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目的了解台州市慢性病报告质量,为规范慢性病监测提供依据。方法对台州市2013年27家县级及以上医疗机构4种慢性病的报告质量和诊断符合情况进行调查和分析。结果 27家县级及以上医疗机构2013年报告4种慢性病1 496例,漏报率为22.53%,迟报率为1.20%,填写不完整比例为0.33%。其中糖尿病、冠心病急性事件、脑卒中和恶性肿瘤漏报率分别为21.98%、20.87%、17.22%和28.77%,诊断符合率分别为58.84%、73.62%、70.95%和66.12%。结论台州市4种慢性病漏报率较高,存在重报、迟报和报卡填写不完整等情况,诊断符合率较低,应强化质量控制,进一步规范慢性病监测工作。
Objective To understand the quality of chronic disease reporting in Taizhou and provide the basis for regulating chronic disease surveillance. Methods The quality of reports and the conformity of diagnosis of four kinds of chronic diseases in 27 medical institutions of county level and above in Taizhou in 2013 were investigated and analyzed. Results A total of 1 496 cases of chronic diseases were reported by 27 medical institutions at the county level and above in 2013, with an underreporting rate of 22.53%, an overdue rate of 1.20% and an incomplete ratio of 0.33%. The omission rate of diabetes, coronary heart disease, stroke and malignant tumor was 21.98%, 20.87%, 17.22% and 28.77% respectively. The diagnostic coincidence rates were 58.84%, 73.62%, 70.95% and 66.12% respectively. Conclusions The omission rate of four kinds of chronic diseases in Taizhou City is high. There are cases of heavy repaying, late replying and incomplete card filling. The diagnostic coincidence rate is low. Quality control should be strengthened to further standardize the monitoring of chronic diseases.