Skip to main content
Top
Published in: BMC Public Health 1/2021

Open Access 01-12-2021 | COVID-19 | Research

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

Authors: Xiao Zhong, Dong-Li Wang, Lan-Fang Mo, Wen Zhang, Li-Hua Xiao, Xiang-Lin Wu, Yan-Wei Chen, Lei Yang

Published in: BMC Public Health | Issue 1/2021

Login to get access

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.
Literature
9.
go back to reference Yun Z. Application of comprehensive evaluation method in the evaluation of nosocomial infection control and prevention quality. Chin J Disinfection. 2018;35(05):52–4 [in Chinese]. Yun Z. Application of comprehensive evaluation method in the evaluation of nosocomial infection control and prevention quality. Chin J Disinfection. 2018;35(05):52–4 [in Chinese].
11.
go back to reference Xiao-meng C. Comprehensive evaluation of target monitoring of nosocomial infection in ICU in a hospital of Henan province. J Med Forum. 2018;v.39(04):85–7 [in Chinese]. Xiao-meng C. Comprehensive evaluation of target monitoring of nosocomial infection in ICU in a hospital of Henan province. J Med Forum. 2018;v.39(04):85–7 [in Chinese].
17.
go back to reference Liyun X. Construction of nursing quality index system for COVID-19 infection prevention and control. Chin Gen Pract Nurs. 2020;18(8):962-4. [In chinese]. Liyun X. Construction of nursing quality index system for COVID-19 infection prevention and control. Chin Gen Pract Nurs. 2020;18(8):962-4. [In chinese].
18.
go back to reference Heikkilä S. The Dougados functional index with the 5-point Likert scale is sensitive to change due to intensive physiotherapy and exercise in spondyloarthropathy. Clin Exp Rheumatol. 2002;20(5):689–92.eng.PubMed Heikkilä S. The Dougados functional index with the 5-point Likert scale is sensitive to change due to intensive physiotherapy and exercise in spondyloarthropathy. Clin Exp Rheumatol. 2002;20(5):689–92.eng.PubMed
19.
go back to reference Zhanglin P, Aiping Z, Sufeng W, Yu B. Designing principles and constructing processes of the comprehensive evaluation indicator system. Sci Res Manag. 2017;38(S1):209-15. [in Chinese]. Zhanglin P, Aiping Z, Sufeng W, Yu B. Designing principles and constructing processes of the comprehensive evaluation indicator system. Sci Res Manag. 2017;38(S1):209-15. [in Chinese].
21.
go back to reference Yajun G. The theory and methods of comprihensive evaluation. Beijing: Science Press; 2002. [in Chinese] Yajun G. The theory and methods of comprihensive evaluation. Beijing: Science Press; 2002. [in Chinese]
22.
23.
go back to reference Du M, Qiu Y, Li Q, Li Y. Efficacy coefficient method assisted quadruple-activities 3D-QSAR pharmacophore model for application in environmentally friendly PAE molecular modification. Environ Sci Pollut Res Int. 2020;27(19):24103–14.eng.CrossRef Du M, Qiu Y, Li Q, Li Y. Efficacy coefficient method assisted quadruple-activities 3D-QSAR pharmacophore model for application in environmentally friendly PAE molecular modification. Environ Sci Pollut Res Int. 2020;27(19):24103–14.eng.CrossRef
24.
go back to reference Tian F. Application of rank sum ratio method. Beijing: People’s Medical Publishing House; 2002. [in Chinese] Tian F. Application of rank sum ratio method. Beijing: People’s Medical Publishing House; 2002. [in Chinese]
26.
go back to reference Böttcher HF, Posthoff C. Mathematical treatment of rank correlation--a comparison of Spearman’s and Kendall’s coefficients. Z Psychol Z Angew Psychol. 1975;183(2):201–17.ger.PubMed Böttcher HF, Posthoff C. Mathematical treatment of rank correlation--a comparison of Spearman’s and Kendall’s coefficients. Z Psychol Z Angew Psychol. 1975;183(2):201–17.ger.PubMed
29.
go back to reference Liu X, Xu Y, Ge Y, Zhang W, Herrera F. A group decision making approach considering self-confidence behaviors and its application in environmental pollution emergency management. Int J Environ Res Public Health. 2019;16(3):385. https://doi.org/10.3390/ijerph16030385 Liu X, Xu Y, Ge Y, Zhang W, Herrera F. A group decision making approach considering self-confidence behaviors and its application in environmental pollution emergency management. Int J Environ Res Public Health. 2019;16(3):385. https://​doi.​org/​10.​3390/​ijerph16030385
31.
go back to reference Wenyu Z, Lei W. Fuzzy comprehensive evaluation based on integrated enduing coefficients to assess wechat marketing effect. Comput Engin Appl. 2016;5(11):68-76. [in Chinese]. Wenyu Z, Lei W. Fuzzy comprehensive evaluation based on integrated enduing coefficients to assess wechat marketing effect. Comput Engin Appl. 2016;5(11):68-76. [in Chinese].
32.
go back to reference Xin-xin G, Qian R, Rui A. Evaluation method for regional road network service level based on combination weighting and similitude degree of grey incidence. Transp Res. 2015;1(3):1-6. [in Chinese]. Xin-xin G, Qian R, Rui A. Evaluation method for regional road network service level based on combination weighting and similitude degree of grey incidence. Transp Res. 2015;1(3):1-6. [in Chinese].
33.
go back to reference Yunfei L, Linlin L, Zhuang Z. Research and application of decision index combination weighting method. Comput Eng. 2018;044(001):84–90 [in Chinese]. Yunfei L, Linlin L, Zhuang Z. Research and application of decision index combination weighting method. Comput Eng. 2018;044(001):84–90 [in Chinese].
34.
go back to reference Gang L. Research on method of determing combination weights based on the standard deviation revised grounp-G1. J Syst Eng. 2012;27(1):9–18 [in Chinese]. Gang L. Research on method of determing combination weights based on the standard deviation revised grounp-G1. J Syst Eng. 2012;27(1):9–18 [in Chinese].
Metadata
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
Authors
Xiao Zhong
Dong-Li Wang
Lan-Fang Mo
Wen Zhang
Li-Hua Xiao
Xiang-Lin Wu
Yan-Wei Chen
Lei Yang
Publication date
01-12-2021
Publisher
BioMed Central
Keyword
COVID-19
Published in
BMC Public Health / Issue 1/2021
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-021-12032-9

Other articles of this Issue 1/2021

BMC Public Health 1/2021 Go to the issue