张艺馨, 代炳芹, 曹杰, 韩颖, 张吉玉, 孙成玺, 马吉祥. 基于加权TOPSIS法的2017-2021年山东省医疗机构法定传染病报告质量评价[J]. 疾病监测. DOI: 10.3784/jbjc.202304040148
引用本文: 张艺馨, 代炳芹, 曹杰, 韩颖, 张吉玉, 孙成玺, 马吉祥. 基于加权TOPSIS法的2017-2021年山东省医疗机构法定传染病报告质量评价[J]. 疾病监测. DOI: 10.3784/jbjc.202304040148
Zhang Yixin, Dai Bingqin, Cao Jie, Han Ying, Zhang Jiyu, Sun Chengxi, Ma Jixiang. Reporting quality of notifiable infectious diseases in medical institutions in Shandong, 2017−2021, an evaluation based on weighted TOPSIS method[J]. Disease Surveillance. DOI: 10.3784/jbjc.202304040148
Citation: Zhang Yixin, Dai Bingqin, Cao Jie, Han Ying, Zhang Jiyu, Sun Chengxi, Ma Jixiang. Reporting quality of notifiable infectious diseases in medical institutions in Shandong, 2017−2021, an evaluation based on weighted TOPSIS method[J]. Disease Surveillance. DOI: 10.3784/jbjc.202304040148

基于加权TOPSIS法的2017-2021年山东省医疗机构法定传染病报告质量评价

Reporting quality of notifiable infectious diseases in medical institutions in Shandong, 2017−2021, an evaluation based on weighted TOPSIS method

  • 摘要:
    目的 综合评价山东省医疗机构法定传染病报告质量调查结果,进一步提升传染病报告质量。
    方法  数据来源为2017—2021年山东省传染病报告质量和管理现状调查,评价指标为报告率、及时率、完整率、准确率、一致率和有效证件号填写率。 使用SPSS 22.0软件进行数据统计和分析,运用专家咨询法使用Yahhp12.9软件确定指标权重,采用加权TOPSIS法对法定传染病报告质量进行综合评价。
    结果  2017—2021年山东省医疗机构法定传染病报告率为96.98%,漏报病例数居前3位的病种分别为其他感染性腹泻病(1 731例)、病毒性肝炎(947例)、手足口病(239例)。 不同年份法定传染病报告质量指标呈逐年上升趋势(P趋势 χ 2<0.001)。 加权TOPSIS法综合评价结果显示,不同年份医疗机构传染病报告综合质量从高到低排序依次为2021年、2019年、2020年、2018年、2017年,5年合计不同等级医疗机构传染病报告综合质量为一级和未分级>三级>二级,5年合计不同地域综合质量排序为鲁东地区>鲁中地区>鲁西南地区。
    结论  2017—2021年山东省法定传染病报告质量逐步提升,但仍存在薄弱环节。 二级医疗机构是督导培训的重点,稳定传染病报告管理队伍、推广数据交换是提升传染病报告质量的关键。

     

    Abstract:
    Objective  To comprehensively evaluate the reporting quality of notifiable infectious diseases in Shandong province from 2017 to 2021, and further improve the quality of infectious disease reporting.
    Methods  The data source was the survey on the current status of infectious disease reporting quality and management in Shandong province from 2017 to 2021, and the evaluation indicators were reporting rate, timeliness rate, completeness rate, accuracy rate, consistency rate and rate of valid document number completion. SPSS 22.0 software was used for data statistics and analysis, expert consultation method was applied to determine indicator weights using Yahhp12.9 software, and the weighted TOPSIS method was used for comprehensive evaluation of the quality of notifiable infectious disease reporting.
    Results  From 2017 to 2021, the reporting rate of notifiable infectious diseases in Shandong was 96.98%, the top 3 diseases of underreporting were other infectious diarrhea (1 731 cases), viral hepatitis (947 cases) and hand-foot-mouth disease (239 cases). The quality indicators of notifiable infectious disease reports in different years all showed an increasing trend (all Ptrend χ2<0.001), the results of weighted TOPSIS method showed that the comprehensive quality of infectious disease reporting in medical institutions in different years was ranked from highest to lowest in 2021, 2019, 2020, 2018, and 2017, the comprehensive quality of different grades in 5 years combined was first-class and unclassified > third-class > second-class, and the comprehensive quality of different geographical regions in 5 years combined was ranked as eastern Shandong > central Shandong > southwest Shandong.
    Conclusion  From 2017 to 2021, the reporting quality of notifiable infectious diseases in Shandong province was gradually improved, but problems remain. Stabilizing the reporting and management team, promoting infectious disease data exchange are critical to improving the quality of infectious disease reporting.

     

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