2009-2010年浙江省湖州市医疗机构传染病报告质量与漏报调查分析[J]. 疾病监测, 2012, 27(1): 71-73.
引用本文: 2009-2010年浙江省湖州市医疗机构传染病报告质量与漏报调查分析[J]. 疾病监测, 2012, 27(1): 71-73.
Quality of notifiable communicable diseases reporting in medical institutions in Huzhou, Zhejiang province, 2009-2010[J]. Disease Surveillance, 2012, 27(1): 71-73.
Citation: Quality of notifiable communicable diseases reporting in medical institutions in Huzhou, Zhejiang province, 2009-2010[J]. Disease Surveillance, 2012, 27(1): 71-73.

2009-2010年浙江省湖州市医疗机构传染病报告质量与漏报调查分析

Quality of notifiable communicable diseases reporting in medical institutions in Huzhou, Zhejiang province, 2009-2010

  • 摘要: 目的 了解浙江省湖州市2009-2010年各级医疗机构法定传染病报告质量与漏报情况,为进一步提高传染病报告管理质量提供依据。 方法 按照《全国法定传染病漏报调查方案》和《全国传染病网络直报督导检查方案》,对抽查的医疗机构进行传染病报告质量与漏报调查分析。 结果 2009-2010年,湖州市法定传染病漏报率为0.33%,其中乙、丙类传染病漏报率分别为0.13%和0.55%。发生漏报的病种为风疹、流行性腮腺炎、淋病和其他感染性腹泻病,漏报率依次为3.33%、1.20%、0.71%和0.33%。县(区)级及以上医疗机构均无漏报,社会医疗机构的漏报率为15.38%,乡镇级为4.48%。全市法定传染病报告及时率100%,报卡填写完整率为98.24%、准确率为97.79%,报告一致率96.58%。其中社会医疗机构报卡填写完整率、准确率均为100%,市级为99.79%和99.37%,乡镇级为92.78%和91.75%。报告一致率市级98.52%、县(区)级96.62%、乡镇级88.66%、社会医疗机构81.82%。 结论 湖州市各级各类医疗机构漏报率较低,但仍存在漏报现象,报告质量也有待进一步提高。应规范开展传染病报告管理工作,采取加强管理、督导和培训等措施,进一步提高报告质量,避免漏报。

     

    Abstract: Objective To evaluate the quality of notifiable communicable diseases reporting in Huzhou from 2009 to 2010 and provide evidence for the improvement of communicable diseases reporting. Methods According to the National survey protocol of communicable diseases underreporting and National supervision protocol of network direct reporting of communicable diseases. the analysis was conducted on the reporting quality and underreporting of communicable diseases in selected medical institutions in Huzhou. Results The underreporting rate of communicable diseases was 0.33% in Huzhou from 2009 to 2010. The underreporting rate was 0.13% for Class B diseases and 0.55% for class C diseases. The diseases which were underreported included rubella (3.33%), mumps (1.20%), gonorrhea (0.71%) and other infectious diarrheal diseases (0.33%). No underreporting was found in medical institutions at or above county level, and the underreporting rate was 15.38% in private medical institutions and 4.48% in township medical institutions. The overall timeliness rate, the completeness rate, the accurate rate and the consistent rate of the reporting were 100%, 98.24%, 97.97% and 96.58% respectively. The completeness rate and accurate rate in private medical institutions were both 100%, and the two rates were 99.79% and 99.37% in medical institutions at municipal level and 92.78% and 91.75% in medical institutions at township level. The consistent rates of reporting were 98.52%, 96.62%, 88.66% and 81.82% in medical institutions at municipal level, county level, township level and in private medical institutions respectively. Conclusion Although the underreporting rate was low,it is still necessary to further improve the reporting quality by strengthening the management, supervision and training to avoid underreporting.

     

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