Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study

Abstract Background Prevention 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 indexe...

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Autores principales:	Xiao Zhong, Dong-Li Wang, Lan-Fang Mo, Wen Zhang, Li-Hua Xiao, Xiang-Lin Wu, Yan-Wei Chen, Lei Yang
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Quality of COVID-19 prevention and control Multi-index comprehensive evaluation Subjective and objective combined weight Efficacy coefficient method TOPSIS method Rank-sum ratio method Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/30f5fbed05c4413e8fca7ad2c379b356
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spelling	oai:doaj.org-article:30f5fbed05c4413e8fca7ad2c379b3562021-11-08T10:44:10ZEvaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study10.1186/s12889-021-12032-91471-2458https://doaj.org/article/30f5fbed05c4413e8fca7ad2c379b3562021-11-01T00:00:00Zhttps://doi.org/10.1186/s12889-021-12032-9https://doaj.org/toc/1471-2458Abstract Background Prevention 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. Methods This 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. Result A 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). Conclusions The 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.Xiao ZhongDong-Li WangLan-Fang MoWen ZhangLi-Hua XiaoXiang-Lin WuYan-Wei ChenLei YangBMCarticleQuality of COVID-19 prevention and controlMulti-index comprehensive evaluationSubjective and objective combined weightEfficacy coefficient methodTOPSIS methodRank-sum ratio methodPublic aspects of medicineRA1-1270ENBMC Public Health, Vol 21, Iss 1, Pp 1-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Quality of COVID-19 prevention and control Multi-index comprehensive evaluation Subjective and objective combined weight Efficacy coefficient method TOPSIS method Rank-sum ratio method Public aspects of medicine RA1-1270
spellingShingle	Quality of COVID-19 prevention and control Multi-index comprehensive evaluation Subjective and objective combined weight Efficacy coefficient method TOPSIS method Rank-sum ratio method Public aspects of medicine RA1-1270 Xiao Zhong Dong-Li Wang Lan-Fang Mo Wen Zhang Li-Hua Xiao Xiang-Lin Wu Yan-Wei Chen Lei Yang Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
description	Abstract Background Prevention 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. Methods This 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. Result A 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). Conclusions The 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.
format	article
author	Xiao Zhong Dong-Li Wang Lan-Fang Mo Wen Zhang Li-Hua Xiao Xiang-Lin Wu Yan-Wei Chen Lei Yang
author_facet	Xiao Zhong Dong-Li Wang Lan-Fang Mo Wen Zhang Li-Hua Xiao Xiang-Lin Wu Yan-Wei Chen Lei Yang
author_sort	Xiao Zhong
title	Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
title_short	Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
title_full	Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
title_fullStr	Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
title_full_unstemmed	Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
title_sort	evaluation of the quality of covid-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study
publisher	BMC
publishDate	2021
url	https://doaj.org/article/30f5fbed05c4413e8fca7ad2c379b356
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Evaluation of the quality of COVID-19 prevention and control by a novel comprehensive evaluation model in a tertiary general hospital: a prospective observational study

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