulation and practice optimization.