Abstract: Objective The study was conducted to analyze the impact of various links in different transfer modes of report cards upon the quality of infectious disease reporting in the medical facilities above the second order in Zaozhuang City,and seek for a reasonable mode of transferring the infectious disease report cards in order to improve the quality of infectious disease reporting.Methods Eleven medical facilities above the second order,constituting 50% of such institutions in Zaozhuang City,were randomly selected as the study fields.Uniform questionnaire surveys on their transfer modes of infectious disease report cards were delivered.The timely reporting rate and the rate of missing report of the reporting of legal infectious diseases were then analyzed.Results The rate of missing report of infectious disease reporting in Zaozhuang City was lower than the average level in Shandong Province and in the country,though the missing reporting rate was higher than the average level in Shandong Province.Among the five transfer modes of report cards,the initiative card collection way in the department of preventive health care had the highest value in the comprehensive quality assessment, while the initiative card sending mode by clinicians had the lowest one.Conclusion The main reason for delayed reporting was that the clinicians were often unable to complete the cards within 24 hours.The rate of missing reporting was lowest with the initiative card collection mode taken by the Department of Prevention and Health Care compared with all other modes.The rate of delayed reporting of the initiative card collection way in the department of preventive health care was the lowest among all modes.