Analysis on diagnosis quality of selected notifiable communicable diseases in Yunnan, 2016−2017

ObjectiveTo evaluate the diagnosis accordance rates of selected notifiable communicable diseases in Yunnan.

MethodsThe survey was conducted in 36 medical institutions of 15 counties in 5 prefectures in Yunnan according to the latest national standards of diagnosis of communicable diseases.

ResultsA total 871 patients affecting by 13 communicable diseases were surveyed. The disease specific diagnosis accordance rate was 91.60%, the disease classification accordance rate was 83.50% and the overall diagnosis accordance rate was 76.12%. The diagnosis accordance rates of hepatitis A, hepatitis B, bacillary dysentery and typhoid/paratyphoid fever were lower than other diseases, which were 46.15%, 57.93%, 59.68% and 60.61% respectively. As the descending of the level of medical institutions, the diagnosis accordance rate declined. The diagnosis accordance rates in medical institutions at provincial, prefectural, county and township level were 86.67%, 85.84%, 73.72% and 52.38% respectively.

ConclusionCompared with other provinces, the diagnosis accordance rates of notifiable communicable diseases were low in Yunnan. It is necessary to strengthen the medical staff training on communicable disease diagnosis and reporting in grass root medical institutions in Yunnan.