加权TOPSIS法在新疆农村妇女宫颈癌筛查项目绩效综合评价中的应用

发布时间：2019-01-02 19:24

【摘要】：目的综合评价2009—2011年新疆14个农村妇女"两癌"筛查项目县(市)的宫颈癌筛查绩效,为提高筛查水平提供科学依据。方法利用全国妇幼重大公共卫生服务项目信息直报系统和新疆宫颈癌筛查项目县级调查表,收集2009—2011年新疆14个项目县(市)宫颈癌筛查数据。应用加权TOPSIS法对新疆农村妇女宫颈癌筛查项目绩效进行综合评价,将收集到的数据指标经同趋势化处理、归一化处理确定最优向量和最劣向量,进而确定最优方案(A+)与最劣方案(A-),计算各评价对象与A+及A-的距离(Di+与Di-),继而得出各评价对象与A+的接近程度(Ci)并对其进行排序。结果检出率最高的是D县,A县和B市最低;覆盖率最高的是K县,F县最低;涂片合格率最高的是K县,A县最低;报告规范率最高的是K县,最低是G县;切片符合率最高的是D县和K县,A县最低;各项目县培训率均在0.90%~0.99%之间;转诊率最高的是C市和M市,A县、D县、F县、G市、I县转诊率为0;个案上报率最高的是F县,G市和I县最低;知晓率最高的是E市,G市最低。宫颈癌筛查绩效综合评价从高到低依次为D县、K县、F县、L县、M市、N市、E市、H市、C市、J市、I县、B市、A县和G市。结论加权TOPSIS法具有计算简便、应用灵活的特点,可用于新疆农村妇女宫颈癌筛查项目绩效评价中,为绩效排名较低的项目县调整实施方案和实施策略提供依据。
[Abstract]:Objective to evaluate the cervical cancer screening performance of 14 rural women in Xinjiang from 2009 to 2011. Methods the data of cervical cancer screening in 14 counties (cities) of Xinjiang from 2009 to 2011 were collected by using the information direct reporting system of major public health services for women and children and the county level questionnaire of cervical cancer screening project in Xinjiang. The performance of cervical cancer screening project of rural women in Xinjiang was comprehensively evaluated by weighted TOPSIS method. The collected data were treated with the same trend and normalized to determine the optimal vector and the worst vector. Then the optimal scheme (A) and the worst scheme (A-) are determined, the distance between each evaluation object and A and A- (Di and Di-) is calculated, and then the degree of proximity (Ci) between each evaluation object and A is obtained and sorted. Results the detection rate was the highest in D county, A county and B city, the highest coverage rate was in K county and the lowest in F county, the highest pass rate of smear was in K county and the lowest in A county, the highest reporting standard rate was in K county and the lowest in G county. The highest section coincidence rate was in D county and K county, the lowest in A county, the training rate in each project county was 0.90%, the referral rate was 0 in C city and M city, A county, D county, F county, G city and I county. The case report rate was the highest in F county, the lowest in G city and I county, the highest in E city and the lowest in G city. The comprehensive evaluation of cervical cancer screening performance from high to low were D county, K county, F county, L county, M city, N city, E city, H city, C city, J city, I county, B city, A county and G city. Conclusion the weighted TOPSIS method has the advantages of simple calculation and flexible application. It can be used to evaluate the performance of cervical cancer screening project for rural women in Xinjiang.
【作者单位】：石河子大学预防医学系;
【基金】：教育部人文社会科学研究规划基金项目(12YJAZH044)
【分类号】：R737.33

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