| 2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析 |
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| 引用本文： | 黑发欣,;白广义,;李洁,;汤恒,;王晔,;卢冉,;庞琳,;李爱华,;崔妹娟,;王晓春,;刘中夫.2013年我国部分地区丙型病毒性肝炎病例报告数据质量抽查分析[J].疾病监测,2014,29(7):574-577. |
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| 作者姓名： | 黑发欣 ;白广义 ;李洁 ;汤恒 ;王晔 ;卢冉 ;庞琳 ;李爱华 ;崔妹娟 ;王晓春 ;刘中夫 |
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| 作者单位： | [1]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206; [2]河北省疾病预防控制中心,河北石家庄050021; [3]河南省疾病预防控制中心,河南郑州450016; [4]湖北省疾病预防控制中心,湖北武汉430079; [5]广东省疾病预防控制中心,广东广州511430; [6]云南省疾病预防控制中心,云南昆明650022 |
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| 摘 要： | 目的了解医疗机构丙型病毒性肝炎(丙肝)病例报告存在的问题,提高数据质量。方法抽查河北、河南、湖北、广东、云南5省丙肝病例报告数较多的20家市(县)级医疗机构,对其2013年一季度丙肝相关病例数据质量进行核查。结果 1856例实验室检出抗-HCV阳性者中,报告822例,报告率为44.3%;536例HCV-RNA阳性者中,报告251例,报告率为46.8%。1115例住院患者丙肝相关病例中,621例进行了报告。报告病例中,诊断分类正确的只有158例,正确率为25.4%;急慢性分类正确的只有119例,正确率为19.2%。结论目前我国医疗机构丙肝病例报告质量普遍存在较大问题,表现为报告率低和分类正确率低。建议完善修订现行《丙肝诊断标准》、加强对医务人员丙肝诊断报告标准的培训,提高丙肝病例报告工作质量。
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| 关 键 词： | 丙型病毒性肝炎 病例报告 数据质量 |
| 收稿时间： | 2014-03-04 |
Analysis on quality of reporting data of hepatitis C in some areas of China, 2013 |
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| Affiliation: | HEI Fa-xin , BAI Guang-yi, LI Jie, TANG Heng , WANG Ye , LU Ran, PANG Lin , LI Ai-hua , CUI Mei-juan , WANG Xiao-chun , LIU Zhong-fu( 1. National Center for STD/AIDS Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China; 2. Hebei Provincial Center for Disease Control and Prevention, Shijiazhuang 050021, Hebei, China; 3. Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, Henan, China; 4. Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, Hubei, China; 5. Guangdong Provincial Center for Disease Control and Prevention, Guangzhou 511430, Guangdong, China; 6. Yunnan Provincial Center fro Disease Control and Prevention, Kunming 650022, Yunnan , China) |
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| Abstract: | Objective To understand the problems existed in hepatitis C case reporting in medical institutions in China and provide evidence for the improvement of the reporting data quality. Methods Twenty medical institutions which reported more hepatitis C cases were selected in Hebei, Henan, Hubei, Guangdong and Yunnan provinces, and the reporting data quality in these medical institutions in the first quarter of 2013 was evaluated. Results Among 1856 laboratory confirmed anti-HCV positive cases, 822 were reported （44. 3% ）. In 536 HCV-RNA positive cases, 251 were reported （46. 8% ）. Among 1115 hospitalized patients, 621 were reported, in which 158 were correctly diagnosed （25.4%）. In acute or chronic classification, 119 cases were correctly classified （19. 2% ）. Conclusion The reporting quality of hepatitis C cases was not high in China. Both the reporting rate and correct classification rate were low. It is suggested to improve and revise current hepatitis C diagnosis criteria and strengthen the medical staff, training in order to improve the quality of hepatitis C case reporting. |
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| Keywords: | Hepatitis C Case reporting Data quality |
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