基于2024年重庆市医防协同信息平台运用的传染病报告时限分析

Analysis on timeliness of infectious disease reporting before and after application of Chongqing Medical-prevention Collaborative Information System in 2024

  • 摘要:
    目的 评价重庆市医防协同信息平台使用前后医疗机构传染病报告时限变化。
    方法 选取重庆市沙坪坝区47家直报机构2015-2024年每年上半年(1-6月)的传染病报告卡片,比较两种传染病报告方法在传染病报告时限上的差异。
    结果 2023年上半年平均每张传染病报告卡报告时限为10.68 h 中位数为8.96 h (P25, P75:3.64 h, 17.87 h)。 医防协同信息平台接入使用后,2024年平均报告时限为8.70 h 中位数为5.69 h,( P25, P75:1.79 h,15.90 h),较前者缩短1.98 h,两者间差异有统计学意义(Z=−33.594,P<0.001)。 已接入使用医防平台的医疗机构中,一级(基层)医疗机构平均报告时限缩短了4.16 h,二、三级机构分别缩短了1.84 h和1.75 h;乙类传染病的平均报告时限缩短了0.94 h,丙类缩短了2.82 h。 幼托儿童和学生是人群分类中报告时限缩短最多的类别,分别缩短了3.11 h和2.51 h。
    结论 重庆市医防协同信息平台使用后传染病报告时限缩短,基层医疗机构报卡效率得到极大改善,幼托儿童和学生人群的传染病报告更加及时。 建议更多医疗机构投入使用信息系统,也为国家前置软件的推广应用提供了参考依据。

     

    Abstract:
    Objective  To evaluate the timeliness of infectious diseases reporting in medical institutions in Chongqing before and after the application of Chongqing Infectious Disease Information System.
    Methods The reporting cards of infectious diseases in the first half of each year from 2015 to 2024 were selected from 47 medical institutions participating in online reporting of infectious diseases in Shapingba district, Chongqing, for the comparison of the timeliness of infectious disease reporting before and after the application of Chongqing Infectious Disease Information System.
    Results In the first half of 2023, the average time needed for one reporting of infectious disease was 10.68 h the median 8.96 h, (P25, P75: 3.64 h,17.87 h). After the application of Chongqing Infectious Disease Information System, the average time was 8.70 h in 2024 the median 5.69 h, ( P25, P75: 1.79 h,15.90 h), a decrease of 1.98 h, and the difference was significant (Z=−33.594, P<0.001). The reporting timeliness was improved by 4.16 h in the primary health care settings averagely and by 1.84 h and 1.75 h, respectively, in the second-and third-level medical institutions averagely. The reporting timeliness was improved by 0.94 h for the infectious diseases in class B and by 2.82 h for the infectious diseases in class C. The improvement in reporting timeliness of infectious diseases in children in child care settings and students were the most obvious, which were shortened by 3.11 h and 2.51 h, repectively.
    Conclusion The timeliness of infectious diseases reporting has been improved in Chongqing since the application of Chongqing Infectious Diseases Information System, especially in primary health care settings and in child care settings and schools. It is suggested to promote the application of this system in more medical institutions for the purpose of further improvement of timeliness of infectious disease reporting and the promotion and application of national front-end software.

     

/

返回文章
返回