《疟疾的诊断》(WS259-2015)标准跟踪评价  

Tracking Evaluation on Implementation of Diagnosis of Malaria(WS259-2015)

作　　者：庞亚男 郑彬 雷苏文[3] 周水森 熊彦红 李真 俞铖航 庞兴亚 PANG Ya'nan;ZHENG Bin;LEI Suwen;ZHOU Shuisen;XIONG Yanhong;LI Zhen;YU Chenghang;PANG Xingya(Department of Infectious Diseases,Dandong Municipal Center for Disease Control and Prevention,Dandong Liaoning 118002,China;Office of Science and Technology,National Institute of Parasitic Diseases,Chinese Center for Disease Control and Prevention/National Center for International Research on Tropical Diseases,Shanghai 200025,China;Division of Health Standards,Chinese Center for Disease Control and Prevention,Beijing 102200,China;Department of Vaccine Clinical Evaluation,Anhui Provincial Center for Disease Control and Prevention,Hefei Anhui 230601,China)

机构地区：[1]辽宁省丹东市疾病预防控制中心传染病科,辽宁丹东118002 [2]中国疾病预防控制中心寄生虫病预防控制所/国家热带病研究中心科技教育处,上海200025 [3]中国疾病预防控制中心卫生标准处,北京102200 [4]安徽省疾病预防控制中心疫苗临床评价中心,安徽合肥230601

出　　处：《中国卫生标准管理》2022年第8期1-4,共4页China Health Standard Management

基　　金：国家重大科技专项资助(2018ZX10734-404)。

摘　　要：目的调查《疟疾的诊断》(WS259-2015)标准在各级疾病预防控制和医疗机构的知晓、掌握和现场应用情况,为进一步完善标准的内容和指标、精准化开展标准宣贯和强化标准实施提供科学依据。方法根据全国疟疾疫情数据资料将全国流行省份分为高、中、低三层,每层选取一个省份,对不同层级工作人员开展问卷调查后,赴现场进行访谈;同时搜集国家正式发布且正在使用的与疟疾消除和诊断相关的文件。结果回收调查问卷共320份,包括有效问卷301份,有效率达94.06%。有效问卷结果显示,94.35%(284/301)的疟疾防治工作者知晓该标准,获取途径以主动查阅为主。标准内容指标总体掌握率为72.09%(217/301),“疟疾诊断类型”和“疟疾临床表现”的掌握率较低,分别为39.53%(119/301)和36.55%(110/301)。标准一致性调查中,现行疟疾工作方案、网报系统与标准中临床表现、诊断类型等内容不完全一致。适用性评价中,92.36%(278/301)的被调查者认为该标准完全适用,仅6.64%(20/301)认为需要修订。回收问卷中对于该标准实施的建议共67条。结论各级疾控与医疗机构疟疾防治工作者对新版诊断标准掌握率偏低,理解有一定偏差,亟需加大培训宣传力度,开展标准解读。有必要在标准实施的不同阶段开展标准的跟踪评价,发挥标准的指导作用。Objective To investigate the awareness rate and application of the Diagnosis of Malaria(WS259-2015)criterion CDCs and hospitals.With the purpose of providing scientific reference for improving the revision,dissemination and implementation of the Criterion.Methods According to the Chinese malaria epidemic data,we stratified provinces by malaria prevalence.Select a province for each stage to finish questionnaire survey,field survey and interview.At the same time,collect national policy documents on malaria prevention and elimination.Results 320 questionnaires were distributed,301 questionnaires were valid questionnaires.the effective rate of questionnaires was 94.06%.The results showed that 94.35%(284/301)of malaria control workers were aware of the Criterion.The malaria control workers main way to obtain Criterion is read by themself.The overall mastery rate of criterion content indicators was 72.09%(217/301),and the mastery rates of"type of diagnosis of malaria"and"clinical manifestations of malaria"were 39.53%(119/301)and 36.55%(110/301).In the criterion consistency survey,the current malaria work plan and reporting system were inconsistent with the clinical manifestations and diagnosis types in the criterion.92.36%(278/301)respondents believed that the criterion was well,and only 6.64%(20/301)thought it needed to be revised.There were 67 suggestions totally collected in this questionnaire.Conclusion Malaria prevention and control workers cannot totally acquire the new criterions at all.It is urgent to increase training and dissemination.It is necessary to carry out the follow-up evaluation of the Criterion at different stages of the implementation of the Criterion.

关 键 词：疟疾诊断 标准 实施 知晓率 宣贯 跟踪评价 

分 类 号：R531[医药卫生—内科学]