关键词: 结核, 肺, 因特网, 医院, 专科, 医院, 综合

Abstract: Objective  To evaluate pulmonary TB internet-reporting in specific and general TB designated hospital.  Methods We selected the prefecture hospitals in Zhenjiang, Yicang and Hanzhong, then select 3 county hospitals in the 3 cities by stratified sampling based on GDP per capita, exclude hospital designated less than 1 year. Three specific hospitals and 5 general hospitals were finally surveyed to examine outpatient and hospitalization departments’ work log in the 4th quarter to find out and record all diagnosed pulmonary TB cases (659 cases totally), and then check these records with the infectious disease internet reporting system to analyze the internet-reporting situation; Excel 2007 was used to establish database and conduct statistics, Chi-square test was used to compare the difference with P<0.05 as statistically significant difference. Results The overall internet-reporting rate of these surveyed hospitals is 89.4%(589/659), and the rate for specific and general hospital is 91.4%(374/409) and 86.0%(215/250) respectively with significant difference(χ²=4.84, P<0.05); the reporting rate of TB department, non-TB department and hospitalization department in specific hospital is 45.5%（170/374）, 19.3%（72/374） and 35.3%（132/374）respectively, while the rate in general hospital is 50.7%（109/215）, 29.8%（64/215）and 19.5%（42/215）respectively, and there is significant difference for the rate of different departments between specific and general hospital(χ²=18.81, P<0.01) and the case underreporting mainly happened in outpatient department, which accounted for 61.4% (43/70). Conclusion The internet-reporting for pulmonary TB in specific and general designated hospitals is going well, but the reporting situation of specific hospital is better than that of general hospital.

Key words: Tuberculosis, pulmonary, Internet, Hospitals, special, Hospitals, general