基于熵权TOPSIS法与RSR法模糊联合的安徽省基层医疗卫生机构疫情报告质量评价

Evaluation of the quality of epidemic report of primary healthcare institutions in Anhui Province based on the fuzzy combination entropy weight TOPSIS method and RSR method

为了解2021年安徽省基层医疗卫生机构法定传染病疫情报告质量,通过模糊联合应用熵权TOPSIS法与秩和比法(RSR法),对基层医疗卫生机构法定传染病疫情报告质量进行综合评价。结果显示,皖南地区法定传染病疫情报告质量最好,皖北地区最差;地级市评价排名前两位的是安庆市、芜湖市,排名后两位的是六安市、宣城市;社区卫生服务中心(站)、乡镇卫生院、其他机构(门诊部、诊所等)和村卫生室的法定传染病疫情报告综合质量依次下降。安徽省基层医疗卫生机构法定传染病疫情报告工作依法管理水平有待提高。基层医疗卫生机构应规范设置传染病疫情报告科室,固定专职人员负责传染病信息报告管理工作,健全传染病防治人员培训机制,强化政府、疾控、卫监、医疗机构等多部门间协同联动机制,并将传染病模块纳入信息化建设。

This paper aims to understand the quality of the notifiable communicable disease epidemic report of primary medical institutions in Anhui Province in 2021 by conducting a comprehensive evaluation that adopts the fuzzy combination application of entropy weight TOPSIS and RSR method.The results showed that the quality of notifiable communicable disease epidemic reports was the highest in southern Anhui and the lowest in northern Anhui.Among the prefecture⁃level cities in this evaluation,Anqing and Wuhu ranked the highest,while the bottom two were Lu’an and Xuancheng.The comprehensive quality of notifiable communicable disease epidemic reports decreased in the following order:community health service centers,township hospitals,other institutions like clinics and outpatient departments,and village clinics.The legal management of notifiable communicable disease epidemic reports of primary healthcare institutions in Anhui Province needs to be improved.Primary healthcare institutions should standardize the establishment of notifiable communicable disease epidemic reporting departments,appointing full⁃time personnel to manage the reporting.We also recommend refining the training mechanism for communicable disease prevention and control personnel,strengthening the coordination among multiple departments including the government,disease control and prevention center,health supervision,and healthcare institutions,while incorporating communicable disease modules into information construction.