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中国防痨杂志 ›› 2023, Vol. 45 ›› Issue (6): 559-565.doi: 10.19982/j.issn.1000-6621.20230013

• 论著 • 上一篇    下一篇

全国结核病实验室网络室间质量评价满意度调查

宋媛媛, 夏辉()   

  1. 中国疾病预防控制中心结核病预防控制中心,北京 102206
  • 收稿日期:2023-02-07 出版日期:2023-06-10 发布日期:2023-06-06
  • 通信作者: 夏辉 E-mail:xiahui@chinacdc.cn
  • 基金资助:
    中央财政结核病预防控制项目-结核业务日常运转(232811)

Survey on satisfaction of external quality assessment among tuberculosis laboratory network in China

Song Yuanyuan, Xia Hui()   

  1. National Center for Tuberculosis Prevention and Control, Chinese Center for Disease Control and Prevention, Beijing 102206, China
  • Received:2023-02-07 Online:2023-06-10 Published:2023-06-06
  • Contact: Xia Hui E-mail:xiahui@chinacdc.cn
  • Supported by:
    Central Government Funds for Tuberculosis Prevention and Control Project-Daily Operation(232811)

摘要:

目的: 通过开展全国结核病实验室网络室间质量评价满意度调查,发现室间质量评价工作存在的问题,以改进工作质量。方法: 中国疾病预防控制中心国家结核病参比实验室于2019年、2020年和2021年设计并下发线上调查问卷至参加室间质量评价的人员,采用匿名填写的方式,对问卷结果进行汇总和分析。对2019年和2021年两年结果做统计分析,同时对2019年省(自治区、直辖市)、地市、县(区)级问卷响应人员对各问题满意度的差异进行分析。结果: 2019年、2020年及2021年分别有1615名、30名及314名受调查者反馈问卷。2021年25个问题中,仅精神压力满意度(79.0%,248/314)低于80%。2019年4个问题(共计26个问题)满意度低于80%,分别为对工作负担影响的满意度(69.3%,1120/1615)、对经济负担影响的满意度(76.3%,1232/1615)、对精神压力的满意度(66.1%,1067/1615)和对菌株运输准运证办理工作的满意度(75.4%,724/960)。2019年和2021年的24个共有问题中,除结果报告时间要求的2个问题外,其余22个问题2021年满意度(79.0%~97.4%)均明显高于2019年(66.1%~97.0%)。 结论: 问卷响应人员对室间质量评价工作中涉及的大部分问题满意度是可接受的,且经过实施改进措施,大部分问题满意度得到提升,但一些环节如结果报告形式和菌株运输等仍需进一步改进。

关键词: 结核, 实验室, 卫生保健质量, 获取和评价, 用户满意, 问卷调查

Abstract:

Objective: To identify the problems in the external quality assessment (EQA) of tuberculosis laboratories diagnosis and improve the quality through a satisfaction survey among tuberculosis laboratories network in China. Methods: The National Tuberculosis Reference Laboratory (NTRL) of Chinese Centre for Disease Control and Prevention designed and distributed online questionnaires to personnel involved in EQA in 2019, 2020 and 2021. The questionnaires were anonymously filled by personnel and then collected and analyzed by NTRL. The difference of satisfaction between 2019 and 2021 was analyzed, and the difference between personnel form different levels of institutes (provincial, prefecture, and county) in 2019 was also compared. Results: One thousand six hundred and fifteen, 30 and 314 personnel responded to the questionnaire in 2019, 2020 and 2021 respectively. Of the 25 questions in 2021, only psychological stress satisfaction (79.0%, 248/314) was less than 80%. Of the 26 questions in 2019, the satisfaction rate of four questions was below 80%, such as satisfaction of the impact on work load (69.3%, 1120/1615), satisfaction of the impact on economic burden (76.3%,1232/1615), satisfaction with psychological stress (66.1%, 1067/1615), and satisfaction of application for strains transportation permission (75.4%, 724/960). Among the 24 common questions in 2019 and 2021, the satisfaction rate of 22 questions in 2021 (79.0%-97.4%) was significantly higher than that in 2019 (66.1%-97.0%) except for the two questions related to results reporting time requirement that had no significant difference between 2019 and 2021. Conclusion: The satisfaction of respondents with most questions relevant with EQA is acceptable. Satisfactions with most questions has been improved after implementing of improvement measures. Some aspects, such as results reporting form and strain transportation still need further improvement, however.

Key words: Tuberculosis, Laboratories, Health care quality, access, and evaluation, Consumer satisfaction, Questionnaires

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