| 基于TOPSIS法评价2017－2021年江西省医疗机构法定传染病报告质量 |
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| 引用本文： | 胡玲玲,方继,熊小庆,王晓文.基于TOPSIS法评价2017－2021年江西省医疗机构法定传染病报告质量[J].疾病监测,2022,37(7):967-971. |
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| 作者姓名： | 胡玲玲 方继 熊小庆 王晓文 |
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| 作者单位： | 江西省疾病预防控制中心, 江西 南昌 330029 |
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| 基金项目： | 江西省卫生健康委普通科技计划（No. 20196011） |
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| 摘 要： | 目的 综合评价江西省法定传染病报告质量，提高传染病疫情报告质量。 方法 采用分层整群多阶段抽样收集2017—2021年江西省医疗卫生机构法定传染病报告情况，运用SPSS 22.0软件进行数据统计和分析，应用TOPSIS法对法定传染病报告质量进行综合评价。 结果 2017—2021年江西省法定传染病报告率98.28%，不同级别医疗机构报告率从高到低依次为三级、二级、一级和未分级；医疗机构法定传染病报告综合质量也依次下降；2017—2021年江西省传染病报告综合质量前3位的地市分别为鹰潭市、景德镇市和萍乡市；建立医院信息系统（HIS）的医疗机构法定传染病报告综合质量优于未建立的，有传染病报告管理功能的医疗机构法定传染病报告综合质量优于没有的。 结论 江西省2017—2021年医疗卫生机构传染病报告质量总体较好，但仍存在漏报，报告不及时，填报不完整、不准确等现象，医疗机构HIS的建立和传染病报告管理功能的健全能有效提高传染病报告综合质量。
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| 关 键 词： | TOPSIS法 医疗机构 法定传染病 综合质量 |
| 收稿时间： | 2022-02-18 |
Reporting quality of notifiable infectious diseases in medical institutions in Jiangxi, 2017?2021, an evaluation based on TOPSIS method |
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| Affiliation: | Jiangxi Province Centre for Disease Control and Prevention, Nanchang 330029, Jiangxi, China |
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| Abstract: | Objective To comprehensively evaluate the reporting quality of notifiable infectious diseases in Jiangxi province from 2017 to 2021, and explore evidence for the improvement of the reporting quality of infectious diseases. Methods Stratified cluster multistage sampling was used to collect the data of notifiable infectious disease reporting in medical and health institutions in Jiangxi from 2017 to 2021. Software SPSS 22.0 was used for data statistical analysis, TOPSIS method was used to comprehensively evaluate the reporting quality of notifiable infectious diseases. Results From 2017 to 2021, the reporting rate of notifiable infectious diseases in Jiangxi was 98.28%. The levels of medical institutions were divided into grade Ⅲ, grade Ⅱ, grade Ⅰ and non-graded from high to low. The reporting quality of notifiable infectious diseases in medical institutions decreased with the grade decrease. The top three prefectures with high quality of infectious disease reporting in Jiangxi from 2017 to 2021 were Yingtan, Jingdezhen and Pingxiang. The quality of notifiable infectious disease reporting of medical institutions with hospital information system (HIS) was higher than that of medical institutions without HIS, and the quality of notifiable infectious disease reporting of medical institutions with infectious disease reporting management system was higher than that of those without such system. Conclusion The overall quality of notifiable infectious disease reporting of medical institutions in Jiangxi from 2017 to 2021 was high, but there were still problems such as underreporting, untimely reporting, incomplete and inaccurate reporting. The establishment of HIS system and the improvement of infectious disease reporting management of medical institutions can effectively improve the quality of infectious disease reporting. |
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