林燕, 卢冉, 李真晖, 戚艳波, 郭卉. 2016-2017年云南省部分法定传染病诊断质量调查分析[J]. 疾病监测, 2019, 34(2): 147-150. DOI: 10.3784/j.issn.1003-9961.2019.02.013
引用本文: 林燕, 卢冉, 李真晖, 戚艳波, 郭卉. 2016-2017年云南省部分法定传染病诊断质量调查分析[J]. 疾病监测, 2019, 34(2): 147-150. DOI: 10.3784/j.issn.1003-9961.2019.02.013
Yan Lin, Ran Lu, Zhenhui Li, Yanbo Qi, Hui Guo. Analysis on diagnosis quality of selected notifiable communicable diseases in Yunnan, 2016−2017[J]. Disease Surveillance, 2019, 34(2): 147-150. DOI: 10.3784/j.issn.1003-9961.2019.02.013
Citation: Yan Lin, Ran Lu, Zhenhui Li, Yanbo Qi, Hui Guo. Analysis on diagnosis quality of selected notifiable communicable diseases in Yunnan, 2016−2017[J]. Disease Surveillance, 2019, 34(2): 147-150. DOI: 10.3784/j.issn.1003-9961.2019.02.013

2016-2017年云南省部分法定传染病诊断质量调查分析

Analysis on diagnosis quality of selected notifiable communicable diseases in Yunnan, 2016−2017

  • 摘要:
    目的分析评价云南省各级、各类医疗机构部分法定传染病诊断质量水平。
    方法抽取全省5个州(市)15个县(市/区)共36家医疗机构进行调查,按照现行最新的国家卫生诊断标准进行判定核实。
    结果调查了13种法定传染病共871例患者,病种诊断符合率为91.60%,病例分类符合率为83.50%,总病例诊断符合率为76.12%;甲型肝炎、乙型肝炎、痢疾、伤寒/副伤寒4种疾病的诊断符合率较低,分别为46.15%、57.93%、59.68%和60.61%;随着医疗机构级别下降,总的病例诊断符合率明显降低,省、州(市)、县(市/区)、乡镇级医疗机构的诊断符合率分别为86.67%、85.84%、73.72%和52.38%。
    结论云南省法定传染病的诊断符合率较低,基层医疗机构医务人员的传染病诊断和报告水平亟待提高。

     

    Abstract:
    ObjectiveTo evaluate the diagnosis accordance rates of selected notifiable communicable diseases in Yunnan.
    MethodsThe survey was conducted in 36 medical institutions of 15 counties in 5 prefectures in Yunnan according to the latest national standards of diagnosis of communicable diseases.
    ResultsA total 871 patients affecting by 13 communicable diseases were surveyed. The disease specific diagnosis accordance rate was 91.60%, the disease classification accordance rate was 83.50% and the overall diagnosis accordance rate was 76.12%. The diagnosis accordance rates of hepatitis A, hepatitis B, bacillary dysentery and typhoid/paratyphoid fever were lower than other diseases, which were 46.15%, 57.93%, 59.68% and 60.61% respectively. As the descending of the level of medical institutions, the diagnosis accordance rate declined. The diagnosis accordance rates in medical institutions at provincial, prefectural, county and township level were 86.67%, 85.84%, 73.72% and 52.38% respectively.
    ConclusionCompared with other provinces, the diagnosis accordance rates of notifiable communicable diseases were low in Yunnan. It is necessary to strengthen the medical staff training on communicable disease diagnosis and reporting in grass root medical institutions in Yunnan.

     

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