晋中市医疗机构传染病漏报因素分析

发布时间：2018-04-14 22:26

本文选题：传染病 + 漏报水平　；参考：《山西医科大学》2006年硕士论文

【摘要】： 目的掌握晋中市医疗机构传染病漏报情况,寻找影响漏报的主要因素,以规范疫情报告工作,提高疫情报告质量。对象与方法1、调查对象:按分层随机抽样原则,选市、县、企业、乡、村级五个级别的部分医疗机构进行传染病漏报情况、疫情报告管理情况、医务人员疫情报告知识掌握情况的调查。2、调查方法:采用查阅资料与问卷调查相结合的方式。3、分析方法:对各级医疗机构传染病漏报情况、疫情报告管理情况、医务人员疫情报告知识掌握情况进行统计学描述,比较不同地区、不同级别医疗机构传染病漏报水平的差异,分析造成差异的主要因素。结果1、漏报水平:总漏报率5.29%。不同级别医疗机构中,村级漏报率最高12.96%,乡级次之7.32%,市级最低,漏报率为0.00%,统计学差异显著;不同地区医疗机构中,东山漏报率6.85%,高于南同蒲4.32%,统计学差异显著。2、疫情报告管理情况:组织机构健全率96.1%,管理制度完善率80.03%,疫情报告执行到位率77.26%。不同级别医疗机构,在专职疫情人员配置、疫情自查、登记簿使用、人员培训方面统计学差异显著;不同地区医疗机构,仅在专职疫情人员配置、人员培训方面差异显著。3、疫情知识知晓情况:不同级别、不同地区、不同从业年限、不同职业、不同职称的医务人员,对法定传染病报告知识的掌握差异有显著性,不同学历的医务人员间无差异。结论提高疫情报告质量,降低和减少漏报的发生,关键是加强医务人员疫情报告知识的培训,规范疫情报告制度,强化依法管理和监督。
[Abstract]:Objective to find out the main factors influencing the missing reporting of infectious diseases in medical institutions in Jinzhong City, and to standardize the reporting of epidemic situation and improve the quality of the report.Objects and methods: according to the principle of stratified random sampling, some medical institutions at the city, county, enterprise, township and village levels were selected to report and manage the infectious diseases.Investigation of medical personnel's knowledge of epidemic situation report. 2. Methods of investigation: using the method of consulting data and questionnaire survey. The analysis method: the situation of failing to report infectious diseases in medical institutions at all levels, and the situation of reporting and management of epidemic situation.The knowledge of epidemic situation report of medical staff was described statistically, and the differences of the level of underreporting of infectious diseases in different medical institutions in different regions were compared, and the main factors causing the differences were analyzed.Results 1, the level of missing report: the total missing rate was 5.29%.Among different levels of medical institutions, the highest rate of underreporting was 12.96 at the village level, followed by 7.3232 at the township level, the lowest at the municipal level, and the missing rate was 0.00.There were significant differences between the two groups.The missing report rate of Dongshan was 6.85, which was higher than that of Nantong Pu 4.322.The statistical difference was significant. The management situation of epidemic situation report was 96.1%, 80.03% and 77.26% respectively.At different levels of medical institutions, there are significant differences in full-time epidemic staffing, self-examination of epidemic situation, use of registers and training of personnel.There were significant differences in personnel training. 3. The knowledge of epidemic situation: different levels, different regions, different years of employment, different occupations, different titles of medical personnel, there were significant differences in the knowledge of the report of statutory infectious diseases.There is no difference between medical staff with different academic qualifications.Conclusion to improve the quality of epidemic situation report and reduce the occurrence of underreporting, the key is to strengthen the training of medical staff's knowledge of epidemic situation report, standardize the reporting system of epidemic situation, and strengthen the management and supervision according to law.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：R181.8

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