摘要
目的分析广西传染病报告信息管理系统报告与结核病管理信息系统登记肺结核患者不一致的原因。方法对2014年广西2大网络系统报告登记的肺结核患者信息进行逐一核对和现场核查,找出差异和原因。结果 2系统平均一致率为65.45%;传染病报告信息管理系统已报告但结核病管理信息系统未登记的主要原因为到位未收治(6 794例,占全区专报未登记总数的37.74%)、追踪未到位(5 398例,占29.98%)及无追踪信息(3 326例,占18.47%)等;广西各大综合医院报告肺结核患者或疑似患者平均转诊到位率为54.95%,结果比较差异有统计学意义(P<0.05);现场核查发现流动人口、跨区域诊疗以及医院截留患者是到位未收治和追踪未到位的重要原因。结论综合医院转诊力度不足、医防合作和结核病归口管理欠缺是导致2系统数据不一致的原因。
Objective To analyze the status and causes of inconsistency in pulmonary tuberculosis （ TB ） cases data reported by Infectious Disease Reporting System （IDRS） and Tuberculosis Mnagement Information System （TBMIS）in Guangxi Zhuang Autonomous Region （Guangxi）. Methods The data on TB patients reported by both IDRS and TBMIS in Guangxi during 2014 were collected and individual-based comparison was performed to explore the difference between the two datasets and reasons of the inconsistency. Results The general consistency of the data from the two systems was 65.45%. Of the all the TB cases reported by IDRS but unregistered in TBMIS ,6 794 （37.74%） were fol- lowed-up but not treated in referral hospitals; 5 398 （29. 98 % ） were with follow-up information but could not be traced; and 3 326 （ 18. 47% ） were without information for follow-up. The mean successfully referral rate of diagnosed or suspected TB patients seeking medical service in most large-scale general hospitals was 54, 95 % and there was a significant difference in the rate among the general hospitals in Guangxi （ P 〈 0. 05 ）. With field surveys, we found that floating status of TB cases, seeking cross-region medical service, and being treated in non-designated hospitals were main reasons for the TB patients being traced but not treated or lost to follow-up. Conclusion The inconsistency in TB cases data registered in IDRS and TBMIS in Guangxi results mainly from unsuccessful referral ,poor collaboration between general hospitals and TB dispensaries, and the lack of convergence management for TB cases,
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第12期1720-1724,共5页
Chinese Journal of Public Health
基金
广西医疗卫生适宜技术研究与开发项目(S201559)
关键词
肺结核
传染病报告信息管理系统
结核病管理信息系统
一致性
pulmonary tuberculosis
infectious disease reporting system
tuberculosis management information sys-tem
consistency
