孙大为, 李岩, 邢军, 王彦, 丁丽华, 刘军. 对省辖5家尘肺病诊断机构诊断质量的调查[J]. 职业卫生与应急救援, 2015, 33(1): 7-9,21. DOI: 10.16369/j.oher.issn.1007-1326.2015.01.003
引用本文: 孙大为, 李岩, 邢军, 王彦, 丁丽华, 刘军. 对省辖5家尘肺病诊断机构诊断质量的调查[J]. 职业卫生与应急救援, 2015, 33(1): 7-9,21. DOI: 10.16369/j.oher.issn.1007-1326.2015.01.003
shu
SUN Da-wei, LI Yan, XING Jun, WANG Yan, DING Li-hua, LIU Jun. Reliability of pneumoconiosis diagnosis in 5 provincial occupational disease institutes[J]. Occupational Health and Emergency Rescue, 2015, 33(1): 7-9,21. DOI: 10.16369/j.oher.issn.1007-1326.2015.01.003
Citation: SUN Da-wei, LI Yan, XING Jun, WANG Yan, DING Li-hua, LIU Jun. Reliability of pneumoconiosis diagnosis in 5 provincial occupational disease institutes[J]. Occupational Health and Emergency Rescue, 2015, 33(1): 7-9,21. DOI: 10.16369/j.oher.issn.1007-1326.2015.01.003
shu

对省辖5家尘肺病诊断机构诊断质量的调查

Reliability of pneumoconiosis diagnosis in 5 provincial occupational disease institutes

    摘要
  • 摘要: 目的 了解吉林省部分尘肺病诊断机构的诊断质量。 方法 抽取该省5家尘肺病诊断机构具有尘肺病诊断资质的医师进行阅片考核。随机选取5家机构接诊的粉尘作业人员高千伏胸部正位片88张,作为考核用片;邀请3名国内知名尘肺病诊断专家集体阅片,结果作为参照答案;从5家机构中每家抽取3名医师作为一个被考核组,分组集体阅片;将专家组阅片结果与5个被考核组的阅片结果进行比较,得出诊断符合率和不符合率;对五家机构的尘肺病诊断相关仪器设备情况进行问卷调查。 结果 专家组与被考核组间诊断符合56例、诊断不符合32例,符合率为63.64%(56/88);其中误诊11例,占12.50%;诊断偏高15例,占17.05%;诊断偏低6例,占6.81%;5个被考核组间诊断不符合率比较,差异有统计学意义(P<0.05);各项阅片技术指标总符合率66.92%。5家机构尘肺病诊断相关仪器设备存在不足。 结论 吉林省部分尘肺病诊断机构的诊断质量参差不齐且偏低,亟待提高。

     

    Abstract: Objective To observe the reliability of pneumoconiosis diagnosis in 5 provincial occupational disease institutes in Jilin Province. Methods A total of 88 pieces of HKV chest radiograph films from 5 provincial occupational disease institutes were read by 3 invited national experts of pneumoconiosis diagnosis. Their diagnostic results were used as the reference for the evaluation of reliability of pneumoconiosis diagnosis made by the diagnostic group (3 doctors) of each institute. Results The agreement of diagnosis between the national experts and 5 diagnostic groups was 63.64% (56/88). Among 32 conflicting cases, 11 cases were misdiagnosed and 21 cases were diagnosed as different stages of pneumoconiosis (15 cases, over-estimated and 6 case, lower-estimated). The total consistency rate of all specifications was 66.92%. The consistency rates had statistically difference among 5 diagnostic groups(P<0.05). The diagnostic equipments used in these occupational disease institutes still remained inadequate. Conclusion A great deal of work should be done to improve the pneumoconiosis diagnosis in Jilin Province.

     

    • HTML全文
    • 参考文献(10)
    • 相关文章
    • 施引文献
  • 资源附件(0)

/

返回文章
返回