应用TOPSIS和RSR法综合评价江西省儿童常规免疫工作
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摘要
目的综合评价江西省儿童常规免疫工作质量。方法采用分层按容量比例概率抽样方法,对江西省11个地市的2岁和7岁儿童进行免疫规划(EPI)疫苗接种率调查,选取22项接种指标,采用TOPSIS和RSR法对各地市常规免疫质量进行排序。结果 TOPSIS和RSR法综合评价显示,全省11个地市中3个地市儿童常规免疫工作处于较好水平,6个地市处于中等水平,2个地市处于较差水平。结论全省各地市儿童常规免疫工作差异较大,需制定因地适宜的政策,提高全省EPI工作水平。
Objective To evaluate the quality of childhood routine immunization in Jiangxi province. Methods We used a stratified probability proportional to size(PPS) method to select 2 and 7 year old children f rom 11 prefectures of Jiangxi for a coverage survey of Expanded Program on Immunization(EPI) vaccines. We chose 22 immunization indicators to rank the quality of routine immunization by prefecture using TOPSIS and RSR methods. Results TOPSIS and RSR combination methods showed that the childhood routine immunization was at a good level in 3 prefectures,at a medium level in 6 prefectures, and at a poor level in 2 prefectures. Conclusions The quality of childhood routine immunization varied by prefecture in Jiangxi. We need to develop appropriate policies to improve EPI in Jiangxi.
Objective To evaluate the quality of childhood routine immunization in Jiangxi province. Methods We used a stratified probability proportional to size(PPS) method to select 2 and 7 year old children f rom 11 prefectures of Jiangxi for a coverage survey of Expanded Program on Immunization(EPI) vaccines. We chose 22 immunization indicators to rank the quality of routine immunization by prefecture using TOPSIS and RSR methods. Results TOPSIS and RSR combination methods showed that the childhood routine immunization was at a good level in 3 prefectures,at a medium level in 6 prefectures, and at a poor level in 2 prefectures. Conclusions The quality of childhood routine immunization varied by prefecture in Jiangxi. We need to develop appropriate policies to improve EPI in Jiangxi.
引文
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[5]黄霜,林希建,刘浩,等.长沙市适龄儿童基础免疫接种率综合评价[J].中国卫生统计, 2017, 34(6):933-935.HUANG Shuang, LIN Xijian, LIU Hao, et al.Comprehensive evaluation of routine immunization in Changsha city[J]. Chinese Journal of Health Statistics,2017, 34(6):933-935.
[6]赵玉芹,涂秋凤,程慧健,等. 2015年江西省国家免疫规划疫苗接种率调查结果分析[J].现代预防医学, 2016, 43(21):4009-4014.ZHAO Yuqin, TU Qiufeng, CHENG Huijian, et al.Vaccination rate of the National Immunization Program in Jiangxi, 2015[J]. Modern Preventive Medicine, 2016,43(21):4009-4014.
[2]田凤调.秩和比法及应用[M].北京:人民卫生出版社, 2002.TIAN Fengdiao. Rank sum ratio method and application[M]. Beijing:People's Medical Publishing House, 2002.
[3]王陇德.预防接种实践与管理[M].北京:人民卫生出版社,2006:138-143.WANG Longde. Vaccination practice and management[M].Beijing:People's Medical Publishing House, 2006:138-143.
[4]罗凤基,袁立国.标准组群抽样的原理和方法[J].中国计划免疫, 2004, 10(5):260+309.LUO Feng ji, YUAN Liguo. Principle and method of standard cluster sampling[J]. Chinese Journal of Vaccines and Immunization, 2004, 10(5):260+309.
[5]黄霜,林希建,刘浩,等.长沙市适龄儿童基础免疫接种率综合评价[J].中国卫生统计, 2017, 34(6):933-935.HUANG Shuang, LIN Xijian, LIU Hao, et al.Comprehensive evaluation of routine immunization in Changsha city[J]. Chinese Journal of Health Statistics,2017, 34(6):933-935.
[6]赵玉芹,涂秋凤,程慧健,等. 2015年江西省国家免疫规划疫苗接种率调查结果分析[J].现代预防医学, 2016, 43(21):4009-4014.ZHAO Yuqin, TU Qiufeng, CHENG Huijian, et al.Vaccination rate of the National Immunization Program in Jiangxi, 2015[J]. Modern Preventive Medicine, 2016,43(21):4009-4014.