2023年全国传染病类突发公共卫生事件结案报告书写要素分析

An analysis of the writing elements of the final reports on nationwide infectious diseases public health emergencies in 2023

  • 摘要:
    目的  分析2023年传染病类突发公共卫生事件结案报告的书写要素,为提高结案报告书写质量提供参考依据。
    方法  收集突发公共卫生事件管理信息系统(突发系统)中2023年全国一般及以上级别,且已结案的传染病类突发公共卫生事件的结案报告,对标题、正文和落款中包含的书写要素进行描述性分析。
    结果  共纳入678份结案报告。 报告均有标题,字数以20~30字为主,占67.40%;标题中事件类型(99.85%)、发生地/发生场所(98.23%)、报告类型(94.99%)书写率较高,机构(11.95%)、事件级别(0.15%)书写率较低。 正文中书写率较低的5个要素为“风险研判分析”(7.37%)、“密切接触者或潜在风险人群调查情况”(9.14%)、“存在问题及不足”(10.32%)、“成本效益分析”(14.60%)、“经验及教训”(23.01%);书写率较高的5个要素为“采取的处置措施”(99.41%)、“临床表现”(95.58%)、“背景信息”(95.43%)、“事件发现过程”(92.33%)、“结案情况”(87.17%)。 76.99%(522/678)的报告使用统计图表展示三间分布特征,时间分布展示率最高(95.40%),空间分布次之(70.69%),人群分布最低(33.52%)。 98.08%(665/678)的报告有落款,日期(99.85%)、机构(98.65%)书写率较高,人员(9.62%)、联系方式(2.86%)书写率较低。
    结论  我国传染病类突发公共卫生事件结案报告的书写要素存在缺失,需加强专业人员能力建设、制定全国结案报告书写规范,以进一步提高结案报告书写质量。

     

    Abstract:
    Objective To analyse the elements of the final reports of nationwide infectious diseases public health emergencies in 2023, and to provide a reference basis for improving the quality of writing the final reports.
    Methods Collected the final reports of infectious disease-related public health emergencies from the Public Health Emergency Management Information System (referred to as the Emergency System) in 2023. These reports were related to incidents classified as general or higher and had been finalized. Conducted a descriptive analysis of the writing elements present in the titles, main body, and signatures.
    Results A total of 678 final reports were included in the analysis. All reports had titles, with the majority (67.40%) having 20 to 30 Chinese characters. The writing rates for event types (99.85%), occurrence locations/venues (98.23%), and report types (94.99%) were relatively high, whereas institutions (11.95%) and event levels (0.15%) had lower writing rates. In the main body, the five elements with the lowest writing rates were “Risk assessment and analysis” (7.37%), “Investigation of close contacts or potential risk populations” (9.14%), “Existing problems and deficiencies” (10.32%), “Cost-benefit analysis” (14.60%), and “Experience and lessons learned” (23.01%). Conversely, the five elements with the highest writing rates were “Disposal measures adopted” (99.41%), “Clinical manifestations” (95.58%), “Background information” (95.43%), “Event discovery process” (92.33%), and “Case closure situation” (87.17%). Statistical charts were used in 76.99% (522/678) of the reports to present the three-dimensional distribution characteristics. The time distribution was most frequently presented (95.40%), followed by the spatial distribution (70.69%), while the population distribution was the least reported (33.52%). 98.08% (665/678) of the reports included signatures. The writing rates for the date (99.85%) and institution (98.65%) were relatively high, whereas those for personnel (9.62%) and contact information (2.86%) were notably lower.
    Conclusion There are some deficiencies in the writing elements of final reports for infectious disease public health emergencies in China. Strengthening the capacity of professionals and formulating national specifications for final report are required to improve the quality of these reports.

     

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