基于湖北省统筹传染病监测预警平台的疫情信息报告质量与效率分析

Analysis on quality and efficiency of epidemic information reporting based on regional infectious disease surveillance and early warning platform in Hubei

  • 摘要:
    目的  基于湖北省统筹传染病监测预警平台应用现状,开展疫情信息报告质量和效率评价,以期为医防融合背景下传染病监测预警相关研究提供思路。
    方法 选取疫情前、疫情中(平台部署前)、疫情后(平台部署后)3个时间段,从传染病和突发公共卫生事件监测两方面开展质量和效率评价。
    结果 与疫情前及疫情中相比,湖北省平台部署后传染病及时报告率分别增长了0.004%和0.003%,迟报卡减少了3张和11张。 法定报告传染病确诊病例占比增加了36.33%和5.12%(均P<0.01)。 传染病突发公共卫生事件起数减少了32起和14起,平均每起事件涉及病例数减少了18例和37例,平均每起一般级别事件首发病例发病至报告时间缩短了2.44和2.74 d,报告至结案时间缩短了9.57和9.66 d。
    结论 湖北省统筹传染病监测预警平台实现了医防融合信息通,提升了医疗机构传染病发现与报告能力、聚集性疫情监测敏感性与处置时效及传染病报告质量。

     

    Abstract:
    Objective To evaluate the quality and efficiency of epidemic information reporting based on the regional infectious disease surveillance and early warning platform in Hubei province and provide reference for the study of infectious disease surveillance and early warning in the context of effect combination of treatment and prevention.
    Methods The quality and efficiency of infectious disease reporting and public health emergency surveillance before, during (before the platform establishment) and after (after platform establishment) the epidemic were evaluated.
    Results Compared with data before and during the epidemic, the timely reporting rate of infectious diseases increased by 0.004% and 0.003% respectively after the platform was established in Hubei, and the late-reported card count decreased by 3 and 11. The proportion of confirmed cases of statutory reporting of infectious diseases increased by 36.33% and 5.12% (P<0.01). The count of public health emergencies of infectious diseases decreased by 32 and 14, and the average count of cases involved in each emergency decreased by 18 and 37. The average interval between the onset of the first case to the reporting of general emergency was shortened by 2.44 and 2.74 days, and the average interval between the reporting to the end of each general-level emergency was shortened by 9.57 and 9.66 days.
    Conclusion The provincial infectious disease surveillance and early warning platform in Hubei has achieved information integration in disease treatment and prevention and improved the ability of medical institutions in infectious disease finding and reporting, surveillance and response.

     

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