应用加权秩和比法综合评价陕西省医疗机构的传染病报告质量

发布时间：2018-10-09 08:29

【摘要】：目的评估加权秩和比(WRSR)法在陕西省医疗机构法定传染病报告质量评价中的应用,为传染病报告管理与评估工作提供参考依据。方法采用WRSR对陕西省63家医疗机构的传染病报告质量进行综合评价,根据分档要求,对评价结果进行排序分档。结果将63家医疗机构的传染病报告质量分为好、中、差3个等级,各等级的医疗机构分别有10、43、10家,说明陕西省医疗机构的传染病报告管理工作整体较好,其中省级医疗机构归于差档的比例占到所有省级医疗机构的50.00%,提示今后要重点提高省级医疗机构的报告质量。对各档间的综合评价指标WRSR做方差分析,分档具有统计学意义(F=97.510,P0.001)。不同等级的医疗机构在各档分布上差异无统计学意义(=9.683,P0.05)。结论 WRSR实用性好,计算过程简便,评价结果可靠,能够对陕西省医疗机构的传染病报告质量作出科学、客观的评价。各级医疗机构应规范开展传染病报告管理工作,健全管理制度,采取加强管理、培训和督导等措施,提高医务人员传染病报告卡的填写质量,进一步提高全省的传染病报告质量。
[Abstract]:Objective to evaluate the application of weighted rank sum ratio (WRSR) method in the evaluation of the quality of notifiable infectious diseases in Shaanxi Province, and to provide a reference for the management and evaluation of infectious diseases. Methods the infectious disease report quality of 63 medical institutions in Shaanxi Province was evaluated by WRSR, and the evaluation results were ranked according to the classification requirements. Results the reporting quality of infectious diseases in 63 medical institutions was divided into good, middle and poor three grades. There were 10 or 43 medical institutions in each grade, which indicated that the reporting and management of infectious diseases in medical institutions in Shaanxi Province was good as a whole. Among them, the proportion of provincial medical institutions classified as bad accounts for 50.00% of all provincial medical institutions, which suggests that the quality of provincial medical institutions should be improved in the future. The analysis of variance (ANOVA) of the comprehensive evaluation index WRSR was statistically significant (F _ (97.510) P _ (0.001). There was no significant difference in the distribution of different grades of medical institutions (P 0.05). Conclusion WRSR has good practicability, simple calculation process and reliable evaluation results. It can make a scientific and objective evaluation on the quality of infectious disease report in medical institutions in Shaanxi Province. Medical institutions at all levels should standardize the management of infectious disease reports, improve the management system, take measures such as strengthening management, training and supervision, and improve the quality of filling out infectious disease report cards for medical personnel. We will further improve the reporting quality of infectious diseases throughout the province.
【作者单位】：陕西省疾病预防控制中心信息所;
【分类号】：R181.8

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