结核病与肺部健康杂志 ›› 2018, Vol. 7 ›› Issue (1): 19-22.doi: 10.3969/j.issn.2095-3755.2018.01.005

• 论著 • 上一篇    下一篇

深圳市龙华区流动人口肺结核及疑似患者居民健康档案建立情况分析

秦玉宝,房宏霞(),刘昌伟,陈智聪,严新凤,张明传,赖铿   

  1. 518110 广东省深圳市龙华区慢性病防治中心门诊部(秦玉宝、张明传),结核病防治科(房宏霞、赖铿),中心主任办公室(刘昌伟、陈智聪、严新凤)
  • 收稿日期:2018-03-07 出版日期:2018-03-30 发布日期:2018-07-24
  • 通信作者: 房宏霞 E-mail:fanghongxia1@163.com
  • 基金资助:
    广东省医学科研基金指令性课题项目(C2016037)

The analysis on the establishment of health files of pulmonary tuberculosis and suspected patients in Longhua District of Shenzhen City

Yu-bao QIN,Hong-xia FANG(),Chang-wei LIU,Zhi-cong CHEN,Xin-feng YAN,Ming-chuan ZHANG,Keng. LAI   

  1. Department of Tuberculosis Prevention and Control, Shenzhen Longhua Center for Chronic Disease Control, Shenzhen 518110, China
  • Received:2018-03-07 Online:2018-03-30 Published:2018-07-24
  • Contact: Hong-xia FANG E-mail:fanghongxia1@163.com

摘要:

目的 分析深圳市龙华区流动人口肺结核及疑似患者健康档案建立情况,为进一步探索通过临床医疗大数据平台提高流动人口居民健康档案建档率提供依据。方法 采用前瞻性队列研究的方法,收集深圳市龙华区慢性病防治中心2017年1月1日至12月31日登记的3222例非深圳户籍肺结核及疑似患者居民健康档案信息,对比匹配居民健康档案建档信息。 结果 在3222例深圳市龙华区慢性病防治中心登记的非深圳户籍肺结核及疑似患者中,已建立健康档案者43例(占1.3%),未建立健康档案者3179例(占98.7%);在深圳市居住<1年者1400例,其中建立健康档案者17例(占1.2%);居住1~2年者596例,其中建立健康档案者13例(占2.2%);在深圳居住≥3年者1226例,其中建立健康档案者13例(占1.1%);有深圳市居住证者568例,其中建立健康档案者9例(占1.6%),在深圳市居住时间、办理深圳市居住证与是否建立健康档案间差异均无统计学意义(χ 2=4.10,P=0.129;χ 2=0.33,P=0.576)。结论 龙华区流动人口肺结核及疑似患者健康档案建档率低,并且与居住时间和有无居住证无关。

关键词: 结核, 肺, 居住流动性, 档案, 疾病管理, 数据说明, 统计

Abstract:

Objective To analyze the establishment of health files of tuberculosis and suspected patients of floating population in Longhua District of Shenzhen, and to provide the evidence for further exploring the health files of floating population through clinical medical large data platform.Methods A prospective cohort study was used to collect data on the health records of residents of 3222 non-Shenzhen registered tuberculosis and tuberculosis suspected patients in the Shenzhen Longhua Center for Chronic Disease Control from January 1, 2017 to December 31, 2017, in contrast to the health records of residents.Results Among 3222 tuberculosis and tuberculosis suspected patients registered in Shenzhen Longhua Center for Chronic Diseases Control, 43 patients had established health records (accounted for 1.3%), and the other 3179 patients had not established health records (accounted for 98.7%). Among the 1400 patients who lived in Shenzhen less than 1 year, 17 patients had established health records (accounted for 1.2%), and among the 596 patients who lived in Shenzhen between 1-2 years, 13 patients had established health records (accounted for 2.2%). Among the 1226 patients who lived in Shenzhen above 3 years, 13 patients had established health records (accounted for 1.1%). Among the 568 patients with Shenzhen residence card, 9 patients had established health records (accounted for 1.6%). There was no statistical difference between Shenzhen residence time, handling Shenzhen residence permit and whether to establish health records (χ 2=4.10, P=0.129; χ 2=0.33, P=0.576).Conclusion The health files of tuberculosis and suspected patients in Longhua District are low, and there is no association with residence time and residence permit.

Key words: Tuberculosis, pulmonary, Residential mobility, Archives, Disease management, Data interpretation, statistical