基于加权优劣解距离法的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 technique for order preference by similarity to an ideal solution method

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,采用加权优劣解距离法(TOPSIS)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(1731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<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。

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 technique for order preference by similarity to an ideal solution(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(1731 cases),viral hepatitis(947 cases)and hand,foot and mouth disease(239 cases).The quality indicators of notifiable infectious disease reports in different years all showed an increasing trend(P<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.