应用加权秩和比法评价广东省医疗机构法定传染病报告质量  

Comprehensive evaluation of reporting quality of notifiable infectious diseases based on weighted rank sum ratio method in medical institutions in Guangdong Province

作　　者：代吉亚[1] 黄建华 郭汝宁[1] 刘国恒[1] 黄琼[1] DAI Ji-ya;HUANG Jian-hua;GUO Ru-ning;LIU Guo-heng;HUANG Qiong(Guangdong Center for Disease Control and Prevention,Guangzhou 511430,China)

机构地区：[1]广东省疾病预防控制中心,广东广州511430

出　　处：《华南预防医学》2020年第3期210-213,共4页South China Journal of Preventive Medicine

基　　金：广东省医学科学技术研究基金项目(C2020012)。

摘　　要：目的评价广东各地市医疗机构传染病报告质量,探索加强医疗机构报告质量的对策。方法采用分层抽样方法,通过问卷调查和现场抽查掌握医疗机构传染病报告质量相关指标,采用卡方检验分析各级别、各地域报告质量的差异,采用Pearson相关分析报告质量综合率与人均国民生产总值(GDP)的相关关系。运用加权秩和比法(WRSR)对21个地市的传染病报告质量进行综合评价和分档。结果 2017—2019年广东省医疗机构传染病报告质量总体呈上升趋势(P<0.01),省级医疗机构报告质量总体上优于其他级别(P<0.01);珠三角地区优于粤东、粤西和山区。各地医疗机构报告质量综合率与人均GDP呈中度正相关(r=0.608)。加权秩和比法将21个地市分为优、良、中、差4档,各档间差异有统计学意义(P<0.01)。结论广东省各区域传染病报告质量不均衡,粤西和粤东地区报告率尚未达到十三五规划指标要求,应加大经费投入,完善医疗机构电子病历系统,还可通过加强行政监管,规范医疗机构内部管理等方式提升传染病报告质量。Objective To evaluate the reporting quality of infectious diseases in medical institutions in cities in Guangdong and explore countermeasures to strengthen the reporting quality of medical institutions. Methods Using stratified sampling method,relevant indicators of the reporting quality of infectious disease in medical institutions were obtained through questionnaire survey and spot check. A chi-square test was used to analyze the differences in reporting quality at different levels and regions,Pearson correlation method was used to analyze the correlation between the comprehensive rate of reporting quality and GDP per capita,and weighted rank sum ratio(WRSR)method was adopted to comprehensively evaluate and grade the reporting quality of infectious diseases in 21 prefectural cities. Results During 2017-2019,the reporting quality of infectious diseases of medical institutions in Guangdong Province showed an overall upward trend(P<0.01). The reporting qualities of medical institutions at provincial-level were generally superior to those at other levels(P<0.01),the Pearl River Delta region was superior to eastern,western and mountainous areas of the province. The comprehensive rate of reporting quality in medical institutions around the province was moderately positively correlated with GDP per capita(r = 0.608). Using the WRSR method,21 prefectural cities were divided into four grades:excellent,good,medium,and poor(P<0.01).Conclusion The reporting quality of infectious diseases in different regions of Guangdong Province is uneven,and the reporting rate in western and eastern regions of Guangdong Province has not reached the requirements of the"13 th Five-Year Plan". It is necesary to increasing funding for facilitating the electronic medical record system of medical institutions and strengthen administrative supervision to improve the reporting quality of infectious diseases.

关 键 词：传染病报告质量 综合评价 加权秩和比法 

分 类 号：R195[医药卫生—卫生统计学]