吴晨, 江涛, 吴昊澄, 鲁琴宝, 丁哲渊, 林君芬. 浙江省基于区域信息平台自动采集模式的传染病信息报告质量评价[J]. 疾病监测, 2020, 35(7): 651-655. DOI: 10.3784/j.issn.1003-9961.2020.07.021
引用本文: 吴晨, 江涛, 吴昊澄, 鲁琴宝, 丁哲渊, 林君芬. 浙江省基于区域信息平台自动采集模式的传染病信息报告质量评价[J]. 疾病监测, 2020, 35(7): 651-655. DOI: 10.3784/j.issn.1003-9961.2020.07.021
Chen Wu, Tao Jiang, Haocheng Wu, Qinbao Lu, Zheyuan Ding, Junfen Lin. Evaluation of disease information reporting quality based on automatic collection mode of regional information platform in Zhejiang[J]. Disease Surveillance, 2020, 35(7): 651-655. DOI: 10.3784/j.issn.1003-9961.2020.07.021
Citation: Chen Wu, Tao Jiang, Haocheng Wu, Qinbao Lu, Zheyuan Ding, Junfen Lin. Evaluation of disease information reporting quality based on automatic collection mode of regional information platform in Zhejiang[J]. Disease Surveillance, 2020, 35(7): 651-655. DOI: 10.3784/j.issn.1003-9961.2020.07.021

浙江省基于区域信息平台自动采集模式的传染病信息报告质量评价

Evaluation of disease information reporting quality based on automatic collection mode of regional information platform in Zhejiang

  • 摘要:
    目的分析浙江省基于区域信息平台自动采集模式的传染病信息报告管理工作现状,评价其对报告质量的影响。
    方法传染病报告卡信息来源于传染病报告信息管理系统,使用Excel 2013和R 3.6.1软件进行报告卡质量的描述性分析,报告时限检验采用Wilcoxon秩和检验(偏态分布)。
    结果浙江省自2017年启动基于区域信息平台的传染病数据自动采集工作,至2018年底,全省范围内实现数据交换模式的医疗机构覆盖率达67.42%。 2016 — 2018年,浙江省法定传染病报告率、报告卡填写完整率、准确率、一致率、身份证填写完整率等指标均有明显提升。 2018年底,平均每张卡片报告时间(8.54 h)和审核时间(2.39 h)均显著少于2016年未开展传染病数据自动采集时所需时间(9.17 h,2.46 h)。
    结论基于区域信息平台自动采集模式的传染病信息报告对提升传染病报告数据质量和及时性有促进作用,应作为今后传染病报告的发展方向。 目前浙江省各地市传染病数据交换工作推进速度差距比较明显,需推动各市均衡发展,特别是要将省级医疗机构作为下一阶段系统改造的重点。

     

    Abstract:
    ObjectiveTo analyze the status of communicable disease reporting based on automatic collection mode of regional information platform in Zhejiang, and evaluate its influence on reporting quality.
    MethodsThe information about communicable disease reporting cards were collected from National Notifiable Infectious Diseases Reporting System. Descriptive epidemiology method was used to analyze the reporting quality of notifiable communicable diseases with Excel 2013 and R 3.6.1. Comparison of reporting time was performed by Wilcoxon-test.
    ResultsThe data automatic exchange between hospital information system (HIS) and National Notifiable Infectious Diseases Reporting System started in 2017 in Zhejiang, based on the national-provincial-city three-level public health information platform. By the end of 2018, 67.42% of medical institutions had achieved data automatic exchange. The reporting quality had been significantly improved, such as the overall reporting rate, the completeness and accuracy of reporting cards, the concordance rate of electronic reporting, and the completeness of ID card filling. At the end of 2018, the average reporting time (8.54 h) and card verifying time (2.39 h) were significantly shorter than those in 2016 (9.17 h, 2.46 h).
    ConclusionThe automatic collection mode of regional public health information platform can improve the quality and timeliness of communicable disease reporting, and its development needs to be strengthened in the future. At present, obvious differences in the development of automatic data exchange of communicable information exist among different areas in Zhejiang, it is necessary to promote its balanced development. The improvement of the system in medical institutions at provincial level is the key in next stage.

     

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