我国性病病例报告系统评估结果的初步分析  

Preliminary analysis on the evaluation of STD case-reporting system in China

作　　者：岳晓丽[1] 龚向东[2] 蒋宁[2] 张岚[3] 喻荣彬[1] 

机构地区：[1]南京医科大学公共卫生学院,南京211166 [2]中国疾病预防控制中心性病控制中心,南京210042 [3]世界卫生组织驻华办事处,北京100600

出　　处：《中国艾滋病性病》2015年第10期875-878,共4页Chinese Journal of Aids & STD

摘　　要：目的评估中国性病病例报告系统的特性,发现存在的问题与不足,为改进和完善现有监测系统提供依据。方法通过查阅资料、现场观察、个人访谈收集监测系统资料,对病例报告系统的简明性、灵活性、可接受性、敏感性、代表性、时效性、稳定性和数据质量进行评估。结果中国性病病例报告系统简明、灵活、易操作,疾病预防控制机构和医疗机构工作人员对系统接受性较高。系统代表性、时效性好,病例报告系统敏感性达99.25%,但难以捕获到高危人群;稳定性较好,但疾病预防控制机构工作人员流动性大、监测经费不足对稳定性有一定影响;报告卡填写完整率、填写正确率和网络录入正确率分别为97.05%、96.22%和96.22%;梅毒诊断正确率为95.40%,一期、二期和隐性梅毒分期正确率分别为42.49%、77.46%和85.89%,存在较为严重的错误分类偏倚。结论中国性病病例报告系统简明、灵活,具有较好的可接受性、代表性和时效性,敏感性和稳定性需要进一步加强。病例报告信息质量与诊断正确率较高,但一期和二期梅毒分期正确率较低,影响梅毒发病率的分析,迫切需要加强梅毒诊断标准的培训,切实提高病例数据质量。Objective To assess STD case-reporting system attributes in China and to identify the problems for improving surveillance system.Method Data checking,field observation,and staff interviewing were used to gather evidence and evaluate the simplicity,flexibility,acceptability,sensitivity,representativeness,timeliness,stability and data quality of case-reporting system.Result STD case-reporting system in China was simple,flexible and acceptable to staff in CDC and medical institution.The system was representative and timely,and the sensitivity of case-reporting system was 99.25%,but failed to capture the high-risk populations.The system was stable,however,high staff turnover rate in CDC and funding insufficient hit the stability.The proportions of the reporting cards completely filled,correctly filled,and correctly entered by web for STD cases were 97.05%,96.22%and 96.22%,respectively.The proportions of correct diagnosis for syphilis cases was 95.40%,however,the ones of correct stage for primary,secondary and latent syphilis were 42.49%,77.46% and 85.89%,respectively.There was the severe bias of misclassification in primary and secondary syphilis.Conclusion The STD case-reporting system in China was simple and flexible.Acceptability,representativeness and timeliness were high,and sensitivity and stability need to be further improved.The indicators of data quality related to reporting information and correct diagnosis of syphilis cases were high,however proportion of correct stage for primary and secondary syphilis cases was low,which directly affected on analysis of syphilis incidence.It is urged that the training on related doctors in syphilis diagnosis criteria should be strengthened to substantially improve the data quality.

关 键 词：性病病例报告系统 监测 系统评估 

分 类 号：R759[医药卫生—皮肤病学与性病学]