广西肺结核患者直报与专报系统登记一致性分析

发布时间：2018-05-30 04:23

  本文选题：肺结核 + 传染病报告信息管理系统　； 参考：《中国公共卫生》2017年12期

【摘要】：目的分析广西传染病报告信息管理系统报告与结核病管理信息系统登记肺结核患者不一致的原因。方法对2014年广西2大网络系统报告登记的肺结核患者信息进行逐一核对和现场核查,找出差异和原因。结果 2系统平均一致率为65.45%;传染病报告信息管理系统已报告但结核病管理信息系统未登记的主要原因为到位未收治(6 794例,占全区专报未登记总数的37.74%)、追踪未到位(5 398例,占29.98%)及无追踪信息(3 326例,占18.47%)等;广西各大综合医院报告肺结核患者或疑似患者平均转诊到位率为54.95%,结果比较差异有统计学意义(P0.05);现场核查发现流动人口、跨区域诊疗以及医院截留患者是到位未收治和追踪未到位的重要原因。结论综合医院转诊力度不足、医防合作和结核病归口管理欠缺是导致2系统数据不一致的原因。
[Abstract]:Objective to analyze the causes of inconsistency between Guangxi infectious disease report information management system and tuberculosis management information system. Methods the information of pulmonary tuberculosis patients reported and registered in two major network systems in Guangxi in 2014 were checked and checked one by one, and the differences and causes were found out. Results the average consistent rate of the system was 65.45%, the main reason of the infectious disease report information management system was reported but the tuberculosis management information system was not registered, the main reason was that 6,794 cases were not admitted to the hospital, which accounted for 37.7474% of the total unregistered cases reported in the whole district, and 5 398 cases were not followed up. The average referral rate of TB patients or suspected patients reported by major general hospitals in Guangxi was 54.95. The difference was statistically significant (P 0.05). Cross-regional diagnosis and treatment as well as hospital interception are important reasons for not being admitted and followed up. Conclusion the lack of referral in general hospitals, medical cooperation and tuberculosis management are the reasons for the inconsistency of data between the two systems.
【作者单位】： 广西壮族自治区疾病预防控制中心结核病防制所;
【基金】：广西医疗卫生适宜技术研究与开发项目(S201559)
【分类号】：R521
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本文编号：1953913