Diagnosis and report quality of hepatitis C in three medical institutions in Qingyang city, Gansu

  Objective  To understand the difficulties and problems in the quality and management of hepatitis C monitoring reports in Qingyang city.

  Methods  Through the Infectious Disease Information System, the data of hepatitis C reported by 3 medical institutions in Qingyang city from 1 Augest 2018 to 31 July 2019 were obtained for on-site quality inspection, and a questionnaire survey was conducted among the relevant staff. SPSS 25.0 software was used for statistical analysis.

  Results  The positive rate of HCV RNA detection in institutions with detection ability was significantly higher than that in other two institutions (89.51%)（ χ²=176.870, P<0.01）. The rate of missed report was 36.91%, and the rate of missed report in outpatient cases (89.96%) was higher than that in inpatient cases (48.54%) (χ²=123.799, P<0.01）. The correct rate of diagnosis and classification was 69.44%, and the correct rate of staging was 66.67%. The awareness rate of knowledge about hepatitis C was 53.81%.

  Conclusion  It's necessary to improve the ability of nucleic acid detection in the laboratory of medical institutions in order to reduce the rate of missed reports of hepatitis C cases, and to improve the rate of correct diagnosis.