关键词: 学生, 结核, 预防卫生服务, 疾病管理, 便携式电话, 计算机通信网络, 数据说明, 统计

Abstract:

Objective To evaluate effectiveness of using Mobile integrated management system (referred to as “integrated system”) in school tuberculosis prevention and control, so as to provide scientific evidence for upgrading the integrated system in the future. Methods Data from TB patient registration book, national TB information management system and integrated system in Huizhou City from 2018 to 2019 were extracted, 1462 schools were investigated. Before the integrated system were used(2018), 220 suspected cases of TB and 114 confirmed cases of TB were found, while after using the system(2019), 198 suspected cases and 116 confirmed cases were detected. Thus, we analyzed effectiveness of the system by conducting before and after study. χ ² test was used to compare various “rates” before and after the implementation of the integrated system, with a statistical significance of 0.05. Results The accuracy rate of information for referring suspected tuberculosis patients in schools before using the integrated system was 83.2% (183/220), lower than 97.0% (192/198) after using the integrated system (χ ²=21.446, P<0.01); the rate of prompt information exchange (within 1 hour) before using the integrated system was 58.2% (128/220), which was lower than 98.0% (194/198) after using the integrated system (χ ²=93.295, P<0.01); the tracking rate of suspected TB patients before using the integrated system was 70.9% (156/220), which was lower than 97.0% (192/198) after using the integrated system (χ ²=50.764, P<0.01); Before using the integrated system, the accuracy rate of school TB management notice which were pushed from CDC to school was 86.0% (98/114), lower than 99.1% (115/116) after using the integrated system (χ ²=14.576, P<0.01); the rate of prompt information exchange (within 1 hour) for those management notice before using the integrated system was 57.0% (65/114), lower than 98.3% (114/116) after using the integrated system (χ ²=56.714, P<0.01); the rate of prompt information exchange (within 1 hour) for notice of suspension(resuming) of schooling before using the integrated system was 57.9% (66/114), lower than 99.1% (115/116) after using the integrated system (χ ²=58.334, P<0.01); the school coverage rate of verifying the student status before using the integrated system was 86.0% (1257/1462), which was lower than 99.0% (1447/1462) after using the integrated system (χ ²=177.442, P<0.01). Conclusion After using the integrated system, the performance of referral and tracking of suspected patients in campus, treatment management of students with pulmonary tuberculosis, management of suspension(resuming) of schooling, and coverage of schools which could verify student status and identity are better than before. The effect is obvious.

Key words: Students, Tuberculosis, Preventive health services, Disease management, Cellular phone, Computer communication networks, Data interpretation, Statistical