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目的了解肝炎监测点与非监测点医院乙型肝炎(乙肝)诊断报告特征及质量,初步探讨设立监测点效果。方法采用描述流行病学方法,对2005-2013年《中国疾病预防控制信息系统》终审报告的现住址天津的乙肝病例报告、分类、实验室确诊、订正等情况按是否监测点进行统计分析和比较。结果监测点医院终审有效报告病例数(34 910例)占全市乙肝报告总数的74.76%,高于非监测点(26 100例)的25.24%;监测点分类率、实验室诊断率均高于设立前,也高于非监测点,删除订正率低于非监测点(P<0.05)。结论设立肝炎监测点能够高效推动天津乙肝疫情诊断和报告质量的快速提高。
Objective To understand the characteristics and quality of hepatitis B (hepatitis B) diagnosis in hepatitis monitoring sites and non-monitoring sites hospitals and to explore the effect of setting up monitoring sites. Methods Descriptive epidemiological methods were used to analyze and compare the reported cases of hepatitis B cases, classification, laboratory diagnosis and revisions in Tianjin, the current address of the final report of China Disease Prevention and Control Information System from 2005 to 2013, on whether monitoring points were statistically analyzed and compared . Results The number of final valid reports (34 910 cases) in hospitals at the monitoring sites accounted for 74.76% of the total number of hepatitis B reports in the city, which was 25.24% higher than that of non-monitoring points (26 100 cases). The classification rates of the monitoring points and the laboratory diagnosis rate were higher than those of the establishment Before and also higher than the non-monitoring points, delete correction rate is lower than the non-monitoring points (P <0.05). Conclusion The establishment of hepatitis monitoring points can effectively promote the rapid diagnosis of hepatitis B in Tianjin and the rapid improvement of reporting quality.