| 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].Chinese journal of Epidemiology,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 |
| Received:May 31, 2017 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.12.013 |
| KeyWord: 乙型肝炎 监测点 效果评价 |
| English Key Word: Hepatitis B Surveillance site Effectiveness evaluation |
| FundProject: |
| Author Name | Affiliation | E-mail | | Miao Ning | Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China
Chinese Field Epidemiology Truining Program, Beijing 100050, China | | | Wang Fuzhen | Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Zhang Lijie | Chinese Field Epidemiology Truining Program, Beijing 100050, China | | | Zheng Hui | Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Sun Xiaojin | Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | | | Wang Feng | National Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China | | | Zhang Guomin | Devinsion 2 of Epidemiology, National Immunization Program, Chinese Center for Disease Control and Prevention, Beijing 100050, China | zhang04by002@163.com |
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| Abstract: |
| 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。 |
| English Abstract: |
| 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. |
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