2008-2023年潍坊市传染病自动预警信息处置质量评价  

Disposal quality evaluation of infectious disease automatic early-warning signal in Weifang city from 2008 to 2023

作　　者：郭雪艳[1] 韩明奎 乔宗雷[1] 单杰[1] GUO Xue-yan;HAN Ming-kui;QIAO Zong-lei;SHAN Jie(Health Emergency Management Office,Weifang City Center for Disease Control and Prevention,Weifang,Shandong,261061,China)

机构地区：[1]潍坊市疾病预防控制中心应急管理办公室,山东261061

出　　处：《预防医学论坛》2024年第7期522-527,共6页Preventive Medicine Tribune

基　　金：山东省潍坊市科学技术发展计划项目(2022ZJ1060)。

摘　　要：目的分析2008-2023年潍坊市接收处置的传染病预警信息,并评价预警信息处置质量,为规范工作流程提供依据。方法收集传染病自动预警信息系统中2008-2023年潍坊市接收处置的传染病预警信息相关资料,描述其流行病学特征,使用逼近理想解排序(TOPSIS)法综合评价处置质量,用SPSS 21.0统计软件进行线性和线性组合χ^(2)检验,用Geoda1.18.0软件进行全局自相关和局部自相关分析。结果2008-2023年,潍坊市共接收传染病预警信号24410条,处置率100.00%,处置及时率98.51%,疑似事件阳性率21.66%,预警信号阳性率0.66%。2009-2023年疑似事件阳性率(χ^(2)=691.217,P<0.001)、预警信号阳性率(χ^(2)=149.939,P<0.001)均呈上升趋势。2008-2023年疑似事件阳性率未呈现空间聚集性分布(Moran′s I=0.057,Z=0.91,P=0.19),局部空间自相关结果示,寿光市为高-低聚集区,青州市为低-高聚集区,奎文区和寒亭区为低-低聚集区。预警信号阳性率未呈现空间聚集性分布(Moran's I=0.117,Z=0.17,P=0.46),局部空间自相关寿光市、临朐县为低-高聚集区。TOPSIS综合评价结果表明,高密市的预警信息处置质量综合评价结果较好。结论潍坊市传染病自动预警系统运行状况良好。Objective To analyze the infectious disease automatic warning system in Weifang city from 2008to 2023,and evaluate the quality of its disposal,so as to provide a basis for standardizing the workflow.Methods Descriptive epidemiological analysis was applied to the data of infectious disease automatic early-warning signal in Weifang city,which were collected fromNation Automatic Early-warning Information System of Infectious Diseases,and Technique for Order Preference by Similarity to an Ideal Solution(TOPSIS)method was applied to evaluate the disposal quality.Linear and linear combinationχ^(2)tests were performed with SPSS 21.0statistical software,and Geoda1.18.0was used for global autocorrelation and local autocorrelation analysis.Results From 2008to 2023,the number of infectious disease automatic early-warning signal in Weifang city was 24410,with the disposal rate of 100.00%,timely disposal rate of 98.51%,suspected event positive rate of 21.66%,early-warning signal positive rate of 0.66%.During the period of 2009to 2023,suspected event positive rate and early-warning signal positive rate both showed increasing trend,the 2detection of linear and linear combinations was respectively 691.217(P<0.001)and 149.939(P<0.001).From 2008to 2023,suspected event positive rate showed no significant spatial clustering(Moran′s I=0.057,Z=0.91,P=0.19),local spatial autocorrelation showed that Shouguang county was high-low cluster area,Qingzhou county was low-high cluster area,Kuiwen district and Hanting district were low-low cluster areas.Early-warning signal positive rate showed no spatial aggregation distribution(Moran′s I=0.117,Z=0.17,P=0.46),local spatial autocorrelation showed that Shouguang county and Linqu county were low-high cluster areas.Integrated evaluation of TOPSIS showed that the disposal quality of early-warning signal was excellent in Gaomi county.Conclusion Infectious disease automatic early-warning signal system had been in good condition in Weifang city.

关 键 词：传染病 自动预警 预警系统 预警效果 

分 类 号：R183[医药卫生—流行病学]