摘要
目的分析菏泽市丙型病毒性肝炎(丙肝)报告质量及其影响因素,为提高丙肝报告质量提供科学依据。方法抽取菏泽市23家不同级别医疗机构在2022-2023年报告的丙肝病例,逐一核查其报告的及时性、完整性、准确性、一致性和诊断正确性,并采用实地考察及问卷调查相结合的方式,获取可能影响传染病报告质量的相关资料。使用非条件logistic回归模型分析丙肝报告质量的影响因素。结果23家医疗机构均无丙肝漏报现象,丙肝病例报告及时率、完整率、准确率、一致率和诊断正确率分别为100%、74.1%、73.3%、75.3%和69.5%。病例分类(OR=0.232,95%CI:0.072~0.742,P<0.05)、医疗机构的丙型肝炎-核糖核酸(HCV-RNA)检测能力(OR=5.444,95%CI:1.735~17.08,P<0.05)、首诊医生接受丙肝相关培训的频次(OR_(1次/年)=5.444,95%CI_(1次/年):1.735~17.08,P_(1次/年)<0.05;OR_(2~3次/年)=2.575,95%CI_(2~3次/年):1.018~6.514,P_(2~3次/年)<0.05)、首诊医生对丙肝诊断标准知识掌握情况(OR=2.511,95%CI:1.156~5.457,P<0.05)和首诊医生对传染病报告知识掌握情况(OR=19.02,95%CI:6.240~57.98,P<0.05)是丙肝报告质量的独立影响因素。结论菏泽市丙肝病例的报告质量有待加强,病例分类、HCV-RNA检测能力、首诊医生的相关因素是丙肝报告质量的独立影响因素。
Objective To analyze the reporting quality and influencing factors of hepatitis C cases in Heze city,so as to provide scientific evidence for improving hepatitis C surveillance.Methods Hepatitis C cases reported by 23healthcare institutions at different levels in Heze city from 2022 to 2023 were reviewed.Data on reporting timeliness,completeness,accuracy,consistency,and diagnostic correctness were collected.On-site inspections and questionnaires were used to identify factors influencing reporting quality.Unconditional logistic regression was applied to analyze determinants.Results There was no underreporting of hepatitis C cases in the 23healthcare institutions.The timely reporting rate,completeness rate,accuracy rate,consistency rate,and diagnostic correctness rate for hepatitis C cases were 100%,74.1%,73.3%,75.3%,and 69.5%,respectively.The independent influencing factors for hepatitis C reporting quality included:case classification(OR=0.232,95%CI:0.072-0.742,P<0.05);HCV-RNA testing capacity of healthcare institutions(OR=5.444,95%CI:1.735-17.08,P<0.05);frequency of hepatitis C-related training for initial physicians(1session/year:OR=5.444,95%CI:1.735-17.08,P<0.05;2-3sessions/year:OR=2.575,95%CI:1.018-6.514,P<0.05);physicians'knowledge of hepatitis C diagnostic criteria(OR=2.511,95%CI:1.156-5.457,P<0.05);and physicians'familiarity with infectious disease reporting protocols(OR=19.02,95%CI:6.240-57.98,P<0.05).Conclusion The reporting quality of hepatitis C cases in Heze city requires improvement.Case classification,HCV-RNA testing capacity,and physician-related factors are independent influence factors of reporting quality.
作者
焦聪聪
李秋侠
谢萌
孙秀华
袁辉
JIAO Cong-cong;LI Qiu-xia;XIE Meng;SUN Xiu-hua;YUAN Hui(Emergency Office for Public Health Emergencies,Heze Municipal Center for Disease Control and Prevention;Emergency Office for Public Health Emergencies,Juancheng County Center for Disease Control and Prevention;Department of Immunization Planning,Shandong Center for Disease Control and Prevention)
出处
《预防医学论坛》
2025年第4期264-268,共5页
Preventive Medicine Tribune
基金
山东省医药卫生科技发展计划(202012051251)
关键词
丙型病毒性肝炎
传染病报告
报告质量
监测
Hepatitis C
Infectious disease reporting
Reporting quality
Surveillance
作者简介
焦聪聪(1990-),女,硕士研究生,主管医师,研究方向:传染病流行病学;通信作者:袁辉,E-mail:sjcongcong@foxmail.com
