基于TOPSIS法疟疾防治系统脆弱性评估

发布时间：2018-04-19 02:07

本文选题：疟疾 + 防治系统　；参考：《中国公共卫生》2017年04期

【摘要】：目的评估中国疟疾防治系统的脆弱性,为疟疾的风险管理提供策略建议。方法采用分层随机抽样和典型抽样相结合的方法于2015年7月—2016年2月在湖北、安徽和广西3个省共抽取8个样本县(区),通过文献检索、小组头脑风暴和专家咨询等方法编制调查问卷对样本县(区)疟疾流行现状和居民的疟疾防治知识进行调查,选出代表性指标,运用TOPSIS法对样本县(区)的疟疾防治系统脆弱性进行评估。结果通过文献检索、小组头脑风暴和专家咨询,最终选取经济脆弱性、社会脆弱性、政治脆弱性、卫生系统脆弱性和敏感性5个维度共19个指标,权重系数为0.009 2~0.103 7,其中,疫区流入人员数量(0.100 6)和政府疟疾风险关注度(0.103 7)权重系数较大;中国8个样本县(区)疟疾防治系统脆弱性从高到低依次为湖北省潜江市(0.652 42)、安徽省淮南田家庵区(0.578 39)、安徽省肥西县(0.509 58)、湖北省广水市(0.459 92)、广西省都安县(0.405 82)、安徽省淮南谢家集区(0.369 89)、广西省天峨县(0.234 74)、广西省南丹县(0.181 66),总体的系统脆弱性不高。结论中国疟疾防治系统总体脆弱性不高,政府疟疾风险关注度和疫区流入人员数量是影响疟疾防治系统脆弱性最为重要的风险因素。
[Abstract]:Objective to evaluate the vulnerability of malaria control system in China and to provide suggestions for malaria risk management.Methods from July 2015 to February 2016, 8 sample counties were collected from Hubei, Anhui and Guangxi provinces by using stratified random sampling and typical sampling.Group brainstorming and expert consultation were used to compile a questionnaire to investigate the malaria epidemic status and residents' malaria control knowledge in the sample counties (districts), and to select representative indicators.TOPSIS method was used to evaluate the vulnerability of malaria control system in the sample counties (districts).Results through literature retrieval, group brainstorming and expert consultation, 19 indexes were selected from the five dimensions of economic vulnerability, social vulnerability, political vulnerability, health system vulnerability and sensitivity, with a weight coefficient of 0.009 ~ 0.1037.The weight coefficient of 0.100 6) and 0.103 7) of malaria risk in the epidemic area was higher than that in the other two groups.From high to low, the vulnerability of malaria control system in 8 sample counties (districts) in China are: Qianjiang City, Qianjiang City, Hubei Province in order of 0.652 42D, Huainan Tianjiaan District, Anhui Province 0.578 39N, Feixi County, Anhui Province 0.509 58, Guangshui City, Hubei Province 0.459 92N, du'an County, Jiangxi Province, 0.405 82, an,Huainan Xiejiaji District, Huainan Province, Huainan County, Anhui Province, Guangxi Province, Tiane County, Guangxi Province, China, 0.234,744, and Nandan County, Guangxi Province, 0.181 66, respectively. The overall system vulnerability is not high.Conclusion the overall vulnerability of malaria control system in China is not high. The most important risk factors affecting the vulnerability of malaria control system are the attention of government malaria risk and the number of people flowing into the epidemic area.
【作者单位】：华中科技大学医药卫生管理学院;湖北省人文社科重点研究基地—农村健康服务研究中心;
【基金】：国家自然科学基金(71473097)
【分类号】：R183;R531.3

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