河南省2014年丙型肝炎住院病例报告情况质量评价

目的 对河南省2014年丙型肝炎(丙肝)病例报告质量进行评估。方法 收集2014年河南省部分病例报告机构丙肝病例资料,与现行报告标准进行核对,采用丙肝病例报告率、报告及时率、漏报率、误报率、抗-HCV和HCV-RNA阳性上报率、报告符合率等指标对全省2014年丙肝病例网络直报情况进行评估。结果 共核查了170家医疗机构2 778例住院病例,丙肝病例报告率为84.10%,报告及时率为100.00%,漏报率为15.90%,误报率为13.17%,抗-HCV和HCV-RNA阳性上报率为91.06%,诊断类型报告符合率为58.61%,急慢性报告符合率为30.93%。临床诊断病例漏报较多,病例诊断分类中确诊病例报告符合率较低,省级报病机构诊断类型报告符合率较低。结论 河南省丙肝病例报告率较高,抗-HCV和HCV-RNA阳性报告率有待提高。丙肝病例报告符合率较低,漏报、误报情况均存在,省级报病机构病例报告工作有待改进。

Quality evaluation of hospitalized hepatitis C cases reporting in Henan province,2014

Objective To evaluate the network reporting quality of hepatitis C cases in Henan province in 2014. Methods The data of hepatitis C case reporting was collected from selected medical institutions in Henan province in 2014. According to current reporting standards,the evaluation of reporting rate,the timely reporting rate,the underreporting rate,the false reporting rate and the anti HCV positive and HCV-RNA positive reporting rate of hepatitis C cases were evaluated. Results A total of 2 778 hospitalized hepatitis C cases in 170 medical and health institutions were surveyed,the reporting rate was 84.10%,the timely reporting rate was 100.00%,the underreporting rate was 15.90%,the false reporting rate was 13.17% and the anti-HCV positive and HCV-RNA positive reporting rate was 91.06%. The coincidence rate of diagnosis and reporting was 58.61%,the coincidence rate of acute or chronic cases was 30.93%. More clinical diagnosed cases were underreported. The coincidence rate of laboratory confirmed cases reporting were low. The diagnosis and reporting coincidence rate was low in provincial medical institutions. Conclusion In Henan,the hepatitis C case reporting rate was high,the anti-HCV positive and HCV-RNA positive reporting rate needs to be improved. The coincidence rate of hepatitis C reporting was low. Underreporting and false reporting still existed. The quality of hepatitis C reporting in provincial medical and health institutions needs to be improved.