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越南胡志明市结核病电子系统的敏感性、完整性和一致性。

Sensitivity, completeness and agreement of the tuberculosis electronic system in Ho Chi Minh City, Viet Nam.

作者信息

Thai L H, Nhat L M, Shah N, Lyss S, Ackers M

机构信息

United States Centers for Disease Control and Prevention (CDC) Viet Nam Office, Ho Chi Minh City, Viet Nam.

Pham Ngoc Thach Hospital, Ho Chi Minh City, Viet Nam.

出版信息

Public Health Action. 2017 Dec 21;7(4):294-298. doi: 10.5588/pha.17.0081.

Abstract

Since 2011, tuberculosis (TB) clinics in Ho Chi Minh City (HCMC), Viet Nam, have been entering data from a paper-based TB treatment register into an electronic database known as VITIMES (Viet Nam TB Information Management Electronic System), which is currently used in parallel with the paper system. To evaluate the sensitivity, completeness and agreement of data in VITIMES with that of paper-based registers among TB patients co-infected with the human immunodeficiency virus (HIV) being treated for TB in HCMC. This was a retrospective data review of all TB-HIV patients receiving anti-tuberculosis treatment in each of the 24 district TB clinics in HCMC in 2013. Data were abstracted from the paper-based TB treatment registers at district level and extracted electronically at the provincial level. Records were matched based on name, age and address. The sensitivity, completeness and agreement of the electronic data were compared with data from the paper system. The findings showed that the electronic system had high sensitivity (99.2%), high completeness (87-99%) and high agreement (κ 0.78-0.97) for all variables. The results of this study suggest that data are being correctly entered into VITIMES and that patient data can be directly entered into VITIMES instead of having a parallel, paper-based system.

摘要

自2011年以来,越南胡志明市的结核病诊所一直在将纸质结核病治疗登记册中的数据录入一个名为VITIMES(越南结核病信息管理电子系统)的电子数据库,该数据库目前与纸质系统并行使用。目的是评估在胡志明市接受结核病治疗的合并感染人类免疫缺陷病毒(HIV)的结核病患者中,VITIMES中的数据与纸质登记册数据的敏感性、完整性和一致性。这是对2013年胡志明市24个区结核病诊所中所有接受抗结核治疗的结核病-艾滋病患者的回顾性数据审查。数据从区级纸质结核病治疗登记册中提取,并在省级以电子方式获取。记录根据姓名、年龄和地址进行匹配。将电子数据的敏感性、完整性和一致性与纸质系统的数据进行比较。研究结果表明,电子系统对所有变量具有高敏感性(99.2%)、高完整性(87-99%)和高一致性(κ 0.78-0.97)。本研究结果表明,数据已正确录入VITIMES,患者数据可直接录入VITIMES,而无需并行的纸质系统。

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