Construction of a health emergency response capability evaluation system for nuclear radiation emergencies
10.13491/j.issn.1004-714X.2026.01.008
- VernacularTitle:核辐射突发事件卫生应急响应能力评估体系构建
- Author:
Meiru GUO
1
;
Ximing FU
1
;
Jianbiao CAO
1
;
Huifang CHEN
1
;
Long YUAN
1
Author Information
1. National Institute for Radiological Protection, Chinese Center for Disease Control and Prevention, Beijing 100088, China.
- Publication Type:OriginalArticles
- Keywords:
Nuclear radiation emergency;
Health emergency response;
Capability assessment;
Delphi method
- From:
Chinese Journal of Radiological Health
2026;35(1):43-48
- CountryChina
- Language:Chinese
-
Abstract:
Objective To address the safety challenges arising from the rapid development of nuclear energy and technology, assess the current status of health emergency response capabilities in nuclear radiation emergencies, and promote capacity enhancement. Methods A preliminary evaluation system for health emergency response capability in nuclear radiation emergencies was developed based on a literature review. Two rounds of Delphi expert consultation (n = 20) were conducted, and the analytic hierarchy process was employed to establish judgment matrices for assigning indicator weights. Results The finalized system included six primary indicators (radiation protection capability, triage capability, decontamination and evacuation capability, medical treatment capability, radiation detection capability, and radiation dose estimation capability), along with 29 secondary indicators, such as capability for setting up emergency zones, capability for protecting personnel from internal and external contamination, on-site first aid capability, and personal dose monitoring capability. The expert response rate was 0.95, and the expert authority coefficient reached 0.80. The Kendall’s coefficient of concordance was W = 0.288 (P<0.01) for the first round of expert consultation and W = 0.308 (P<0.01) for the second round. Both rounds demonstrated high agreement among experts, and the consultation questionnaires passed reliability and validity tests. Conclusion By integrating qualitative analysis and quantitative calculation, this study developed a scientifically sound and operationally feasible evaluation system. This system will help identify gaps in health emergency response capabilities and provide scientific guidance and a decision-making basis for optimizing emergency plans and improving the level of health emergency response in nuclear radiation emergencies.
