多位一体分型追踪模式提高病毒性肝炎分型率的效果评价

Effect evaluation on omni tracing mode for increasing classification ratio of acute viral hepatitis

[目的]探索提高病毒性肝炎分型率的综合管理模式。[方法]通过分析2008—2009年上海市闸北区报告的所有急性肝炎病例资料,找出分型率低的原因,建立综合管理模式,在2010年的分型工作中实施并进行效果评价。[结果]缺乏有效的未分型病例追踪是造成分型率低的主要原因,多位一体分型追踪模式能够提高追踪落实率,进而提高分型率。2010年追踪落实率和分型率分别达到90.38%和93.06%,显著高于2008年的72.38%(χ2=13.61,P=0.00)和69.44%(χ2=28.92,P=0.00)以及2009年的80.14%(χ2=4.84,P=0.03)和80.92%(χ2=9.52,P=0.00)。[结论]多位一体分型追踪模式是提高病毒性肝炎分型率的有效措施。

[ Objective] To explore a comprehensive management mode to increase classification ratio of acute hepatitis cases. [ Methods ] To analyze the cause of low classification ratio of acute viral hepatitis reported by hospitals in Zhabei District in 2008 - 2009, then propose, practice and evaluate the management mode in 2010. [ Results ] Lack of tracing unclassified cases was found to be the main cause of low classi- fication ratio. An omni tracing mode for hepatitis classification was introduced and found to be very effective to increase tracing ratio of unclassified cases and furthermore increase classification ratio. The tracing ratio and classification ratio reached 90.38% and 93.06% in 2010 which were significantly higher than the two of 72.38% （χ2 =13. 61,P = 0. 00 ） and 69. 44% （χ2 =28.92,P=0.00） in 2008, also the two of 80.14% （χ2 = 4.84, P = 0. 03 ） and 80.92% （χ2 = 9. 52, P = 0. 00 ） in 2009. [ Conclusion ] The omni tracing mode is effective and practical to increase classification ratio.