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中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (7): 653-656.doi: 10.3969/j.issn.1000-6621.2020.07.002

• 新技术·方法 • 上一篇    下一篇

《佛山市结核病监测管理平台》在结核病防治工作中的应用评价

钟倩红, 马晓慧, 林志浩, 李奕, 周杰(), 邓东华, 邓慈禧, 梁晓敏   

  1. 528000 广东省佛山市第四人民医院结核病防治科(钟倩红、马晓慧、林志浩、周杰、邓东华、邓慈禧、梁晓敏);广东省佛山市南海区疾病预防控制中心(李奕)
  • 收稿日期:2020-03-09 出版日期:2020-07-10 发布日期:2020-07-09
  • 通信作者: 周杰 E-mail:zjet65@163.com
  • 基金资助:
    “十三五”国家科技重大专项(2018ZX10715004)

Evaluation of the application of Foshan Tuberculosis Surveillance and Management Platform in tuberculosis prevention and treatment

ZHONG Qian-hong, MA Xiao-hui, LIN Zhi-hao, LI Yi, ZHOU Jie(), DENG Dong-hua, DENG Ci-xi, LIANG Xiao-min   

  1. Department of Tuberculosis Prevention and Treatment, the Fourth People’s Hospital of Foshan City, Guangdong, Foshan 528000, China
  • Received:2020-03-09 Online:2020-07-10 Published:2020-07-09
  • Contact: ZHOU Jie E-mail:zjet65@163.com

摘要:

目的 评价《佛山市结核病监测管理平台》在结核病防治工作中的应用效果,为结核病防治的信息化管理提供新的思路和参考。 方法 通过描述性研究,比较应用《佛山市结核病监测管理平台》前2年(2015、2016年)和后2年(2017、2018年)佛山市5个县区转诊追踪、患者发现和治疗管理等指标情况并进行数据对比。运用SPSS 20.0进行统计学分析,计数资料的比较采用χ2检验,以P<0.05为差异有统计学意义。 结果 应用《佛山市结核病监测管理平台》前后2年,佛山市非结核病防治机构(简称“结防机构”)实际报告的肺结核或疑似肺结核患者数分别为16914例和15124例,转诊患者例数分别为16588例和15121例,转诊率由应用前2年的98.07%上升至应用后2年的99.98%,差异有统计学意义(χ2=285.86,P<0.001);结防机构追踪率由应用前2年的99.11%(7421/7488)上升至应用后2年的99.63%(7459/7487),差异有统计学意义(χ2=16.11,P<0.001);追踪到位率从应用前2年的83.87%(6280/7488)上升至应用后2年的86.82%(6500/7487),差异有统计学意义(χ2=26.04,P<0.001);总体到位率从应用前2年的91.02%(15395/16914)上升至应用后2年的93.98%(14214/15124),差异有统计学意义(χ2=100.10,P<0.001);患者丢失率由应用前2年的3.92%(300/7654)下降至应用后2年的3.10%(210/6785),差异有统计学意义(χ2=7.18, P=0.007);规则服药率由应用前2年的93.01%(7119/7654)上升至应用后2年的94.22%(6393/6785),差异有统计学意义(χ 2=8.80, P=0.003);总体漏服率从应用前2年的4.08%(56210/1377720)下降至应用后2年的3.10%(37860/1221300),差异有统计学意义(χ 2=1782.19,P<0.001)。结论 《佛山市结核病监测管理平台》的应用提高了佛山市结核病患者管理的效率及质量,为结核病防治信息化管理提供了依据和参考。

关键词: 结核, 病例管理, 管理信息系统, 结果与过程评价(卫生保健), 小地区分析, 数据说明, 统计

Abstract:

Objective To evaluate the application effect of “Foshan Tuberculosis Surveillance and Management Platform” in the prevention and treatment of tuberculosis (TB), and provide new ideas and references for the information management of tuberculosis prevention and treatment. Methods In this study, a descriptive study was used to compare the data of referral tracking, patient discovery, and treatment management in the five counties and districts of Foshan City.The data came from the first two years (2015, 2016) and the next two years (2017, 2018) of the application of “Foshan Tuberculosis Surveillance and Management Platform”. SPSS 20.0 was used for statistical analysis. Chi-square test was used to compare the count data and P<0.05 meant the difference was statistically significant. Results Two years before and after the application of the “Foshan Tuberculosis Surveillance and Management Platform”, the actual number of patients with tuberculosis or suspected tuberculosis reported by non-TB prevention organizations in Foshan was 16914 and 15124, respectively, and the number of referral patients was 16588 and 15121 cases, the referral rate increased from 98.07% (16588/16914) in 2 years before application to 99.98% (15121/15124) in 2 years after application, the difference was statistically significant (χ 2=285.86,P<0.001). The tracking rate of the TB prevention organization increased from 99.11% (7421/7488) in 2 years before application to 99.63% (7459/7487) in 2 years after application, the difference was statistically significant (χ2=16.11,P<0.001). The tracking availability rate increased from 83.87% (6280/7488) in 2 years before application to 86.82% (6500/7487) in 2 years after application, the difference was statistically significant (χ2=26.04, P<0.001), and the overall availability rate increased from 91.02% (15395/16914) in 2 years before application to 93.98% (14214/15124) in 2 years after application, and the difference was statistically significant (χ 2=100.10, P<0.001). The loss rate of patients decreased from 3.92% (300/7654) in 2 years before application to 3.10% (210/6785) in 2 years after application, the difference was statistically significant (χ 2=7.18, P=0.007). The regular medication rate increased from 93.01% (7119/7654) in 2 years before application to 94.22% (6393/6785) in 2 years after application, the difference was statistically significant (χ 2=8.80, P=0.003). The overall drug missed rate decreased from 4.08% (56210/1377720) in 2 years before application to 3.10% (37860/1221300) in 2 years after application, the difference was statistically significant (χ 2=1782.19,P<0.001). Conclusion The application of “Foshan Tuberculosis Surveillance and Management Platform” improves the efficiency and quality of tuberculosis patient management in Foshan City, and provides a basis and reference for the information management of tuberculosis prevention and treatment.

Key words: Tuberculosis, Case management, Management information systems, Outcome and process assessment (health care), Small-area analysis, Data interpretation, statistical