疟疾快速诊断试纸条技术使用与管理优化策略在江苏省实施效果研究

目的 评价疟疾快速诊断试纸条（RDT）技术使用与管理优化策略在江苏省的实施效果，为进一步推广RDT技术的规范使用提供实证依据。方法 在江苏省内选择4个试点地区实施RDT技术使用与管理优化策略，比较该优化策略实施前后调查对象对RDT技术相关知识、态度、行为及工作满意度。结果 RDT技术使用与管理优化策略实施后，江苏省4个试点地区13.9%的检验人员、21.9%的临床医师和4.1%的疾控机构工作人员对RDT技术相关知识认识有明显提升；10.9%的检验人员和25.6%的疾控机构工作人员对RDT技术的态度有所改善；38.4%的检验人员和10.0%的临床医师在RDT技术使用的规范性上有所提升；各类人员对该优化策略的满意度和有效性评价均较高，临床医师的评价略低于检验人员和疾控机构工作人员。结论 RDT技术使用与管理优化策略可有效改善江苏省专业技术人员RDT技术相关知识、态度和行为，有助于RDT技术的规范使用。

Evaluation of an optimization strategy for use and management of malaria rapid diagnostic testing (RDT) in Jiangsu Province

Objective To evaluate the implementation effect of the optimization strategy for the use and management of malaria rapid diagnostic testing （RDT） technology in Jiangsu Province， so as to provide the empirical evidence and suggestions for promoting the standardized use of RDT technology. Methods Questionnaire surveys of primary?level health professionals’ RDT?related knowledge， attitude， and practice（KAP） and work satisfaction were conducted in 4 pilot cities in Jiangsu Province before and after the intervention. Results After the implementation of the intervention， 13.9% of surveyed laboratory technicians， 21.9% of surveyed clinicians and 4.1% of surveyed staff of the centers for disease control and prevention （CDCs） had significant improvements in RDT?related knowledge. About 10.9% of the surveyed laboratory technicians and 25.6% of the surveyed CDC staff improved their attitudes toward RDT technology. About 38.4% of the surveyed laboratory technicians and 10.0% of the surveyed clinicians improved the standardized use of RDT technology. All types of primary?level health professionals had high evaluation in the satisfaction and effectiveness of the optimization strategy. However， the evaluation of the surveyed clinicians was slightly lower than that of the laboratory technicians and CDC staff. Conclusion The optimization strategy in this project can effectively improve the knowledge， attitude and behavior of all types of primary?level health professionals and help to promote the standardized use of RDT technology.