Search

ObjectiveTo examine the status quo of information construction in centers for disease control and prevention (CDCs) of provincial level and in pilot regions across China. Methods An online questionnaire survey was conducted among 32 provincial-level CDCs and 31 prefecture-level and 29 county/district level CDCs in pilot regions during 2021 via China Disease Prevention and Control Information System. ResultsFor the CDCs surveyed, there were totally 341 full-time staff engaged in the information construction. Of all the CDCs, 56.04% established specific information departments; 62.64% had the information construction fund less than 1% of their total expenditure; 43.96% put the information construction into the scope of performance evaluation; and 72.83% paid special attention to the integration of new technologies and the information construction. During 2019 – 2021, the professionals of the investigated CDCs were involved in the formulation or revision of 16 standards on health information and the publication of 187 papers about informatization. The Immunization Program Information System was operated in all the provincial CDCs surveyed, together with infectious disease surveillance and early warning system and mental health management system established in 50% and 59.38% of the provincial CDCs. Cross-sectoral information sharing was carried out in 12 provincial CDCs and 3 prefecture-level CDCs in pilot regions. ConclusionThe pilot work of information construction for disease control has promoted the improvement of the national information system for disease control. However, there are still some problems such as lack of investment, regional imbalance, insufficient specific informatizition support, connectivity and management collaboration.

Objective To analyze the factors related to gallbladder cholesterol polyp (GCP) and gallbladder adenoma (GA) and establish predictive model for distinction between GCP and GA before surgery. Methods Patients with gallbladder polyps diameter≥10 mm diagnosed by ultrasonography in Xuanwu Hospital Capital Medical University and the First Hospital of Peking University from January 2015 to December 2019 were studied. There were GCP group and GA group based pathological diagnosis. Univariate and multivariate analyses were used to study the factors related to GCP and GA. Logistic linear regression was used to establish a predictive model and to evaluate the diagnostic effect. Results A total of 384 patients with gallbladder polyp were in this study with male to female ratio of 1:1.49 and age of (50.32±14.15) years. There were 250 patients (65.1%) in GCP group and 134 patients (34.9%) in GA group. Univariate analysis showed that five factors in quantitative data including age, blood glucose, low density lipoprotein, albumin, and total bile acid and three factors in count data including age 50 years or older, low density lipoprotein ≥3.1 mmol/L and total bile acid ≥10.0 μmol/L had significant difference statistically between two groups (P