摘要
目的分析肺尘埃沉着病(以下简称“尘肺”)患者电话随访等情况及失访原因,并提出相应对策。方法对建国以来(1949年10月)至2019年12月在清远市报告的471例尘肺患者进行电话、信函或上门随访等方式开展回顾性调查,了解尘肺患者死亡、生存及工伤保险待遇落实情况。结果清远市自建国以来至2019年底,共报告职业性尘肺471例,其中死亡311例,占总病例数66.03%,现存活尘肺病例126例,占总病例数26.75%。经过四轮回访调查,失访率逐轮递减,分别为84.93%、59.45%、7.86%、7.64%。失访原因多为尘肺卡缺失、基本信息不全、身份证信息有误、根据出生日期无相应人员、电话号码有误、无应答、关机、停机、从其他途径获取此人已死亡,但无法获取死亡时间等。结论本次清远市职业性尘肺随访调查失访率为7.64%。需加强对尘肺患者的健康教育与档案管理,完善信息系统,提高随访流程的规范化,降低失访率。
Objective To analyze the telephone follow-up of pneumoconiosis patients and the causes of lost follow-up,and put forward the corresponding countermeasures.Methods A retrospective survey of 471 pneumoconiosis patients reported in Qingyuan City since the founding of People's Republic of China(October 1949)to December 2019 was conducted by telephone,letter or door-to-door follow-up to understand the death,survival and work-related injury insurance benefits of pneumoconiosis patients.Results From the founding of People's Republic of China to the end of 2019,a total of 471 cases of occupational pneumoconiosis were reported in Qingyuan City,among them,311 cases died,accounting for 66.03%of the total cases,and 126 cases of existing pneumoconiosis cases,accounting for 26.75%of the total cases in Qingyuan.After four rounds of follow-up survey,the lost follow-up rate decreased round by round,which were 84.93%,59.45%,7.86%and 7.64%respectively.The main reasons for the loss of follow-up were lack of pneumoconiosis card,incomplete basic information,wrong ID card information,no corresponding person according to the date of birth,wrong telephone number,no response,power off,shutdown,obtaining the death from other ways,but unable to obtain the time of death,etc.Conclusion The lost follow-up rate of occupational pneumoconiosis in Qingyuan City is 7.64%.It is necessary to strengthen the health education and file management of pneumoconiosis patients,improve the information system,improve the standardization of follow-up process,and reduce the loss of follow-up rate.
作者
胡娜
卢建国
黎烨
薛来俊
HU Na;LU Jian-guo;LI Ye;XUE Lai-jun(Department of Occupational Diseases,Qingyuan Chronic Disease Prevention and Treatment Hospital,Guangdong Province,Qingyuan511515,China)
出处
《中国当代医药》
CAS
2021年第19期187-190,共4页
China Modern Medicine
基金
广东省清远市科技计划项目(2020KJJH004)
广东省清远市社会发展领域自筹经费科技计划项目(清科[2019]24号)。
关键词
肺尘埃沉着病
随访调查
失访率
对策
Pneumoconiosis
Follow up survey
Lost follow-up rate
Countermeasures
