天津市新型冠状病毒肺炎流行病学调查报告质量分析  

Quality of reports regarding epidemiological survey of COVID-19 in Tianjin Municipality

作　　者：周朋辉[1] 高璐[1] 刘静[1] 郭燕[1] 张晓萌 张丹[2] 刘辉[1] 张颖[1] 周宁[1] ZHOU Peng-hui;GAO Lu;LIU Jing;GUO Yan;ZHANG Xiao-meng;ZHANG Dan;LIU Hui;ZHANG Ying;ZHOU Ning(Tianjin Centers for Disease Control and Prevention,Tianjin 300011,China;Tianjin Center for Tuberculosis Control,Tianjn 300011,China)

机构地区：[1]天津市疾病预防控制中心,天津300011 [2]天津市结核病控制中心,天津300011

出　　处：《实用预防医学》2021年第4期441-445,共5页Practical Preventive Medicine

基　　金：2017年国家科技重大专项(2017ZX10103007-002);天津市卫生健康科技项目(2020XKC01)。

摘　　要：目的通过分析天津市128例新型冠状病毒肺炎(简称新冠肺炎)确诊病例流行病学调查报告的书写质量,了解现场流行病学调查报告中存在的问题,为探索完善的新发传染病调查报告提供科学依据。方法按照国家卫生健康委发布的《新型冠状病毒肺炎防控方案》的要求,适时制定修正天津市新冠肺炎个案流行病学调查流程。描述涉及书写质量的核心指标26项,采用χ^(2)检验进行率的比较及趋势性检验。结果128份调查报告均包括前言、基本信息、发病及就诊情况、流行病学调查、标本采集和实验室检测、已采取的措施及下一步工作建议七部分内容,结构完整率100.00%。6.25%(8/128)的报告未描述既往病史;23.44%(30/128)的报告对发病及就诊过程未进行详细描述;59.38%(76/128)的报告流行病学调查关键信息不详细;71.09%(91/128)的报告未详细描述病例的标本采集和实验室检测结果;宝坻区报告中发病及就诊过程、流行病学调查关键信息以及实验室检测等问题数随时间推移呈下降趋势;聚集病例组与非聚集病例组流行病学调查报告基本信息完整率差异有统计学意义(χ^(2)=4.284,P=0.038)。结论应对突发公共卫生事件时,建立调查报告质量管理体系,能提高流行病学调查和报告的质量,有助于后续的流行病学分析及防控措施的制定。Objective To analyze the writing quality of reports regarding epidemiological survey of 128 COVID-19 confirmed cases in Tianjin Municipality,to understand the problems existing in the epidemiological investigation reports,and to provide scientific evidence for improving the quality of reports concerning survey of emerging infectious diseases.Methods According to the requirements of several editions of New Coronavirus Pneumonia Prevention and Control Program issued by the National Health Commission,the epidemiological investigation process of COVID-19 cases in Tianjin Municipality was formulated and updated in time.26 core information indicators related to the writing quality were described,and Chi-square test was used to compare the rates and test the trend.Results All the 128 survey reports had seven sections,including the foreword,general information,incidence and visits,epidemiological investigation,specimen collection and laboratory testing,measures taken and suggestions for further work,with the structural integrity rate of 100.00%.6.25%(8/128)of the reports did not describe the previous medical history,23.44%(30/128)did not describe the onset of the disease and diagnosis and treatment process in detail,59.38%(76/128)did not describe the key information about epidemiological investigation in detail,and 71.09%(91/128)did not describe the results of specimen collection and laboratory testing of the cases clearly.Among the reports presented by Baodi District,the number of problems existing in the onset of the disease and diagnosis and treatment process,the key information about epidemiological investigation and the laboratory testing showed a downward trend with time.There was a statistically significant difference in the integrity rate of general information of epidemiological survey reports between the clustered case group and the non-clustered case group(χ^(2)=4.284,P=0.038).Conclusions Establishing the quality management system of investigation reports in response to public health emergencies can improve t

关 键 词：新型冠状病毒肺炎 现场流行病学 调查报告 质量分析 

分 类 号：R563.14[医药卫生—呼吸系统]