论文部分内容阅读
目的了解淮安市病毒性肝炎诊断报告的现状,为进一步提高病毒性肝炎监测数据质量提供依据。方法2013年12月份采用问卷对淮安市30家不同等级医疗机构的临床医生和预防保健医生进行调查。结果二级和三级医疗机构报告的病毒性肝炎病例数多于一级医疗机构;戊肝实验室检测条件在两个层次的医疗机构中差异有统计学意义(Fisher确切概率P<0.01);未分型病毒性肝炎的诊断标准在一级医疗机构回答的正确率为38.89%,二级和三级为81.25%,差异有统计学意义(Fisher确切概率P<0.05);预防保健医生回答未分型病毒性肝炎诊断标准的正确率为7.14%,临床医生为51.92%(χ2=34.21,P=0.01);二级和三级与一级医疗机构的培训材料是否依据卫生行业标准方面差异有统计学意义(Fisher确切概率P<0.05)。结论各医疗机构应加强病毒性肝炎诊断标准的培训,规范报告程序,提高病毒性肝炎诊断报告质量。
Objective To understand the status of diagnosis report of viral hepatitis in Huaian and provide the basis for further improving the quality of viral hepatitis monitoring data. Methods In December 2013, questionnaires were used to investigate the clinicians and preventive medicine doctors of 30 different-level medical institutions in Huaian. Results The number of reported cases of viral hepatitis in secondary and tertiary medical institutions was more than that of primary medical institutions. The detection conditions of hepatitis E laboratory were statistically different between the two levels of medical institutions (Fisher exact probability P <0.01). The diagnostic accuracy of unpatterned viral hepatitis was 38.89% in the primary medical institutions, 81.25% in the second and third grades, the difference was statistically significant (Fisher exact probability P <0.05); the preventive health doctor did not answer The diagnostic accuracy of classification of viral hepatitis was 7.14% and that of clinicians was 51.92% (χ2 = 34.21, P = 0.01). The training materials of secondary and tertiary medical institutions were different according to the standards of health industry Statistical significance (Fisher exact probability P <0.05). Conclusion All medical institutions should strengthen the training on the diagnostic criteria of viral hepatitis, standardize the reporting procedures and improve the quality of diagnosis reports of viral hepatitis.