杨洋, 刘成, 陈立凌, 金连梅, 马会来, 刘慧慧. 2014-2018年江苏省苏州市乙型肝炎重复报告分析[J]. 疾病监测, 2020, 35(1): 70-74. DOI: 10.3784/j.issn.1003-9961.2020.01.016
引用本文: 杨洋, 刘成, 陈立凌, 金连梅, 马会来, 刘慧慧. 2014-2018年江苏省苏州市乙型肝炎重复报告分析[J]. 疾病监测, 2020, 35(1): 70-74. DOI: 10.3784/j.issn.1003-9961.2020.01.016
Yang Yang, Cheng Liu, Liling Chen, Lianmei Jin, Huilai Ma, Huihui Liu. Duplicated reporting of hepatitis B in Suzhou, 2014–2018[J]. Disease Surveillance, 2020, 35(1): 70-74. DOI: 10.3784/j.issn.1003-9961.2020.01.016
Citation: Yang Yang, Cheng Liu, Liling Chen, Lianmei Jin, Huilai Ma, Huihui Liu. Duplicated reporting of hepatitis B in Suzhou, 2014–2018[J]. Disease Surveillance, 2020, 35(1): 70-74. DOI: 10.3784/j.issn.1003-9961.2020.01.016

2014-2018年江苏省苏州市乙型肝炎重复报告分析

Duplicated reporting of hepatitis B in Suzhou, 2014–2018

  • 摘要:
    目的了解2014 — 2018年江苏省苏州市乙型肝炎(乙肝)重复报告情况,为今后研究提供数据支持。
    方法利用传染病报告信息管理系统收集的2014 — 2018年苏州市乙肝报告病例进行个案查重,计算乙肝重复报告率,并进行统计学分析。
    结果共累计报告乙肝病例12 823例,其中有731例重复报告病例,重复报告率为5.70%,年度间重复报告率(4.32%)高于年度内重复报告率(1.44%)。 报告地区的重复报告构成比为0.55%~32.42%,重复报告率为1.46%~11.20%。 各年龄组的重复报告率为3.59%~6.40%(χ2=21.518,P=0.001),高年龄组的重复报告率高于低年龄组;省、市、县、乡级医疗机构均有重复报告病例,重复报告率为3.23%~7.69%(χ2=62.272,P<0.001)。
    结论苏州市乙肝报告存在重复上报情况,可能原因为国家传染病报告信息系统无法实现跨年度重复报卡查询以及病例基本信息缺失、变更、错误导致系统无法识别。 昆山市、姑苏区、外地机构上报对全市重复报告影响较大,应强化对该地区医疗机构乙肝报告查重工作;省、县级医疗机构重复报告率高于地市级、乡级医疗机构。

     

    Abstract:
    ObjectiveTo understand the repeated reporting of hepatitis B in Suzhou from 2014 to 2018, provide data to support future research.
    MethodsThe data of hepatitis B cases in Suzhou from 2014 to 2018 were collected through National Notifiable Disease Reporting System, and repeated cases were identified to calculate the repetition rate.
    ResultsA total of 12 823 cases of hepatitis B were reported, in which 731 cases were duplicately reported, with a repetition rate of 5.70%. The repetition rate was 4.32% during 2014–2018, higher than annual repetition rate (1.44%). The area specific duplicated reporting constituent ratios ranged from 0.55% to 32.42%, and the repetition rates ranged from 1.46% to 11.20%. The rate of duplicated reporting in different age groups ranged from 3.59% to 6.40% (χ2=21.518, P=0.001), and was higher in high age groups than in low age group. Duplicated reporting occurred in medical institutions at provincial, prefectural, county and township levels, with the repetition rates ranging from 3.23% to 7.69% (χ2=62.272, P<0.001).
    ConclusionDuplicated reporting of hepatitis B existed in Suzhou, which might be explained by the limitation of National Notifiable Disease Reporting System and the loss, change and error in case’s basic information. Kunshan, Gusu and non-local institutions had greater impacts on duplicated reporting of hepatitis B in Suzhou, it is necessary to strengthen the check of the duplicated reporting in these areas. The duplicated reporting rate was higher in medical institutions at provincial and county levels than medical institutions at prefectural and township levels.

     

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