缪宁,王富珍,张丽杰,郑徽,孙校金,王锋,张国民.中国2013-2015年乙型肝炎监测试点实施效果评价[J].中华流行病学杂志,2017,38(12):1645-1648 |
中国2013-2015年乙型肝炎监测试点实施效果评价 |
Evaluation on Hepatitis B surveillance models at surveillance pilot points in China, 2013-2015 |
收稿日期:2017-05-31 出版日期:2017-12-26 |
DOI:10.3760/cma.j.issn.0254-6450.2017.12.013 |
中文关键词: 乙型肝炎 监测点 效果评价 |
英文关键词: Hepatitis B Surveillance site Effectiveness evaluation |
基金项目: |
|
摘要点击次数: 3450 |
全文下载次数: 1469 |
中文摘要: |
目的 对2013-2015年中国乙型肝炎(乙肝)监测试点实施的效果进行评价。为提高乙肝监测质量提供参考依据。方法 下载2012-2015年传染病报告信息管理系统的200个监测点乙肝报告病例个案表及其附卡,分别从3个方面进行实施效果评价:①未分类乙肝病例所占比例;②附卡信息及报告类型一致性分析;③急性乙肝病例报告的准确性。采用EpiData 3.0软件建立数据库,SPSS 22.0软件分析,计算构成比、趋势χ2检验和一致性检验,计算Kappa值。结果 未分类乙肝报告病例比例从开展监测试点项目前的32.07%下降到2015年项目实施后的4.26%,且呈现逐年下降的趋势(趋势χ2=24 988,P<0.05);2013-2015年通过附卡信息诊断的类型及报告类型一致性分析,2013、2014和2015年的Kappa值分别为0.768、0.821和0.836;2013-2015年监测试点地区急性乙肝报告准确率为55.77%~74.49%,且呈现逐年升高趋势(趋势χ2=97,P<0.05)。结论 中国乙肝监测试点项目开展取得较明显效果,急性乙肝报告病例诊断准确性逐年提高,未分类乙肝病例的比例降低。建议全国范围内推广这种监测模式,提高全国乙肝病例报告质量。 |
英文摘要: |
Objective To evaluate the effects on Hepatitis B surveillance models at the surveillance pilot points in China.Methods Hepatitis B related records kept at the surveillance pilot points were downloaded from NNDRS. Data concerning proportion of unclassified Hepatitis B cases, consistency of additional records and the accuracy of reported acute Hepatitis B cases were evaluated.Results The proportion of unclassified Hepatitis B cases was decreasing year by year (P<0.05), from 32.07% in 2012 to 4.26% in 2015, with Kappa as 0.768, 0.821 and 0.836 respectively in 2013-2015. The accuracy of reported acute Hepatitis B was improving (P<0.05), from 55.77% in 2013 to 74.49% in 2015.Conclusions Additional records and blood testings on acute Hepatitis B cases seemed to be effective in improving the accuracy of Hepatitis B reporting system and decreasing the proportion of unclassified Hepatitis B cases. We suggested that this model of surveillance could be applied elsewhere in the nation to improve the quality of report system on Hepatitis B. |
查看全文
Html全文
查看/发表评论 下载PDF阅读器 |
|
关闭 |