基于TOPSIS法和RSR法模糊联合法的四川省县级公立医院上消化道癌机会性筛查质量评价  

Quality Evaluation of Opportunistic Screening for Upper Gastrointestinal Cancer in County-Level Public Hospitals in Sichuan Province Based on the Fuzzy Combination of TOPSIS and RSR

作　　者：钟志刚 李丽娜 刘潇霞[1] 马婧 许佳豪 乔良[1] Zhong Zhigang;Li Lina;Liu Xiaoxia;Ma Jing;Xu Jiahao;Qiao Liang(Office of Sichuan Cancer Prevention and Treatment Center,Sichuan Clinical Research Center for Cancer,Sichuan Cancer Hospital&Institute,Sichuan Cancer Center,University of Electronic Science and Technology of China,Chengdu 610041,Sichuan,China)

机构地区：[1]四川省肿瘤医院·研究所,四川省肿瘤临床医学研究中心,四川省癌症防治中心,电子科技大学附属肿瘤医院省癌症防治中心办公室,成都610041

出　　处：《肿瘤预防与治疗》2025年第2期132-137,共6页Journal of Cancer Control And Treatment

基　　金：四川省科技厅重点研发项目(编号:2023 YFG0148);四川省科技厅科普培训项目(编号:2024JDKP0121);四川省医学科研课题计划(编号:S22004);四川省基层卫生事业发展研究中心资助项目(编号:SWFZ24-Y-54)。

摘　　要：目的:探索适宜的上消化道癌机会性筛查质量综合评价方法,为提高筛查质量提供依据。方法:采用TOPSIS法(Technique for Order Preference by Similarity to an Ideal Solution)、RSR法(Rank-Sum Ratio,RSR)及二者联合评价法,对2022年四川省61家县级公立医院上消化道癌机会性筛查质量进行综合评价,评价指标包括无痛率、活检率、染色率、检出率和早诊率。结果:TOPSIS法、RSR法和TOPSIS法与RSR法模糊联合法三种评价方法评价结果虽然不完全一致,但总体趋势趋于一致。在TOPSIS法与RSR法模糊联合的评价中,排名前5名的是H9、H33、H30、H45、H8;排名后5名的是H50、H43、H15、H21、H49。筛查质量排名靠前的县级公立医院主要分布在南充市、绵阳市、德阳市,筛查质量排名靠后的主要分布阿坝州、凉山州、雅安市。结论:TOPSIS法、RSR法以及三种比例的TOPSIS法与RSR法模糊联合综合评价排序虽然有一定差异,但总体结果基本一致。运用TOPSIS法与RSR法模糊联合的方法能够更加科学合理、客观准确地评价四川省县级公立医院上消化道癌机会性筛查质量。四川省县级公立医院上消化道癌机会性筛查质量参差不齐,机构之间和地区之间差异较大。Objective:To explore a comprehensive method for evaluating the quality of opportunistic screening for upper gastrointestinal cancer,providing a basis for improving screening quality.Methods:A comprehensive evaluation of the quality of opportunistic screening for upper gastrointestinal cancer in 61 county-level public hospitals in Sichuan Province in 2022 was conducted using Technique for Order Preference by Similarity to an Ideal Solution(TOPSIS),Rank-Sum Ratio(RSR)and their combination.The evaluation indicators included painlessness rate,biopsy rate,staining rate,detection rate,and early diagnosis rate.Results:Although the evaluation results of TOPSIS,RSR,and the fuzzy combination of TOPSIS and RSR were not completely consistent,the overall trends tended to be consistent.Results of the fuzzy combination of TOPSIS and RSR showed that hospitals with the top five screening quality were H9,H33,H30,H45 and H8,and those with the bottom five were H50,H43,H15,H21 and H49.The county-level public hospitals with high screening quality rankings were mainly distributed in Nanchong,Mianyang and Deyang,while the those with low screening quality rankings were mainly distributed in Aba Prefecture,Liangshan Prefecture and Ya’an.Conclusion:Although there are some differences in the ranking results of screening quality by TOPSIS,RSR and the fuzzy combinations of TOPSIS and RSR with three different ratios,the overall trends are basically the same.The fuzzy combination of TOPSIS and RSR can more scientifically,reasonably,objectively and accurately evaluate the quality of upper gastrointestinal cancer screening in county-level public hospitals in Sichuan Province.The quality of opportunistic screening for upper gastrointestinal cancer in county-level public hospitals in Sichuan Province varies greatly,with significant differences between institutions and regions.

关 键 词：县级公立医院 上消化道癌 筛查质量 TOPSIS法 RSR法 

分 类 号：R730.1[医药卫生—肿瘤] R375.1[医药卫生—临床医学] R735.2