基于改良TOPSIS法的传染病报告质量综合评估

刘一洁; 曹海兰; 陈露

doi:10.19837/j.cnki.ahyf.2025.01.003

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安徽预防医学杂志 ›› 2025, Vol. 31 ›› Issue (1) : 13-17. DOI: 10.19837/j.cnki.ahyf.2025.01.003

论著

基于改良TOPSIS法的传染病报告质量综合评估

刘一洁 ¹ ,
曹海兰 ¹^,² ,
陈露 ²

作者信息 +

Comprehensive assessment of the quality of infectious disease reporting quality based on the improved TOPSIS method

LIU Yijie ¹ ,
CAO Hailan ¹^,² ,
CHEN Lu ²

Author information +

文章历史 +

摘要

目的对青海省传染病诊疗机构传染病报告质量进行综合评价,提高传染病报告水平。方法采用改良TOPSIS法和描述流行病学方法,对青海省传染病疫情报告质量(机构网络正常运行率、及时报告率、及时审核率、有效身份证填写完整率)进行综合分析。结果 2017—2022年传染病报告质量逐年提升,各年份与各市(自治州)综合评价位居首位的是2020年和海东市;2017—2022年累计报告卡片数267 227张,以综合医院报告卡为主,占总数的89.62%,传染病诊疗机构数呈逐年上升趋势;2017—2022年及时报告率和及时审核率差异有统计学意义(χ²=5 157.744,P< 0.001;χ²=968.249,P< 0.001);2020—2022年不同地域医疗机构和不同行政区等级医疗机构的法定传染病及时报告率差异有统计学意义(χ²=5 782.368,P< 0.001;χ²=1 806.707,P<0.001)。结论青海省传染病报告质量逐年提高,但仍存在漏报、报告不及时、填报不规范等问题,各机构应规范设置传染病疫情报告科室,固定专职人员管理报告工作,进一步提高传染病报告质量。

Abstract

Objective To comprehensively evaluate the quality of infectious disease reporting in infectious disease diagnosis and treatment institutions in Qinghai Province,and to improve the level of infectious disease reporting. Methods Improved TOPSIS method and descriptive epidemiology method were used to comprehensively analyze the quality of infectious disease reports in Qinghai Province,including the normal operation rate of institutional network,the timely reporting rate,the timely review rate and the complete rate of valid ID card. Results From 2017 to 2022,the quality of infectious disease reports improved year by year,and the top comprehensive evaluation by year and by city autonomous (prefecture) were 2020 and Haidong City.The cumulative number of report cards from 2017 to 2022 was 267 227,mainly in general hospitals,accounting for 89.62% of the total number of report cards.The number of infectious disease diagnosis and treatment institutions showed an increasing trend year by year.The difference of timely reporting rates and timely review rates between 2017 and 2022 was statistically significant (χ²=5 157.744,P< 0.001;χ²=968.249,P< 0.001).There was a statistical significance in the timely reporting rate of notifiable infectious diseases in different regional medical institutions and medical institutions of different administrative levels during 2020-2022 (χ²=5 782.368,P< 0.001;χ²=1 806.707,P<0.001). Conclusion The quality of infectious disease reports in Qinghai Province has been improving year by year,but there are still problems such as missing reports,untimely reports,incomplete reports etc.Institutions should standardize the establishment of infectious disease reporting departments,fixed full-time staff to manage reporting work,so as to further improve the quality of infectious disease reporting.

导出引用

刘一洁, 曹海兰, 陈露. 基于改良TOPSIS法的传染病报告质量综合评估[J]. 安徽预防医学杂志. 2025, 31(1): 13-17 https://doi.org/10.19837/j.cnki.ahyf.2025.01.003

LIU Yijie, CAO Hailan, CHEN Lu. Comprehensive assessment of the quality of infectious disease reporting quality based on the improved TOPSIS method[J]. Anhui Journal of Preventive Medicine. 2025, 31(1): 13-17 https://doi.org/10.19837/j.cnki.ahyf.2025.01.003

中图分类号： R181.8

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