南昌市急性弛缓性麻痹病例监测质量的评价

Evaluation on quality of AFP surveillance by RSR methods in Nanchang City

目的评价南昌市2004—2012年急性弛缓性麻痹(AFP)病例监测质量,找出工作薄弱环节,探索评价AFP病例监测质量的方法。方法采用秩和比(RSR)法对南昌市2004—2012年AFP监测数据进行分析。结果通过分类排序得出,2006年加权秩和比(RSRw)值为0.36,2004、2005年及2007—2011年RSRw值均在0.38 602～0.666 58之间,2012年为0.83,RSRw值越大,说明监测质量越高。结论 RSR法评价可作为综合评价AFP监测质量的一种可行方法,各项监测指标值均直接影响着监测质量的综合评价结果,要保持AFP监测系统高质量运转,需要不断完善各项监测指标的敏感性、及时性及完整性。

[ Objective] To evaluate the surveillance of acute flaccid paralysis { AFP） cases in Nanchang City from 2004-2012, to identify the work weaknesses, and explore the evaluation method of AFP surveillance. [ Methods ] The data of AFP surveillance in Nanchang City from 2004-2012 was evaluated by RSR. [Results] By sorting the results, the RSRw value was 0.36 in 2006, it of 2004, 2005 and 2007-2011 ranged from 0.38 602- 0. 666 58, and it of 2012 was 0.83. The higher RSRw value indicated the better surveillance quality. [ Conclusion ] RSR method is a feasible way for comprehensive evaluation of AFP surveillance quality. The value of the monitoring indicators directly affects the results of comprehensive evaluation of surveillance quality. To keep the high quality operation of AFP surveillance system, the sensitivity, timeliness and integrity of indicators should be improved continuously.