金丽珠, 葛辉, 杜雪杰, 陈孟, 于萌, 郑环, 郭青. 2015年全国医疗机构法定传染病报告质量调查分析[J]. 疾病监测, 2016, 31(10): 883-886. DOI: 10.3784/j.issn.1003-9961.2016.10.019
引用本文: 金丽珠, 葛辉, 杜雪杰, 陈孟, 于萌, 郑环, 郭青. 2015年全国医疗机构法定传染病报告质量调查分析[J]. 疾病监测, 2016, 31(10): 883-886. DOI: 10.3784/j.issn.1003-9961.2016.10.019
JIN Li-zhu, GE Hui, DU Xue-jie, CHEN Meng, YU Meng, ZHENG Huan, GUO Qing. Reporting quality of notifiable communicable diseases in hospitals in China, 2015[J]. Disease Surveillance, 2016, 31(10): 883-886. DOI: 10.3784/j.issn.1003-9961.2016.10.019
Citation: JIN Li-zhu, GE Hui, DU Xue-jie, CHEN Meng, YU Meng, ZHENG Huan, GUO Qing. Reporting quality of notifiable communicable diseases in hospitals in China, 2015[J]. Disease Surveillance, 2016, 31(10): 883-886. DOI: 10.3784/j.issn.1003-9961.2016.10.019

2015年全国医疗机构法定传染病报告质量调查分析

Reporting quality of notifiable communicable diseases in hospitals in China, 2015

  • 摘要: 目的 了解现阶段我国医疗机构法定传染病信息报告质量,为进一步提高网络直报水平提供依据。方法 采用分层多阶段整群抽样的方法在全国31个省(自治区、直辖市)和新疆生产建设兵团抽取9个省份116家医疗机构开展现场调查。结果 本次调查收集门诊和住院病例共1952例,进行网络直报1867例,全国医疗机构法定传染病报告率95.65%,不同级别医疗机构传染病报告率的差异具有统计学意义(2=34.251,P0.0001)。报告及时率、纸质报告卡填写完整率、纸质报告卡填写准确率和网络报告一致率分别97.75%、89.45%、69.76%和81.52%,其中不同级别医疗机构的报告及时率和准确率差异有统计学意义。结论 2015年全国传染病报告质量总体情况较好,但仍存在漏报和报告不及时等问题,应进一步规范传染病的报告要求,在医疗机构实施传染病报告管理信息化等有效措施,提升传染病报告质量。

     

    Abstract: Objective To evaluate the reporting quality of notifiable communicable diseases in hospitals at all levels in China, and provide evidence for the further improvement of the reporting quality. Methods A total of 116 hospitals in 9 provinces were investigated, which were selected through multi-stage stratified cluster sampling in 31 provinces, autonomous regions, municipalities and Xinjiang Production and Construction Corps. Results A total of 1952 outpatient and inpatient records were analyzed, in which 1867 were reported through direct network reporting system. The overall reporting rate was 95.65%. The differences in reporting rates among hospitals at different levels were significant (2=34.251, P0.0001). The reporting timeliness rate was 97.75%, the completeness and accuracy of reporting cards were 89.45% and 69.76%, the concordance rate of electronic reporting was 81.52%. The differences in reporting timeliness rates and accuracy of reporting were significant. Conclusion Except underreporting and delay in reporting, the overall reporting rate was high in 2015. It is suggested to further standardize the data reporting and use information technique in infectious diseases reporting in hospitals to improve the quality of reporting effectively.

     

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