陕西省渭南市网络报告梅毒病例质量及影响因素分析

发布时间：2018-06-09 07:10

本文选题：梅毒 + 网络报告　；参考：《中国皮肤性病学杂志》2017年03期

【摘要】：目的分析陕西省渭南市网络报告梅毒病例质量及其影响因素,为改进梅毒病例报告提供依据。方法对2014年7月1日-2015年6月30日渭南市医疗机构网络报告梅毒病例,与医院管理信息系统或门诊日志登记的病例和实验室检测结果进行核对,计算诊断符合率、报告准确率及漏报率;用Logistic回归模型分析梅毒报告准确率的影响因素。结果共核查39家医疗机构765例梅毒病例,诊断符合率为22.48%,报告准确率为23.53%,漏报率为31.03%。Logistic回归分析结果显示,报告梅毒病例医疗机构具备实验室检测能力、医院开设皮肤性病科、梅毒病例报告科室为皮肤性病科、报告医院为三级/二级医院、梅毒诊断及报告知识知晓情况,影响梅毒报告质量。结论陕西省渭南市梅毒疫情报告质量亟待提高。提高辖区内所有报告梅毒病例医疗机构实验室检测能力,对辖区内医疗机构相关医务人员进行梅毒检验方法、梅毒诊断标准、传染病网络报卡管理培训,有助于提高梅毒报告质量。
[Abstract]:Objective to analyze the quality and influencing factors of syphilis reported online in Weinan City, Shaanxi Province, and to provide basis for improving syphilis case report. Methods from July 1, 2014 to June 30, 2015, syphilis cases were reported by the network of medical institutions in Weinan city, and checked with the cases registered by the hospital management information system or the outpatient log and the results of laboratory tests, and the diagnostic coincidence rate was calculated. Logistic regression model was used to analyze the influencing factors of syphilis reporting accuracy. Results A total of 765 syphilis cases were examined in 39 medical institutions, the diagnostic coincidence rate was 22.48, the reporting accuracy rate was 23.53, and the missing report rate was 31.03.Logistic regression analysis showed that the medical institutions with reported syphilis cases had the ability to detect syphilis cases in laboratory, and the department of skin and venereal diseases was opened in the hospital. The department of syphilis case report was dermatology and venereal disease department, and the reporting hospital was grade III / II hospital. The knowledge of syphilis diagnosis and report affected the quality of syphilis report. Conclusion the quality of syphilis report should be improved in Weinan City, Shaanxi Province. To improve the laboratory testing ability of all medical institutions reporting syphilis cases in the jurisdiction, and to conduct training on syphilis testing methods, diagnostic criteria for syphilis, management of infectious diseases network card reporting for medical staff in medical institutions in the jurisdiction, It is helpful to improve the quality of syphilis report.
【作者单位】：陕西省疾病预防控制中心;渭南市疾病预防控制中心;
【分类号】：R759.1

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