2007年全军医疗机构法定传染病报告质量评价  

Evaluation of notifiable communicable disease reporting in medical institutions in People's Liberation Army,2007

作　　者：李申龙[1] 徐元勇[1] 孙海龙[1] 范国英[1] 邹文[1] 李文集[1] 

机构地区：[1]中国人民解放军疾病预防控制所,北京100071

出　　处：《疾病监测》2009年第8期632-635,共4页Disease Surveillance

摘　　要：目的了解全军医疗机构法定传染病报告情况。方法采用分层随机抽样的方法在全军范围内抽取26家医疗机构对传染病漏报情况及报告质量进行调查分析。结果全军医疗卫生机构传染病总漏报率为21.40%,丙类传染病漏报率(31.48%)高于乙类传染病漏报率(19.59%),二者差异有统计学意义(χ2=16.78,P=0.000)。医疗机构中门诊、住院部、化验室传染病漏报率依次升高(χ2=65.99,P=0.000),分别为16.99%、24.42%和35.98%。军区总医院和中心级医院传染病漏报率分别为20.74%和22.17%,差异无统计学意义。两级医院在传染病报告卡报告质量方面无差异,但完整率和准确率均高于及时率。乙类传染病报告及时率(65.78%)高于丙类传染病(48.94%),二者差异有统计学意义(χ2=24.31,P=0.000)。结论全军传染病报告工作不容乐观。各级医疗机构应重视传染病疫情报告工作,加强其规范化管理。Objective To evaluate the quality of notifiable communicable disease reporting in the medical institutions in People＇ s Liberation Army （ PLA ） of China and provide scientific evidence to improve the efficiency and quality of the reporting. Methods By stratified random sampling, 26 medical institutions in PLA were selected to conduct survey on the quality of notifiable communicable disease reporting. Results The overall underreporting rate was 21.40%. The underreporting rate of Class C communicable diseases （31.48% ） was higher than that of Class B communicable diseases （ 19.59% ） ; the difference had statistical significance （Χ^2 = 16.78, P = 0. 000）. The underreporting rates in outpatient department, inpatient department and laboratory were 16.99% , 24.42% and 35.98% respectively; the difference had statistical significance （Χ^2 = 65.99, P = 0. 000 ）. There were no statistically significant differences on underreporting rates in medical institutions at different level; the rate was 20.74% in general hospitals and 22.17% in central hospitals, but the completeness and accuracy rates of reporting were higher than timeliness rate in both level hospitals. The timeliness rate of Class B communicable diseases reporting （65.78%） was higher than that of Class C communicable diseases （48.94%） ; the difference had statistical significance （Χ^2 = 24. 31, P = 0. 000 ）. Conclusion The communicable disease reporting system in PLA medical institutions should be improved and the reporting of communicable disease should be strengthened by standard management in PLA medical institutions at all levels.

关 键 词：军队 法定传染病 漏报率 报告质量 

分 类 号：R181.8[医药卫生—流行病学] R82[医药卫生—公共卫生与预防医学]