2019年北京市不同类型医疗卫生机构诊断和报告肺结核患者的特征分析  

Pulmonary tuberculosis diagnosing and reporting in different type of medical and health institutions in Beijing,2019

作　　者：刘燕飞 李涛[1] 杜昕[1] 高志东[2] 贺晓新[2] 陈伟[1] 赵雁林[1] Liu Yanfei;Li Tao;Du Xin;Gao Zhidong;He Xiaoxin;Chen Wei;Zhao Yanlin(National Center for Tuberculosis Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Beijing Institute for Tuberculosis Control,Beijing 100035,China)

机构地区：[1]中国疾病预防控制中心结核病预防控制中心,北京102206 [2]北京市结核病控制研究所,北京100035

出　　处：《疾病监测》2021年第10期1004-1009,共6页Disease Surveillance

基　　金：国家科技重大专项(No.2017ZX10201302–007)。

摘　　要：目的分析肺结核患者在不同类型医疗卫生机构的就诊分布和诊断报告水平,为规范医疗机构结核病的诊断和报告提供依据。方法利用结核病信息管理系统(专报系统),收集2019年北京市所有医疗卫生机构诊断报告的肺结核传染病报告卡资料,采用描述性方法对其分布特征进行系统分析。结果2019年,北京市共有336家医疗卫生机构报告肺结核报告卡,共报告25566张,其中确诊肺结核报告卡11301张(44.20%)。定点(21家)和非定点(315家)医疗机构分别报告肺结核报告卡12151张(47.53%)和13415张(52.47%)。定点医疗机构中,北京胸科医院报告的最多,共9228张(36.09%);非定点医疗机构中,解放军总医院第八医学中心报告的最多,共1402张(5.48%)。共报告北京市常住地患者15721例(61.49%),非常住地患者9845例(38.51%)。常住地患者主要来源于综合性医院(7737例,49.21%),非常住地患者主要来源于专科医院(5163例,52.44%)。非常住地患者主要来源于北京市周边省份,其中户籍为河北省的患者最多(3703例,37.61%)。定点和非定点医疗机构报告确诊肺结核患者的比例分别为58.76%和31.02%,差异有统计学意义(χ^(2)=1989.69,P<0.001)。常住地和非常住地确诊患者纳入登记管理的比例分别为71.43%和53.49%,差异有统计学意义(χ^(2)=368.64,P<0.001)。不同区常住地确诊患者的登记管理比例也存在差异,门头沟区的登记管理比例最高,为94.16%,朝阳区最低,为40.29%。结论北京市肺结核患者就诊于非定点医疗机构的比例高于定点医疗机构,但其报告的确诊患者比例低于定点医疗机构。报告的肺结核患者以常住地患者为主,非常住地患者以河北省的最多。常住地确诊患者的登记管理比例明显高于非常住地患者,常住地确诊患者在北京市不同区的登记管理比例也存在差异。Objective To evaluate pulmonary tuberculosis(TB)distribution and reporting in different types of medical and health institutions in Beijing,and provide evidence for standardizing TB diagnosis and reporting in medical institutions.Methods The information of pulmonary TB cases in Beijing in 2019 was collected via national Tuberculosis Information Management System(TBIMS)and analyzed by descriptive epidemiology method.Results In 2019,a total of 25566 pulmonary TB cases were reported by 336 medical and health institutions in Beijing,of which 11301 were confirmed pulmonary TB cases,accounting for 44.20%.A total of 12151 pulmonary TB cases were reported by 21 designated medical institutions,accounting for 47.53%,and 13415 pulmonary TB cases were reported by 315 non-designated medical institutions,accounting for 52.47%.Among the designated medical institutions,Beijing Chest Hospital reported the most pulmonary TB report cases(9228 cases,36.09%).Among the non-designated medical institutions,the Eighth Medical Center of PLA General Hospital reported the most pulmonary TB cases(1402 cases,5.48%).A total of 15721 pulmonary TB cases were local residents in Beijing(61.49%)and 9845 cases were not local residents in Beijing(38.51%).The pulmonary TB cases in local residents were mainly reported by general hospitals(7737 cases,49.21%),and the pulmonary TB cases in non-local residents were mainly reported by special hospitals(5163 cases,52.44%).The pulmonary TB cases in non-local residents were mainly from the surrounding provinces of Beijing,such as Hebei(3703 cases,37.61%).The proportions of confirmed pulmonary TB cases in designated and non-designated medical institutions were 58.76%and 31.02%respectively.The difference was significant(χ^(2)=1989.69,P<0.001).The proportions of the pulmonary TB cases in local residents and non-local residents under registration management were 71.43%and 53.49%,respectively.The difference was significant(χ^(2)=368.64,P<0.001).There were also differences in the proportion of pulmonary TB cases i

关 键 词：医疗卫生机构 诊断 登记 结核 肺 北京市 

分 类 号：R211[医药卫生—中医学] R521