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| 菏泽市2011—2016年肺结核患者转归质量的Ridit分析 |
| Ridit analysis on the outcome quality of patients with pulmonary tuberculosis in Heze City from 2011 to 2016 |
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| DOI：10.3969/j.issn.1007-8134.2019.05.010 |
| 中文关键词: 肺结核 转归 Ridit分析 菏泽市 |
| 英文关键词: pulmonary tuberculosis outcome Ridit analysis Heze City |
| 基金项目:山东省医药卫生科技发展计划（2016WS0090） |
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| 中文摘要: |
| 目的 应用Ridit分析研究菏泽市2011—2016年肺结核患者转归质量情况，为当地医疗机构开展工作提供参考。方法 以2011—2016年菏泽市各县区登记的肺结核患者作为研究对象，依据结核病信息管理系统数据，运用Ridit分析了解各年度患者转归结果和病情严重程度（患者分类），以其综合评分评价各年度肺结核患者的转归质量。结果 不同年度肺结核患者转归结果差异具有统计学意义（P＜0.05），2015年度转归结果最好， 为0.5034；不同年度患者分类存在统计学差异（P＜0.05），严重程度最高为2011年度，为0.6147；综合转归结果和患者分类数据，2012年度和2015年度综合评分最高，均为9分，绩效等级为Ⅰ级。结论 Ridit 分析方法兼顾了转归结果和患者分类对综合评价的影响，是一种更为科学合理的分析方法，研究结果充分表明2011—2016年肺结核患者转归质量并非逐年提升，当地医疗机构应该对肺结核患者强化精准管理。 |
| 英文摘要: |
| Objective To study the outcome quality of patients witn pulmonary tuberculosis in Heze City from 2011 to 2016 by Ridit analysis, to provide reference for the work of local medical instituyions. Methods Tuberculosis patients registered in various counties and regions of Heze City from 2011 to 2016 were included as the research object, based on the tuberculosis information management system data, Ridit analysis was used to analyze the outcome and severity of tuberculosis patients (patient classification) in each year. The outcome quality of patients in each year was evaluated by using the comprehensive scores. Results There were statistically significant differences in the outcome results of pulmonary tuberculosis patients in different years (P＜0.05), and the best outcome was found in 2015 ( 0.5034). The patient classification was statistically significantly different in different years (P＜0.05), and the highest severity was found in 2011 ( 0.6147). Comprehensively considering the outcome results and patient classification data, the highest comprehensive score was 9, which was found in 2012 and 2015. The performance level was grade Ⅰ. Conclusions Ridit analysis is a more scientific and reasonable analysis method, which takes into account both the outcome and the impact of patient classification. The results fully show that the quality of tuberculosis patients’outcome is not improving year by year in 2011-2016. Local medical institutions should strengthen the precise management of tuberculosis patients. |
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