摘要
目的分析传染病报告存在的问题,提出相应解决办法。方法依据2005年白云区各级医疗机构网络直报的疫情数据,从报告单位构成和填卡及时性、信息完整性、准确性、审核及时性、重卡率、年末订正等方面进行综合评价分析。结果白云区2005年全年传染病诊断到填卡报告、填卡到录入、诊断到录入、录入到审核时间间隔中位数分别为:0.00、0.64、0.65和0.04 d。全年审核及时率(96.14%)显著高于报告及时率(85.86%);医院网络录入及时率(92.97%)显著高于填卡及时率(92.09%)。全年填卡完整率为67.69%,报告准确率99.36%,报告信息不详率22.49%,年末疑似卡订正率98.15%,删除卡情况说明率21.50%。至2005年底无重卡。不同类型医院填卡完整性、报告准确率最低与信息不详率最高均为省级医院。结论疾控机构审核及时率明显高于医疗机构报告及时率,各医疗机构应建立节假日传染病网络直报值班制度,引入激励机制,对周末及节假日加班进行疫情报告,减少迟报发生。
Objective To identify problems on infectious disease notification and to formulate corresponding solutions. Methods Data from the Internet-based Reporting System of Notifiable Infectious Disease in Year 2005 in Baiyun District were analyzed in terms of composition of reporting units, whether the notification cards were filled out in a timely manner, completeness and accuracy of data, whether data were verified in a timely manner, duplication of reports, revision at the end of the year and so on. Results The median of the time interval from diagnosis to filling in notification card, from filling in notification card to online data entry, from diagnosis to online data entry, and from online data entry to verification was 0. 00d, 0. 64d, 0. 65d and 0. 04d, respectively. Annual rate of in-time verification was higher than that of in-time data notification （96. 14% vs 85.86% ） ; for hospitals, the rate of in-time online data entry was higher than that of filling in notification card （92. 97% vs 92. 09% ）. The percentage of complete data, accurate data, unspecified data, confirmation of suspected cases, explanation for deletion of notification card was 67.69% , 99.36%, 22. 49% , 98.15% and 21.50% , respectively. There was no duplication of report at the end of 2005. Hospitals at the provincial level had the lowest percentage of complete data and accurate data and the highest percentage of unspecified data. Conclusions The rate of intime data verification of Center for Disease Control and Prevention （CDC） is significantly higher than that of hospitals. CDCs pay more attention to the management of infectious diseases than medical institutions. Infectious diseases in hospitals are often not timely reported during holidays.Hospitals should establish responsibility system for notification after office hours or on public holidays and introduce incentive mechanism, so as to minimize reports delay. Health administrative departments should strengthen the management of medical institutions. Health Inspection Institutes should enhance the enforcement of laws on infectious diseases. Inspection and training of infectious disease notification should be carried out on a regular basis.
出处
《预防医学情报杂志》
CAS
2008年第5期342-347,共6页
Journal of Preventive Medicine Information
关键词
传染病
网络直报
质量评价
Infectious disease
Internet-based reporting
Quality evaluation
