安阳市医疗机构乙型肝炎诊断报告情况调查

Diagnosis and reporting of the hepatitis B case in hospitals in Anyang City

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 study the current situation of hepatitis B diagnostic reports among the medical institutions in Anyang City,and to provide the evidence for improving the diagnostic report quality. Methods Reported cases in2012,which were randomly selected from medical institutions at different type in urban and county,were verified according to the Hepatitis monitoring project technical solutions in 2012 by Chinese Center for Disease Control;A questionnaires with knowledge about the diagnostic reports of hepatitis B was conducted among medical personnel.Results Diagnostic accuracy was 60.04 %,report accuracy was 43.71%,misdiagnosis rate was 39.96 %,false alarm rate was 56.29 %. There are differences（x^2=40.851,P〈0.05;x^2=70.742,P〈0.05）level diagnostic report hospitals,secondary hospitals,tertiary hospitals and specialist hospitals,However,no differences in the primary and secondary hospitals Hospital（x^2=0.021,P〉0.05;x^2=0.024,P〉0.05）. Conclusions The accuracy of the hepatitis B cases diagnostic reports of medical institutions was not good. It is necessary to strengthen the professional training,technical guidance and administrative oversight.