职业与健康 ›› 2025, Vol. 41 ›› Issue (12): 1641-1645.

• 论著 • 上一篇    下一篇

天津市津南区成人疫苗接种现况及服务能力综合评价

梁广忠, 柯慧   

  1. 天津市津南区疾病预防控制中心,天津 300350
  • 收稿日期:2025-03-17 修回日期:2024-03-24 出版日期:2025-06-15 发布日期:2025-12-11
  • 作者简介:梁广忠,男,副主任医师,主要从事传染病预防与控制工作。

Status of adult vaccination and comprehensive evaluation of immunization service capacity in Jinnan District of Tianjin

LIANG Guangzhong, KE Hui   

  1. Tianjin Jinnan Center for Disease Control and Prevention, Tianjin, 300350, China
  • Received:2025-03-17 Revised:2024-03-24 Online:2025-06-15 Published:2025-12-11

摘要: 目的 了解天津市津南区免疫规划门诊成人疫苗接种情况,综合评价免疫规划门诊成人疫苗接种服务能力。方法 从天津市免疫规划信息管理系统收集2018—2023年津南区免疫规划门诊成人疫苗接种资料,对数据进行描述分析。应用熵权TOPSIS法和秩和比法计算津南区2023年12家免疫规划门诊成人疫苗服务能力综合评价指标Ci值,并进行排序分档。结果 2018—2023年津南区免疫规划门诊成人疫苗接种剂次数占比呈逐年上升趋势,从2018年的6 009剂次上升至2023年的41 107剂次,总增幅达584.09%。8—11月是成人疫苗接种的高峰月份。熵权TOPSIS法评价结果显示,各接种门诊Ci值为0.151~0.749;秩和比法评价结果显示,Ci值与其对应概率的Probit线性回归方程为Ci=-0.389+0.164×Probit,F=181.603,P<0.001。免疫规划门诊成人疫苗接种服务能力处于优、中、劣个数分别为2、9和1个。结论 天津市津南区成人疫苗接种量呈大幅增加趋势,但免疫规划门诊成人疫苗接种服务能力普遍不足,需多措并举提高辖区成人疫苗接种服务能力,以满足居民成人疫苗预防接种需求。

关键词: 成人疫苗, 服务能力, 逼近理想排序法, 秩和比法

Abstract: Objective To understand the status of adult vaccination in immunization program clinic in Jinnan District of Tianjin,comprehensively evaluate the adult vaccination service capability in immunization program clinic. Methods The data of adult vaccination in immunization program clinic in Jinnan District from 2018 to 2023 were collected from the Tianjin immunization planning information management system,and the descriptive analysis was performed. The TOPSIS and rank-sum ratio methods were used to calculate the ranked Ci of adult vaccination service capability in 12 immunization program clinics of Jinnan District in 2023,and then they were sorted and classified. Results From 2018 to 2023,the proportion of adult vaccination doses in immunization clinics of Jinnan District showed an upward trend,rising from 6 009 doses in 2018 to 41 107 doses in 2023,with a total increase of 584.09%. August to November was the peak of adult vaccination. The TOPSIS method showed that the vaccination clinic Ci values ranged from 0.151 to 0.749. The rank-sum ratio method showed that a linear regression equation of Ci and its corresponding probability probit was Ci=-0.389+0.164×Probit(F=181.603,P<0.001). There were 2,9 and 1 vaccination clinics identified as good,medium,and poor in service capacity. Conclusion The adult vaccination doses increase over the years in immunization clinics in Jinnan District of Tianjin,but the adult vaccination service capacity of vaccination clinics is inadequate,so it is necessary to take multiple measures to improve the capacity of adult vaccination services in the jurisdiction,in order to meet the demand for adult vaccination among residents.

Key words: Adult vaccination, Service capacity, Technique for order preference by similarity to an ideal solution, Rank-sum ratio

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