艾滋病防治人员随访管理能力评价方法分析与比较

发布时间：2018-07-03 18:32

本文选题：艾滋病 + 防治人员　；参考：《现代预防医学》2015年22期

【摘要】：目的比较不同评价方法对艾滋病防治人员随访管理能力评价的差异和一致性,为艾滋病防治人员工作能力的评价提供方法依据。方法采用分层随机抽样的方法,对河南省5个艾滋病防治示范县/市从事艾滋病随访管理工作的139名人员进行调查,分别采用客观评价法、综合评分法、自评价法对调查对象的随访管理能力进行评价,通过受试者工作特征(ROC)曲线比较不同评价方法的鉴别能力。结果采用客观评价法、综合评分法、自评价法所得艾滋病防治人员随访管理能力的得分分别为(27.78±5.49)分、(5.25±2.44)分和(27.12±3.30)分,综合评分法和自评价法与客观评价法的关联系数分别为0.804和0.662。以客观评价法为参照标准,绘制ROC曲线,综合评分法和自评价法的曲线下面积分别为0.899(95%CI=0.837-0.944)和0.830(95%CI=0.757-0.888),一致率分别为86.33%和77.70%,Kappa值分别为0.771和0.620。结论综合评分法和自评价法具有与客观评价法相似的鉴别效能,在实际工作中均有较好的应用价值。
[Abstract]:Objective to compare the differences and consistency of different evaluation methods in the evaluation of AIDS prevention and treatment personnel's ability of follow-up management, and to provide the method basis for the evaluation of AIDS prevention and treatment personnel's working ability. Methods A stratified random sampling method was used to investigate 139 people who were engaged in AIDS follow-up management in 5 AIDS prevention and treatment demonstration counties / cities in Henan Province. Objective evaluation method and comprehensive scoring method were used respectively. The self-evaluation method was used to evaluate the management ability of the subjects, and the discriminative ability of different evaluation methods was compared by the ROC curve. Results by using objective evaluation method, comprehensive evaluation method and self-evaluation method, the scores of AIDS prevention and treatment personnel's follow-up management ability were (27.78 卤5.49), (5.25 卤2.44) and (27.12 卤3.30), respectively. The correlation coefficients between comprehensive evaluation and self-evaluation and objective evaluation were 0.804 and 0.662, respectively. Using objective evaluation method as the reference standard, the area under the curve of comprehensive scoring method and self-evaluation method were 0.899 (95CI0.837-0.944) and 0.830 (95CI0.757-0.888), the consistency rates were 86.33% and 77.70%, respectively, and the Kappa values were 0.771 and 0.620, respectively. Conclusion the comprehensive scoring method and the self-evaluation method are similar to the objective evaluation method and have good application value in practical work.
【作者单位】：郑州大学公共卫生学院流行病学教研室;河南省医学科学院;郑州大学公共卫生学院社会医学与卫生事业管理教研室;河南省卫生厅;
【基金】：“十二五”国家重大科技专项课题2012ZX10004905-004-002
【分类号】：R512.91

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