| Objective:To establish a criteria tracking evaluation index system for parasitic diseases,and to provide scientific quantitative basis for the criteria tracking evaluation of parasitic diseases.According to the index system,the evaluation method was improved to evaluate the quality,publicity and implementation of schistosomiasis control and elimination(GB 15976-2015)and schistosomiasis Diagnostic Criteria(WS 261-2006),so as to make comprehensive tracking and evaluation of the two standards,and then provide a theoretical reference for the revision and implementation of the two criterias.Method:Based on the literature and reference to relevant documents,the index system was initially established.Using the Delphi method,20 experts in the field of parasitic diseases were selected to conduct a questionnaire survey,and opinions on the parasitic disease criteria tracking evaluation index system were evaluated,the importance,familiarity,judgment basis,etc.were scored.Finally,we established a parasitic disease criteria tracking evaluation index system and calculated the weight of each indicator in the system.In accordance with the requirements of the"Guidelines for the Tracking and Evaluation of Sanitary Criterias"WS/T 536-2017,and tracking the indicators in the evaluation index system of the parasitic disease criteria,questionnaires and interview outlines were designed from the criteria quality and publicity and implementation for the two schistosomiasis criteias.According to the prevalence of schistosomiasis,the prevailing provinces in the country are divided into three levels:transmission control,transmission blocking and elimination.Each department selects a provincial of professional staff to conduct a questionnaire survey.Each province selects two counties and each county selects two township health centers for on-site investigation and interview.At the same time,we collected relevant policy documents on the prevention and control of schistosomiasis in China.The database was created with Epidata for the acquired data,and statistical analysis was performed with SPSS 20.0 to obtain the evaluation results.Results:After two rounds of expert consultation,a parasitic disease criteria tracking evaluation index system including three first-level indicators,seven second-level indicators and 20 third-level indicators,was established.The positive coefficient of the experts of the two rounds of expert consultation is 100%(20/20).The coefficient of authority of the experts is 0.8793,and the consistency coefficient of the importance of the two rounds of consultation is 0.516 and 0.574,the Cronbach a coefficient of the overall indicator system importance score is 0.953.The Cronbacha coefficients of each part are close to or greater than 0.9,and the reliability is good.In the validity analysis results,the eigenvalues of the first four principal components are greater than 1,and the total variance of 84.43%can be explained by the four potential factors.The common factor variance ratio of all indicators is greater than 0.7.which can better reflect most of the information about variables.The combined weight of the criteria quality in the first-level indicators(0.5396)is the highest,the propagation and implement of criteria's combination weight(0.1634)is the lowest;the scientific combination weight(0.2912)is the highest in the secondary indicators,and the combined weight of propagation and implement effect is the lowest(0.0545);Among the three-level indicators,the combination weight(0.2184)of the index or the advance and accuracy of the technical requirements is the highest,and the combination weight(0.0085)of the citation degree is the lowest.Tracking evaluation of schistosomiasis control and elimination(GB 15976-2015)collected 399 questionnaires,including 372 valid questionnaires,and the questionnaire efficiency was 93.23%.There were 217 males(58.33%)and 155 females(41.67%).The average age of all respondents was 40.12 years old.97.04%(361 of 372)were known to all respondents,and 2.69%(11 of 372)were unknown.The highest proportion of the control and elimination criteria was learned through training of relevant institutions,which was 81.99%(305/372).The total mastery rate of the contents of the criteria is 67.95%.Among them,the provincial-level unit's mastery rate is 75.11%,the municipal-level unit is 72.80%,and the county-level unit is 65.97%.12.09%(45/372)of the control and elimination criteria used every time in the work,49.19%(183/372)of the regular use,and 32.53%(121/372)of the occasional use,6.18%(23/)372)of no use.It is considered that the"Control and Elimination Criteria"account for 65.86%,71.77%and 43.82%of the most widely used in the assessment of compliance,routine prevention and treatment,and education and training,respectively.13.71%(51/372)of the respondents did not take corresponding measures for the implementation of the criteria,and 63.71%(237/372)of the units held activities such as publicity,implementation and training after the implementation of the control and elimination criteria,on average,0.91 times a year.62.63%(233/372)of the units sent people to participate in the promotion and training,with an average of 1.06 person-times per year.The publicity styles preferred by the respondents were 79.03%(294/372)for the special lectures and 49.19%(183/372)for the WeChat public account.66.94%(249/372)of the respondents considered that the criteria was fully applicable,29.84%(111/372)considered that the criteria was basically applicable,but some places need to be revised.72.85%of the respondents(271/372)considered the operability of the criteria to be very good,23.92%(89/372)considered the operability to be general.Through questionnaires,visits and on-site investigations,a total of 38 effective opinions and suggestions were collected,including revision of the supporting manuals,strengthening of training and publicity,and innovative training methods.The criteria did not conflict with other documents,plans,etc.during the implementation process,and maintained a good consistency.The tracking evaluation score for control and elimination criteria is 8.3366 and the correction score is 8.6394.Tracking evaluation of"Diagnostic Criteria for Schistosomiasis"(WS 261-2006)394 questionnaires,including 347 valid questionnaires,and the questionnaire was 88.07%effective.There were 216 males(62.25%)and 131 females(37.75%);the average age was 40.12 years old.The number of people who knew the Diagnostic Criteria was 93.08%(323/347),and the unknown was 6.92(23/347).Among them,the awareness rate of schistosomiasis control professionals was 95.63%,and the awareness rate of clinical doctors and test physicians was 86.32%.The difference was statistically significant(?2=1 8.840.P=0.0023).The overall mastery rate of the Diagnostic Criteria was 74.37%,and the mastery rate of the core part was 64.13%.Among them,the group master rate of provincial units is 83.48%,the group master rate of city-level units is 76.24%,the group mastery rate of county-level units is 75.85%,and the mastery rate of township-level units is 50.14%.The awareness rate of schistosomiasis control professionals was 95.63%,and the awareness rate of clinical doctors and test physicians was 86.32%,and the difference was statistically significant(?2=18.840,P=0.0023).13.3%(46/347)of respondents used each time at work,45.8%(159/347)of regular use,30.5%(106/347)of occasional use,and 3.7%(13/347)of almost unused.52.7%(183/347)held publicity and training activities after the implementation of the Diagnostic Criteria,an average of.1.67 times a year.61.7%(214/347)of the units sent people to participate in the training organized by other organizations.And training,an average of 3.93 person-times per year.15.8%(51/347)of the respondents'units did not take relevant measures for the implementation of the Diagnostic Criteria after the implementation.The differences in the mastery of gender,unit level,unit category,job title,education,occupation,and publicity should be statistically sign,ificant.27.96%(97/347)of the respondents believed that the Diagnostic Criteria could not meet the needs of the current schistosomiasis work and needed to be revised.During the investigation,it was found that the comments on the revision were focused on the revision of the standard for clinical diagnosis of chronic schistosomiasis.The opinions and suggestions collected through questionnaires and on-site investigation mainly involve the recommendation to increase the adjustment of Diagnostic Criteria for asymptomatic infections,clinical diagnosis of chronic schistosomiasis,and the understanding and implementation of standards for primary personnel are difficult to fully implement,and strengthen the diagnostic skills of schistosomiasis for clinical medical staff.The total score of the Diagnostic Criteria for tracking evaluation was 7.2030,and the total score for correction was 7.1779.Conclusion:The parasitic disease criteria tracking evaluation index system has high reliability and validity,covering all aspects of standard formulation to implementation,and has a guiding role in the development of parasitic disease standard tracking and evaluation work.Follow-up related parasitic disease standard evaluation work can be carried out with reference to this system.Schistosomiasis control and eliminate(GB 15976-2015)has played a leading and guiding role in China's schistosomiasis prevention work,but exist in the actual work of"criteria"relevant content is not ideal,and so on and so forth,Especially because of the decline in schistosomiasis,primary professionals just passively to complete the task,lack of understanding and attention of the"criteria".Therefore,we should pay attention to the study of the Criterias by grassroots professionals,strengthen the interpretation of the Criterias,improve the use rate of the Criterias,and promote the process of eliminating schistosomiasis in China.The Diagnostic Criteria for schistosomiasis(WS 261-2006)has been implemented for a long time and played an important role in the prevention and treatment of schistosomiasis during the criteria-setting period.With the advancement of technology and the need for prevention and treatment,schistosomiasis experts and some schistosomiasis prevent professionals believe that part of the Diagnostic Criteria needs to be revised."Diagnostic Criteria"is the basis for the diagnosis of schistosomiasis and the work of schistosomiasis prevention and control in China.However,the mastery of schistosomiasis control criterias needs to be strengthened.In particular,the awareness and mastery of the criterias of the primary clinicians are not satisfactory,and the diagnosis-related business training should be carried out in a targeted manner. |
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