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八家不同类型结核病定点医院肺结核网络报告情况分析
引用本文:黄飞,杜昕,刘小秋,夏愔愔,屈燕,王黎霞,张慧.八家不同类型结核病定点医院肺结核网络报告情况分析[J].中国防痨通讯,2014(7):537-541.
作者姓名:黄飞  杜昕  刘小秋  夏愔愔  屈燕  王黎霞  张慧
作者单位:中国疾病预防控制中心结核病预防控制中心,北京102206
基金项目:中国国家卫生和计划生育委员会-比尔及梅琳达·盖茨基金会结核病防治合作项目(51914).志谢 感谢参与本次调查的所有人员,特别感谢中国国家卫生和计划生育委员会-比尔及梅琳达·盖茨基金会结核病防治合作项目二期综合模式试点地区相关人员对本次调查的大力配合与支持!
摘    要:目的 评价专科医院和综合医院两种不同类型的结核病定点医院肺结核网络报告情况。方法 选择镇江、宜昌和汉中3个地市级定点医院,并采用分层随机抽样方法分别在每个地市按人均GDP水平分别各抽取3个县(区)级定点医院,排除被确定为结核病定点医院时间少于1年的医院,最终确定3家专科医院和5家综合医院作为调查点,通过核查定点医院门诊科室和住院部在2012年第4季度的工作日志,统计发现所有肺结核患者共659例,并与传染病网络直报系统进行比较分析网络报告情况;以Excel 2007软件建立数据库和进行数据整理和数据统计,不同结果之间的比较采用卡方检验,P〈0.05为差异有统计学意义。结果 被调查医院肺结核网络报告率为89.4%(589/659),其中专科医院和综合医院网络报告率分别为91.4%(374/409)和86.0%(215/250),差异有统计学意义(χ^2=4.84,P〈0.05);专科医院结核病门诊、非结核门诊和住院部报告肺结核者分别占45.5%(170/374)、19.3%(72/374)和35.3%(132/374),综合医院结核病门诊、非结核门诊和住院部报告肺结核者分别占50.7%(109/215)、29.8%(64/215)和19.5%(42/215),专科医院和综合医院不同科室报告肺结核的比例差异有统计学意义(χ^2=18.81,P〈0.01),未进行网络报告的科室主要为门诊科室,占61.4%(43/70)。结论 两种类型的定点医院肺结核网络报告总体情况较好;专科医院报告水平高于综合医院。

关 键 词:结核,肺  因特网  医院,专科  医院,综合

Pulmonary tuberculosis internet-reporting analysis in 8 different type of TB designated hospitals
HUANG Fei,DU Xin,LIU Xiao-qiu,XIA Yin-yin,QU Yan,WANG Li-xia,ZHANG Hui.Pulmonary tuberculosis internet-reporting analysis in 8 different type of TB designated hospitals[J].The Journal of The Chinese Antituberculosis Association,2014(7):537-541.
Authors:HUANG Fei  DU Xin  LIU Xiao-qiu  XIA Yin-yin  QU Yan  WANG Li-xia  ZHANG Hui
Institution:.( National Center for TB Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China)
Abstract:Objective To evaluate pulmonary TB internet-reporting in specific and general TB designated hospital. Methods We selected the prefecture hospitals in Zhenjiang, Yicang and Hanzhong, then select 3 county hospitals in the 3 cities by stratified sampling based on GDP per capita, exclude hospital designated less than 1 year. Three specific hospitals and 5 general hospitals were finally surveyed to examine outpatient and hospitalization departments’ work log in the 4th quarter to find out and record all diagnosed pulmonary TB cases (659 cases totally), and then check these records with the infectious disease internet reporting system to analyze the internet-reporting situation; Excel 2007 was used to establish database and conduct statistics, Chi-square test was used to compare the difference with P〈0.05 as statistically significant difference. Results The overall internet-reporting rate of these surveyed hospitals is 89.4%(589/659), and the rate for specific and general hospital is 91.4%(374/409) and 86.0%(215/250) respectively with significant difference(χ^2=4.84, P〈0.05); the reporting rate of TB department, non-TB department and hospitalization department in specific hospital is 45.5%(170/374), 19.3%(72/374) and 35.3%(132/374)respectively, while the rate in general hospital is 50.7%(109/215), 29.8%(64/215)and 19.5%(42/215)respectively, and there is significant difference for the rate of different departments between specific and general hospital(χ^2=18.81, P〈0.01) and the case underreporting mainly happened in outpatient department, which accounted for 61.4% (43/70). Conclusion The internet-reporting for pulmonary TB in specific and general designated hospitals is going well, but the reporting situation of specific hospital is better than that of general hospital.
Keywords:Tuberculosis  pulmonary  Internet  Hospitals  special  Hospitals  general
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