摘要
目的 建立湖南省血吸虫病监测工作质量控制体系,并采用加权秩和比法综合评价2021年湖南省血吸虫病监测工作质量,为制定血吸虫病防治策略提供科学依据。方法 在湖南省41个血吸虫病流行县(市、区)随机抽取12个监测村(社区),采用实验室考核与现场评价结合,对照湖南省血吸虫病监测工作质量指标体系,以层次分析法赋值各指标组合权重,根据专家论证结果构建工作质量评价体系层次结构模型,将每个二级指标利用现场数据进行赋值,得出每个评估单位的加权秩和比(RSRw)和RSRw拟合值,对血吸虫病监测质量进行综合评价和优劣排序。结果 采用加权秩和比法从组织管理、能力建设、任务完成、数据管理和质量控制等5个方面综合评价2021年度湖南省血吸虫病监测工作质量。根据RSRw拟合值将2021年度湖南省血吸虫病监测质量综合评价结果分为“差”“良”和“优”3档,其中“优”档县(市、区)2个(>0.630),“良”档县(市、区)9个(0.417~0.630),“差”档县(市、区)1个(<0.417)。安乡县得分最高,RSRw为0.674,RSRw拟合值为0.740;拟合回归方程为RSRw=-0.009+0.106 Probit(调整R2=0.875,F=78.151,P<0.05)。结论 基于加权秩和比法的综合评价体系成功应用于2021年湖南省血吸虫病监测工作质量评估,有助于今后湖南省血吸虫病监测工作质量的全面提升。
Objective To establish a quality control system for schistosomiasis surveillance and evaluate the quality of schistosomiasis surveillance in Hunan province in 2021 based on weighted rank-sum ratio(RSRw)method,and provide evidence for the development of schistosomiasis control strategy.Methods A total of 12 villages(communities)were randomly sampled from 41 counties(districts)where schistosomiasis was endemic in Hunan.Based on the quality indicator system for schistosomiasis surveillance in Hunan,the quality of schistosomiasis control was comprehensively evaluated by means of laboratory tests and field assessments in surveillance villages by using RSRw method following weight assignments with analytic hierarchy process.The RSRw and RSRw fitting values of each evaluation institution were obtained,and the quality of schistosomiasis surveillance was comprehensively evaluated and its advantages and weaknesses were ranked.Results The quality of schistosomiasis surveillance in Hunan in 2021 was comprehensively evaluated in terms of organizing agency,capability building,work completion,data reporting/management and quality control byusing weighted rank sum ratio method.According to RSRw fitting value,the comprehensive evaluation results of schistosomiasis surveillance quality in Hunan in 2021 were ranked as three grades:“poor”,“good”and“excellent”,the evaluation results were“excellent”in 2 counties(districts)(>0.630),“good”in 9 counties(districts)(0.417−0.630),and“poor”in 1 county(<0.417).The highest RSRw value(0.674)was found in Anxiang,with a fitted value of 0.740,and the fitted regression equation was RSRw=‒0.009+0.106 Probit(adjusted R2=0.875,F=78.151,P<0.05).Conclusion The comprehensive evaluation system based on RSRw method was successfully applied for the quality evaluation of schistosomiasis surveillance in Hunan in 2021,which would facilitate the further improvement of schistosomiasis surveillance in Hunan.
作者
夏蒙
周杰
程湘晖
李广平
胡本骄
李梅
喻鑫玲
李胜明
邓奕
罗振华
Xia Meng;Zhou Jie;Cheng Xianghui;Li Guangping;Hu Benjiao;Li Mei;Yu Xinling;Li Shengming;Deng Yi;Luo Zhenhua(Hunan Institute of Schistosomiasis Control,World Health Organization Collaborating Center for Schistosomiasis Control in Lake Regions,Hunan Provincial Key Laboratory on Immunity and Transmission Control of Schistosomiasis,Yueyang 414000,Hunan,China)
出处
《疾病监测》
CAS
CSCD
北大核心
2024年第1期85-90,共6页
Disease Surveillance
关键词
血吸虫病
监测
加权秩和比
综合评价
湖南省
Schistosomiasis
Surveillance
Weighted rank-sum ratio
Comprehensive evaluation
Hunan province
