驻马店市传染病与突发公共卫生事件网络直报状况分析
发布时间：2018-07-21 20:03
【摘要】： 目的 疾病监测是疾病预防控制的重要手段。SARS的暴发和流行,暴露了我国疾病监测系统存在的问题和不足。随着中国疾病预防控制信息系统的建设和发展,在其应用过程中,各种问题的不断出现,各种工作规范、报告质量评价标准体系的急需完善,都需要更多的研究和探讨去解决、去修订。本研究旨在通过对驻马店市传染病与突发公共卫生事件网络直报状况进行分析,全面了解存在的问题和影响因素,提出改进措施和建议,提高工作质量和报告水平。同时,探讨网络直报系统存在的不足和需要完善的地方,为有关部门制定相关工作管理规范、完善质量评价标准体系提供科学依据。 材料与方法 资料来源于驻马店市传染病与突发公共卫生事件网络直报状况调查和“疾病监测信息报告管理系统”与“突发公共卫生事件报告管理信息系统”的报告结果。对驻马店市的疾病预防控制机构、县级以上医疗机构和乡镇卫生院进行调查。在网络直报系统内查询传染病与突发公共卫生事件报告结果。使用EXCEL整理资料,运用统计软件SPSS11.5进行资料的统计学分析,显著性检验水准取α=0.05。 结果 1.网络直报建设状况 网络直报覆盖率已达100%,疾病预防控制机构实现网络直报率为100%,县级以上医院和乡镇卫生院实现网络直报率分别为95.65%和96.24%。专用计算机拥有率为85.95%,网络畅通率为87.60%。疾病预防控制机构各项制度健全率为100%,县级以上医院和乡镇卫生院网络直报管理制度健全率分别为93.18%和91.06%。 2.网络直报人员状况 专职人员占32.08%,兼职人员占67.92%,只有1个网络直报人员的单位占73.14%,中专学历占66.21%,临床医学专业占52.90%,预防医学专业占17.06%,高级职称占2.05%,中级职称占8.19%,初级以下者占60.75%,各类机构不同岗位工作时间网络直报人员分布差异有统计学意义(P＜0.05)。 3.传染病报告结果 2004年传染病发病率为174.57/10万,2008年为321.63/10万,2004～2008年丙类和非法定传染病年报告数差异有统计学意义(P＜0.05)。2008年医院传染病零缺报率为4.13%,代报率为4.41%,法定传染病迟报率为1.80%,迟审率为2.25%,重卡率为0.18%,漏报率为4.19%,各县区迟报卡片与迟审卡片分布差异有统计学意义(P＜0.05),综合指数最高为4.95%,最低为0.18%。 4.突发公共卫生事件报告结果 4个县区有报告,6个县区无报告。迟报率为90.63%,信息报告不完整的事件占90.63%,无进程报告的事件占40.62%,平均结案时间为28.99天。 5.监测信息的分析和通报状况 分析和通报制度健全,通报周期多为1个月,质量评价周期多为1个季度。 6.网络直报督导检查和技术培训状况 各疾病预防控制机构均开展了督导检查和技术培训,年督导和培训次数多为2次。对医生进行传染病报告知识培训的县级以上医院占100%,乡镇卫生院占74.73%。 7.影响因素 调查232家医院,医生的传染病报告意识占81.47%,医生和网络直报人员的责任心分别占95.56%和80%。调查4家疾病预防控制中心,突发公共卫生事件调查信息收集与反馈的及时性、完整性和突发公共卫生事件的性质均为100%。 小结 1.驻马店市网络直报覆盖率已达100%,网络直报建设逐步得到完善。县级以上医院和乡镇卫生院实现网络直报率分别为95.65%和96.24%。网络直报人员数量不足,多为兼职,接受专业教育水平较低。 2.网络直报系统的应用,使传染病报告的积极性提高,缺漏报相对减少,是报告的传染病发病率升高的原因之一。传染病报告的及时性提高,监测范围扩大。综合指数的差异性显示,有些县区的传染病网络直报工作仍需加强。突发公共卫生事件报告的县区较少,除无事件发生因素外,还应考虑实际工作中的漏报问题。突发公共卫生事件报告的及时率和完整率较低,报告质量有待提高。 3.影响传染病网络直报的主要因素是医生的传染病报告意识和医生、网络直报人员的责任心。影响突发公共卫生事件网络直报的主要因素是突发公共卫生事件的性质和调查信息的收集与反馈。
[Abstract]:objective
Disease monitoring, an important means of disease prevention and control, is the outbreak and epidemic of.SARS, which exposes the problems and shortcomings of the disease monitoring system in China. With the construction and development of the information system for disease prevention and control in China, in the process of its application, various problems are constantly emerging, various work norms, and the urgent need for the quality evaluation system of the report are urgently needed. The purpose of this study is to make more research and discussion to solve and to revise it. This study aims to understand the existing problems and influencing factors through the analysis of the situation of the network direct reporting of infectious diseases and public health emergencies in Zhumadian, and put forward improvement measures and suggestions to improve the quality and reporting level of work work. Meanwhile, the network direct reporting system is discussed. The deficiencies and needs to be improved provide scientific basis for the relevant departments to formulate relevant work management standards and improve the quality evaluation standard system.
Materials and methods
The data came from the survey on the network of infectious diseases and public health emergencies in Zhumadian and the results of the report of "the information report management system of disease monitoring information" and "the management information system for public health emergencies". The data were transferred to the disease prevention and control institutions in Zhumadian, the medical institutions at the county level and the township hospitals. Check the results of the report of infectious diseases and public health emergencies in the network direct reporting system. Use EXCEL to sort out the data and use the statistical software SPSS11.5 to carry out statistical analysis of the data. The significant test level is alpha =0.05..
Result
1. construction of network direct report
The coverage rate of network direct reporting has reached 100%, the rate of network direct reporting by the disease prevention and control institution is 100%, the rate of network direct reporting of hospitals and township hospitals at the county level and above is 95.65%, and 96.24%. special computer ownership rate is 85.95%. The rate of network unimpeded rate is 100% for the system of 87.60%. disease prevention and control system, and the hospital at the county level or above is 100%. And township hospitals directly reporting system management rate is 93.18% and 91.06%.
2. network direct report personnel status
Full-time staff accounted for 32.08%, part-time personnel accounted for 67.92%, only 1 network direct reporting personnel accounted for 73.14%, secondary school education accounted for 66.21%, clinical medicine accounted for 52.90%, preventive medicine accounted for 17.06%, senior titles accounted for 2.05%, intermediate titles accounted for 8.19%, junior and below accounted for 60.75%, and the distribution of staff in various institutions working hours network was poor. The difference was statistically significant (P < 0.05).
3. report of infectious disease
The incidence of infectious diseases in 2004 was 174.57/10 million and 321.63/10 million in 2008. There were significant differences in the annual report number of 2004~2008 years and non statutory infectious diseases (P < 0.05) the zero deficiency rate of hospital infectious diseases was 4.13%, the rate of reporting was 4.41%, the rate of legal communicable disease was 1.80%, the rate of late trial was 2.25%, the rate of heavy card was 0.18%, and the rate of missing report was 4.19%. There was a significant difference in the distribution of delaying cards and late trial cards in counties (P < 0.05), with a composite index of 4.95% and a minimum of 0.18%.
4. report of public health emergencies
4 counties have reported, 6 counties have no report. The rate of delay is 90.63%, the incomplete information report accounts for 90.63%, the non process report accounts for 40.62%, the average settlement time is 28.99 days.
5. analysis and notification of monitoring information
The analysis and notification system is sound, the notification period is 1 months, and the quality evaluation cycle is mostly 1 quarters.
6. network direct report supervision and technical training
All the diseases prevention and control institutions have carried out supervision and technical training, and the number of annual supervision and training is 2 times. 100% of the hospitals at the county level and above are trained for the knowledge of infectious diseases, and the township hospitals are 74.73%..
7. influencing factors
In 232 hospitals, 81.47% of the doctors' awareness of infectious diseases reported, the responsibility of doctors and Internet direct reports accounted for 95.56% and 80%. survey 4 centers for disease prevention and control respectively. The timeliness of information collection and feedback for public health emergencies, integrity and the nature of sudden public health events were all 100%.
Summary
1. the coverage rate of network direct reporting in Zhumadian has reached 100%, and the construction of network direct reporting has been gradually improved. The direct reporting rate of network direct reports in hospitals and township hospitals at the county level and above is 95.65% and 96.24%. network direct reports are insufficient, most of which are part-time and low professional education.
The application of 2. network direct reporting system makes the enthusiasm of the infectious disease report more active and the lack of leakage is relatively reduced. It is one of the reasons for the increase of the incidence of infectious diseases in the report. The timely improvement of the report of infectious diseases and the expansion of the monitoring range. The difference of the comprehensive index shows that the direct report work of the infectious disease network in some counties still needs to be strengthened. Public health emergency is still needed. There are few events reported in the county. In addition to the non event factors, we should also consider the problem of missing reports in actual work. The timely and complete rate of the report on public health emergencies is low, and the quality of the report needs to be improved.
3. the main factors affecting the direct reporting of infectious diseases are doctors' awareness of infectious diseases and doctors, and the responsibility of the network directly. The main factors that affect the network direct reporting of public health emergencies are the nature of public health emergencies and the collection and feedback of investigation information.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R184
本文编号：2136709
[Abstract]:objective
Disease monitoring, an important means of disease prevention and control, is the outbreak and epidemic of.SARS, which exposes the problems and shortcomings of the disease monitoring system in China. With the construction and development of the information system for disease prevention and control in China, in the process of its application, various problems are constantly emerging, various work norms, and the urgent need for the quality evaluation system of the report are urgently needed. The purpose of this study is to make more research and discussion to solve and to revise it. This study aims to understand the existing problems and influencing factors through the analysis of the situation of the network direct reporting of infectious diseases and public health emergencies in Zhumadian, and put forward improvement measures and suggestions to improve the quality and reporting level of work work. Meanwhile, the network direct reporting system is discussed. The deficiencies and needs to be improved provide scientific basis for the relevant departments to formulate relevant work management standards and improve the quality evaluation standard system.
Materials and methods
The data came from the survey on the network of infectious diseases and public health emergencies in Zhumadian and the results of the report of "the information report management system of disease monitoring information" and "the management information system for public health emergencies". The data were transferred to the disease prevention and control institutions in Zhumadian, the medical institutions at the county level and the township hospitals. Check the results of the report of infectious diseases and public health emergencies in the network direct reporting system. Use EXCEL to sort out the data and use the statistical software SPSS11.5 to carry out statistical analysis of the data. The significant test level is alpha =0.05..
Result
1. construction of network direct report
The coverage rate of network direct reporting has reached 100%, the rate of network direct reporting by the disease prevention and control institution is 100%, the rate of network direct reporting of hospitals and township hospitals at the county level and above is 95.65%, and 96.24%. special computer ownership rate is 85.95%. The rate of network unimpeded rate is 100% for the system of 87.60%. disease prevention and control system, and the hospital at the county level or above is 100%. And township hospitals directly reporting system management rate is 93.18% and 91.06%.
2. network direct report personnel status
Full-time staff accounted for 32.08%, part-time personnel accounted for 67.92%, only 1 network direct reporting personnel accounted for 73.14%, secondary school education accounted for 66.21%, clinical medicine accounted for 52.90%, preventive medicine accounted for 17.06%, senior titles accounted for 2.05%, intermediate titles accounted for 8.19%, junior and below accounted for 60.75%, and the distribution of staff in various institutions working hours network was poor. The difference was statistically significant (P < 0.05).
3. report of infectious disease
The incidence of infectious diseases in 2004 was 174.57/10 million and 321.63/10 million in 2008. There were significant differences in the annual report number of 2004~2008 years and non statutory infectious diseases (P < 0.05) the zero deficiency rate of hospital infectious diseases was 4.13%, the rate of reporting was 4.41%, the rate of legal communicable disease was 1.80%, the rate of late trial was 2.25%, the rate of heavy card was 0.18%, and the rate of missing report was 4.19%. There was a significant difference in the distribution of delaying cards and late trial cards in counties (P < 0.05), with a composite index of 4.95% and a minimum of 0.18%.
4. report of public health emergencies
4 counties have reported, 6 counties have no report. The rate of delay is 90.63%, the incomplete information report accounts for 90.63%, the non process report accounts for 40.62%, the average settlement time is 28.99 days.
5. analysis and notification of monitoring information
The analysis and notification system is sound, the notification period is 1 months, and the quality evaluation cycle is mostly 1 quarters.
6. network direct report supervision and technical training
All the diseases prevention and control institutions have carried out supervision and technical training, and the number of annual supervision and training is 2 times. 100% of the hospitals at the county level and above are trained for the knowledge of infectious diseases, and the township hospitals are 74.73%..
7. influencing factors
In 232 hospitals, 81.47% of the doctors' awareness of infectious diseases reported, the responsibility of doctors and Internet direct reports accounted for 95.56% and 80%. survey 4 centers for disease prevention and control respectively. The timeliness of information collection and feedback for public health emergencies, integrity and the nature of sudden public health events were all 100%.
Summary
1. the coverage rate of network direct reporting in Zhumadian has reached 100%, and the construction of network direct reporting has been gradually improved. The direct reporting rate of network direct reports in hospitals and township hospitals at the county level and above is 95.65% and 96.24%. network direct reports are insufficient, most of which are part-time and low professional education.
The application of 2. network direct reporting system makes the enthusiasm of the infectious disease report more active and the lack of leakage is relatively reduced. It is one of the reasons for the increase of the incidence of infectious diseases in the report. The timely improvement of the report of infectious diseases and the expansion of the monitoring range. The difference of the comprehensive index shows that the direct report work of the infectious disease network in some counties still needs to be strengthened. Public health emergency is still needed. There are few events reported in the county. In addition to the non event factors, we should also consider the problem of missing reports in actual work. The timely and complete rate of the report on public health emergencies is low, and the quality of the report needs to be improved.
3. the main factors affecting the direct reporting of infectious diseases are doctors' awareness of infectious diseases and doctors, and the responsibility of the network directly. The main factors that affect the network direct reporting of public health emergencies are the nature of public health emergencies and the collection and feedback of investigation information.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R184
【引证文献】
相关期刊论文 前1条
1 祝捷;谭书香;;基层疾病预防控制机构计算机信息化建设探讨[J];信息通信;2012年04期
，本文编号：2136709
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