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目的了解合肥市省市级医院丙型病毒性肝炎(简称“丙肝”)病例报告情况,为提高丙肝报告质量提供依据。方法采用分层抽样的方法抽取2014年1~3月份丙肝病例报告较多的2家市级和2家省级医疗机构,调查和分析2014年第一季度丙肝住院病例报告质量。结果 4家医疗机构共登记79例丙肝病例,漏报9例,漏报率为11.39%。其中省级医院的漏报率为5.66%,市级医院的漏报率为23.08%,漏报率差异有统计学意义(χ2=5.242,P=0.022)。诊断分类错报率为32.86%,急慢性分类错报率为47.14%,省级医院错报率均低于市级医院,错报率差异均有统计学意义。结论 4家省、市级医疗机构丙肝病例报告数据质量不高。
Objective To understand the case report of Hepatitis C virus (Hepatitis C) in provincial and municipal hospitals in Hefei and provide the basis for improving the quality of Hepatitis C virus report. Methods A stratified sampling method was used to select two municipal and two provincial-level medical institutions with reported cases of hepatitis C from January to March 2014 to investigate and analyze the reported quality of hepatitis C inpatients in the first quarter of 2014. Results A total of 79 hepatitis C cases were registered in 4 medical institutions, 9 cases were missed, and the false negative rate was 11.39%. Among them, the rate of omission in provincial hospitals was 5.66%, that of municipal hospitals was 23.08%, and there was a significant difference between the rate of omission and failure (χ2 = 5.242, P = 0.022). Diagnostic classification error rate was 32.86%, acute and chronic misclassification rate was 47.14%, provincial hospitals were lower than the rate of municipal hospitals, misstatement rates were statistically significant. Conclusion The data of hepatitis C cases reported by four provincial and municipal medical institutions are of poor quality.