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目的了解安阳市医疗机构中乙型肝炎诊断报告现状,为进一步提高诊断报告质量提供依据。方法采用分层随机抽样的方法分别抽取市区、县不同类型医疗机构,随机抽取其2012年报告病例作为调查对象,按中国疾病预防控制中心2012年乙型肝炎监测项目技术方案进行核实;对医务人员掌握乙肝诊断报告相关知识情况进行问卷调查。结果诊断准确率为60.04%,报告准确率为43.71%,误诊率为39.96%,误报率为56.29%。一级医院、二级医院、三级医院和专科医院的诊断和报告差异有统计学意义(x2=40.851,P<0.05;x2=70.742,P<0.05),但是一级医院和二级医院差异无统计学意义(x2=0.021,P>0.05;x2=0.024,P>0.05)。结论调查医疗机构的乙肝病例诊断报告准确率不高,今后要加强专业培训、技术指导和行政监督。
Objective To understand the status of hepatitis B diagnosis report in medical institutions in Anyang City and provide the basis for further improving the quality of diagnosis report. Methods A stratified random sampling method was used to separately select different types of medical institutions in urban districts and counties and randomly selected the reported cases in 2012 as the survey subjects and verified by the hepatitis B monitoring project technical scheme of China Center for Disease Control and Prevention in 2012. Personnel grasp the relevant knowledge of hepatitis B diagnosis report questionnaire. Results The diagnostic accuracy rate was 60.04%, the accuracy of the report was 43.71%, the rate of misdiagnosis was 39.96% and the false positive rate was 56.29%. There was significant difference in the diagnosis and report of primary hospitals, secondary hospitals, tertiary hospitals and specialist hospitals (x2 = 40.851, P <0.05; x2 = 70.742, P <0.05), but the differences between primary and secondary hospitals Not statistically significant (x2 = 0.021, P> 0.05; x2 = 0.024, P> 0.05). Conclusion The accuracy of the report on the diagnosis of hepatitis B cases in medical institutions is not high. In the future, professional training, technical guidance and administrative supervision should be strengthened.