乙型病毒性肝炎诊断报告标准及集中报告管理模式效果评价

目的 完善以乙型肝炎(乙肝)为主的肝炎报告标准,建立报告管理模式.方法 确立有乙肝病例资源、地域相对独立的地区为示范区;示范区距天津市区45 km,总面积1113.83 km2,总人口32万人,其中非农业人口21万人,占总人口的67%.近年,该区乙肝报告发病率居全市18区县之首,2006年、2007年报告发病率分别为113.53/10万和123.90/10万.指定辖区二级及以上综合医疗机构为网络报告的定点医院;对首次确诊报告的肝炎患者均建立登记卡.结果 2007年6月至2008年6月,定点医院接诊报告肝炎患者占辖区医院报告肝炎患者总数的97%(323/331);建卡率为97.21%(314/323);2008年1-6月定点医院报告乙肝患者(101例)较去年同期(261例)下降61.30%.结论 制定以乙肝为主的肝炎报告"标准"和管理"模式"势在必行,但必须有卫生行政部门的支持才能实施.

Study on the report criteria and focus management mode of the virus hepatitis cases in Tianjin

Objective To establish the focus management mode and the report criteria more perfectly for the virus hepatitis eases, espoeially for the hepatitis B. Methods One district was set as the research area,in which there was enough cases resource and relatively separated from the other districts,then a first or second-class hospital was appointed to take the eases focus diagnosis, report and management. Results The focus hospitals had reported 97% (323/331) of cases in the research area between June, 2007 and June,2008; moreover, the rate in establishing ease-card was 97. 21% (314/323), as compared with that in period of 2007 (261), the eases reported declined 61.30% in the first half year of 2008 (101). Conclusion It should be an imperative situation to establish a report criteria and management mode for vires hepatitis (hepatitis B), however it is necessary to have more supports from health administrations.