陈丹红, 吴金珠. 2004~2005年漳州市网络直报时效性分析[J]. 疾病监测, 2006, 21(6): 313-317. DOI: 10.3784/j.issn.1003-9961.2006.6.313
引用本文: 陈丹红, 吴金珠. 2004~2005年漳州市网络直报时效性分析[J]. 疾病监测, 2006, 21(6): 313-317. DOI: 10.3784/j.issn.1003-9961.2006.6.313
CHEN Dan-hong, WU Jin-zhu. Analysis on timeliness of direct reporting through network system in Zhangzhou City from 2004 to 2005[J]. Disease Surveillance, 2006, 21(6): 313-317. DOI: 10.3784/j.issn.1003-9961.2006.6.313
Citation: CHEN Dan-hong, WU Jin-zhu. Analysis on timeliness of direct reporting through network system in Zhangzhou City from 2004 to 2005[J]. Disease Surveillance, 2006, 21(6): 313-317. DOI: 10.3784/j.issn.1003-9961.2006.6.313

2004~2005年漳州市网络直报时效性分析

Analysis on timeliness of direct reporting through network system in Zhangzhou City from 2004 to 2005

  • 摘要: 目的掌握漳州市传染病监测时效性。方法利用2004~2005年漳州市网络直报系统的传染病个案库,分析网络直报各环节的时效性及其影响因素。结果2004~2005年医疗机构的“诊断-生成”总的中位数(P50)分别为0.75d,0.68d,比2001~2003年的P50分别提前了9.25d和9.32d,1.5d及时率分别为60.09%、78.25%,比2001~2003年分别升高了7.18倍和9.65倍;推断分析提示传染病监测时效性与不同行政区域、报告单位有关,县及县以上医院中医院网络直报时效性最好,卫生院和防疫站较差,但后者2005年比2004年均有显著性提高,主要受卫生院直报率提高、防疫站报告肺结核由代报转为直报影响所致;2004~2005年“生成-确认”P50分别为1.97h和1.54h,12h及时率分别为64.49%和82.31%,两年比较有显著性提高。结论漳州市网络直报实行前后两年比较,录入及时性和审核及时性均有显著提高,但及时率不高,均低于90%,且各地存在明显差异;必须进一步加强全员培训,提高传染病法律时效意识,加快卫生院网络直报建设,提升CDC网络直报管理与督导水平。

     

    Abstract: Objective The analysis was made to gain insight into timeliness of the surveillance in infectious diseases in Zhangzhou City.Methods The individual case database of infectious disease of direct reporting through network system in Zhangzhou City from 2004 to 2005 was in order to analyze the timeliness and influential factors of individual stages of direct reporting through network system.Results The total median (P50)of"diagnosis and generation”of medical facilities from 2004 t0 2005 were 0.75 d and 0.68 d respectively.Earlier 9.25 d and 9.32 d than those of p50 from 200l t0 2003 respectively. The ratio of promptness for 1.5 d were 60.09%and 78.25% respectively.As higher as 7.18-fold and 9.65 fold of those from 2001 t0 2003.It was deduced from analysis that the prediction of timefiness of the surveillance of infectious disease was associated with different administrafive areas and reporting units。Best for those in county-level and above county-level hospitals and traditional Chinese medicine hospitals.Poor in health centers and epidemic-prevention stations.But the latter with significant improvement from 2005 t0 2004 caused by the improvement of the ratio of direct report for health center and change of report in pulmonary tuberculosis from report indirectly to directly.P50 of "generation and identification"from 2004 to 2005 were 1.97 h and 1.54 h respectively.The promptness rate were 64.49%and 82.3l% for 12 h.With significant improvement between two years.Conclusion It iS seen that obvioUS improvement occurs for the promptness of the input and examination before and after implementing direct reporting through network system,but with low promptness rate,both below 90%,and significant difference is seen in different areas.So it is important to intensify training for all staffs to enhalice the awareness of Timeliness of infectious disease law and speed the construction of direct reporting through network system for health centers and improve management and supervision of direct reporting through network system for CDC.

     

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