2013年全国医疗机构法定传染病报告卡填报质量调查分析

发布时间：2018-04-08 22:30

本文选题：医疗机构　切入点：法定传染病　出处：《疾病监测》2016年06期

【摘要】：目的通过现场调查了解医疗机构法定传染病报告信息的填报质量,发现传染病报告管理中存在的问题。方法采用分层多阶段整群抽样的方法在全国31个省(自治区、直辖市)和新疆生产建设兵团抽取9个省116家医疗机构开展现场调查。结果本次调查共收集医疗机构诊疗登记的法定传染病个案共2384例;收集到相应纸质传染病报告卡共2053张。纸质传染病报告卡填写完整率72.28%,其中医生诊断时间、患者工作单位填写完整率最低;与病例登记信息相比,卡片填写准确率为41.35%,发病日期和医生诊断时间准确率最低;与网络报告的电子传染病报告卡相比,卡片填报一致率为68.64%,其中病例的急慢性分型一致率最低。东部地区传染病报告中卡片填写完整率、准确率和一致率均高于中部地区,而西部地区卡片填写的完整率、填报一致率相对最高;不同级别医疗机构中,省级和地市级报告质量指标均较低,乡镇级则相对最高。结论全国法定传染病疫情填报信息准确性有待进一步提高。医疗机构应加强对院内传染病报告工作的规范和管理,确保传染病报告核心信息来源的准确性;有效利用医院信息系统,充分发挥其对传染病报告的积极作用。
[Abstract]:Objective to find out the problems existing in infectious disease report management by investigating the quality of reporting information of infectious diseases in medical institutions.Methods 116 medical institutions in 9 provinces were selected from 31 provinces (autonomous regions, municipalities directly under the Central Government) and Xinjiang production and Construction Corps by stratified multi-stage cluster sampling.Results A total of 2384 registered cases of statutory infectious diseases in medical institutions were collected, and 2053 corresponding paper epidemic report cards were collected.The complete rate of the paper infectious disease report card was 72.28, among which, the doctor's diagnosis time was the lowest, the patient's work unit's complete rate was the lowest, and compared with the case registration information, the card filling accuracy rate was 41.35, the incidence date and the doctor's diagnostic time accuracy rate was the lowest.Compared with the electronic infectious disease report card reported on the network, the consistent rate of card filling was 68.64, among which the rate of acute and chronic classification was the lowest.The complete rate of card filling in the report of infectious diseases in the eastern region was higher than that in the central region, while the rate of completeness of card filling in the western region was the highest.Provincial and municipal reporting quality indicators are low, township level is relatively the highest.Conclusion the accuracy of reporting information on epidemic situation of legal infectious diseases in China needs to be further improved.Medical institutions should strengthen the standardization and management of infectious disease report in hospital, ensure the accuracy of the core information source of infectious disease report, and make full use of hospital information system to give full play to its positive role in infectious disease report.
【作者单位】：中国疾病预防控制中心;
【基金】：国家科技重大专项(No.2013ZX10004218-06-006)~~
【分类号】：R181.8

【相似文献】