成都市乡镇卫生院传染病网络直报利用及影响因素分析  

Utilization of Direct Network Report of Infectious Diseases and Its Influence Factors in Township-level Health Centers of Chengdu

作　　者：马林[1] 梁娴[1] 庹晓莉[1] 林寰[1] 奚川[1] 刘万凤[1] 

机构地区：[1]成都市疾病预防控制中心,四川成都610041

出　　处：《预防医学情报杂志》2008年第5期353-355,共3页Journal of Preventive Medicine Information

摘　　要：目的了解成都市乡镇卫生院传染病直报网络的利用情况,查找其零报告原因,提出改进措施。方法从《中国疾病预防控制信息系统》导出2006年乡镇卫生院报告的传染病卡片,分析卡片报告及时率和漏报率等指标,设计问卷调查机构零报告情况,采用SPSS13.0对机构零报告影响因素进行logistic回归分析。结果2006年卡片报告及时率91.67%,机构报告率71.69%。1～9月机构零报告率为42.41%,零报告单位中71.64%无传染病诊断,28.36%有诊断未报告。传染病诊疗条件和疫情报告工作开展情况与零报告相关。结论单位因诊疗条件限制和疫情报告制度不落实是零报告的主要原因,应通过改善诊疗条件和规范传染病登记报告管理来降低零报告率。Objective To understand utilization condition of direct report network, to probe into cause of zero report in township-level health centers of Chengdu and finally to put forward improving measures. Methods Indices such as timeliness rate and missing rate of infectious diseases report were analyzed based on data from ＂National Disease Surveillance Information Report System＂ in 2006. Zero report rate was investigated by questionnaire and its influence factors were analyzed by logistic regression with SPSS13.0 software. Results Timeliness rate of cards report was 91.67%, direct report rate was 71.69% for township-level health centers in 2006. Zero report rate was 42. 41% for the centers from Jan. to Sept. in 2006, 71.64% of which had no infectious disease diagnosed and 28.36% of which missed reporting. Limitation of medical condition and irregular registration for infectious diseases were correlated with zero report. Conclusion Poor medical service condition and slacking performance of report regulations are the major causes of zero report in township-level health centers of Chengdu. Improving medical service condition and normalizing the records of reporting procedure should be taken to reduce the zero report rate.

关 键 词：网络直报 零报告 乡镇卫生院 影响因素 

分 类 号：R181.8[医药卫生—流行病学]