Abstract
BackgroundPrevention and control (P&C) of Corona Virus Disease 2019 (COVID-19) is still a critical task in most countries and regions. However, there are many single evaluation indexes to assess the quality of COVID-19 P&C. It is necessary to synthesize the single evaluation indexes reasonably to obtain the overall evaluation results.MethodsThis study was divided into three steps. Step 1: In February 2020, the improved Delphi method was used to establish the quality evaluation indexes system for COVID-19 P&C. Step 2: in March 2020, the CRITIC method was used to adjust the Order Relation Analysis (G1) method to obtain the subjective and objective (S&O) combination weights. The comprehensive evaluation value was obtained using the weighted Efficacy Coefficient (EC) method, weighted TOPSIS method, weighted rank-sum ratio (RSR) method, and weighted Grey Relationship Analysis (GRA) method. Finally, the linear normalization method was used to synthesize the evaluation values of different evaluation methods. Step 3: From April 2020 to May 2021, this evaluation method was used to monitor and assess COVID-19 P&C quality in critical departments prospectively. The results were reported to the departments monthly.ResultA quality evaluation indexes system for COVID-19 P&C was established. Kendall’s consistency test shows that the four evaluation method had good consistency (χ2 = 43.429, P<0.001, Kendall’s consistency coefficient = 0.835). The Spearman correlation test showed that the correlation between the combined evaluation results and the original method was statistically significant(P < 0.001). According to the Mann-Kendall test, from March 2020 to May 2021, the mean value of COVID-19 P&C quality in all critical departments showed an upward trend (P < 0.01).ConclusionsThe combined comprehensive evaluation method based on the S&O combined weight was more scientific and comprehensive than the single weighting and evaluation methods. In addition, monitoring and feedback of COVID-19 P&C quality were helpful for the improvement of P&C quality.
Highlights
Prevention and control (P&C) of Corona Virus Disease 2019 (COVID-19) is still a critical task in most countries and regions
Monitoring and feedback of COVID-19 P&C quality were helpful for the improvement of P&C quality
Summarily, in this study, a COVID-19 P&C indexes system with purpose, completeness, operability, independence, and conformity to the actual situation of our hospital was established by the Delphi method
Summary
Prevention and control (P&C) of Corona Virus Disease 2019 (COVID-19) is still a critical task in most countries and regions. There are many single evaluation indexes to assess the quality of COVID-19 P&C. The COVID-19 epidemic in most countries and regions outside China is still severe. The success of China’s fight against COVID-19 is related to the implementation of scientific P&C measures, ranging from a province or a city to a community or a medical institution. There are many indicators to evaluate COVID-19 P&C work. The values of multiple indicators vary from high to low, and it isn’t easy to evaluate the overall quality of work only by comparing a single index. A comprehensive evaluation of all indicators is needed to comprehensively and accurately reflect COVID-19 P&C work quality
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