摘要
目的旨在评价北京军区不同疫情网络报告模式运行中传染病疫情报告的质量情况,为进一步提高军队疾病监测工作水平提供参考。方法以2004-2006年通过非网络报告方式、传染病网络专线直报方式和经后方医院、部队医疗机构卫生信息管理系统收集的法定传染病个案资料作为数据源,对报告单位构成、网络报告率、报告及时性、填卡质量、重卡及漏报情况进行了综合分析。结果北京军区疫情报告情况,2004年底前采用非网络传染病报告方式;2005年运行的是单一系统的网络报告模式;2006年综合应用多种网络报告系统——"互补监控"疫情网络报告模式。在北京军区统计的报告传染病病例中,80.43%的病例来自于军区内医疗机构,19.57%来自于军区外医疗机构。2004-2006年北京军区疫情报告诊断到审核时间明显下降;诊断到报告的时间占诊断到审核时间的构成比呈上升趋势,2006年为92.27%。三年间报告卡完整率和准确率逐年提高,2006年分别较2004年和2005年有明显提高。2006年报告卡漏报率明显下降。结论北京军区目前应用的互补监控疫情网络报告模式可有效地提高疫情报告质量,该监测模式在军队疾病监测工作中具有推广应用价值。
Objective To evaluate the quality of different epidemic report patterns in Beijing Military Area, and to provide reference for enhancement of military disease surveillance. Methods Data of reported communicable diseases were collected by different epidemic report patterns from 2004 to 2006. The composition of the report institutions, the network reporting rate, the rates of the missed reports and repeated reports, the timeliness, veracity and integrality of the report cards were analyzed . Results Military disease surveillance information reporting system was used after 2005 in Beijing Military Area, which was not introduced before 2005. Up to the year of 2006, mutual and supervisory epidemic report pattern was applied, which included three epidemic report network systems. 80. 43 percent of communicable disease cases of 2004 - 2006 were reported by Beijing Military Area medical institutions and 19.57 percent by non - military medical institutions. The median time from diagnosis to auditing of infectious diseases decreased. The proportion of median time from diagnosis to report to median time from diagnosis to auditing increased significantly, which reached 92. 27% in 2006. The veracity and integrality of the report cards increased with time elapsed from 2004 to 2006. The rate of missed reports decreased significantly from 2004 to 2006. Conclusion The mutual and supervisory epidemic report pattern applied in Beijing military area could effectively enhance epidemic report quality, and was worthy to be extended.
出处
《中国预防医学杂志》
CAS
2008年第10期857-860,共4页
Chinese Preventive Medicine
基金
军队医学科学技术研究"十一五"计划课题(06MA068)
关键词
疫情监测
网络报告
报告质量
评价
Epidemic surveillance
Network report
Quality of epidemic situation report
Evaluation
