2010年浙江省桐庐县医疗机构法定传染病报告质量调查分析  

Quality of notifiable communicable diseases reporting in medical institutions in Tonglu county,2010

作　　者：李志芳[1] 高斌[1] 陈纬[1] 

机构地区：[1]桐庐县疾病预防控制中心,浙江桐庐311500

出　　处：《疾病监测》2011年第7期562-564,共3页Disease Surveillance

摘　　要：目的了解浙江省桐庐县辖区内医疗机构法定传染病报告现况,为提高和规范传染病疫情报告工作质量提供参考。方法参照卫生部办公厅下发的《全国传染病网络直报质量督导检查方案》(2009年版)内容,对2010年桐庐县各级医疗机构法定传染病疫情报告质量进行调查和分析。结果 2010年医疗机构法定传染病漏报率为5.57%,报告及时率为100%,报卡填写完整率为90.96%,卡网一致率为92.66%,病毒性肝炎、细菌性痢疾平均诊断符合率为88.16%,传染病疫情报告知识知晓率为82.19%。除卡网一致率差异无统计学意义外,县、乡两级医疗机构其他各项指标差异均有统计学意义(P<0.05),县级医院漏报情况、卡片填写完整性、诊断符合率和疫情报告知识知晓率好于乡镇卫生院。结论桐庐县医疗机构在传染病漏报、填卡完整性、诊断符合率及疫情报告知识知晓率等方面存在的问题不容忽视,必须采取有效措施予以纠正,尤其是乡镇医疗机构。Objective To understand the performance of notifiable communicable diseases reporting in Tonglu county and provide evidence for the improvement of the reporting quality.Methods Based on ＂National Protocol of Supervision and Inspection of Communicable Diseases Network Direct Reporting Quality（2009 edition）＂,the survey and analysis were conducted on the communicable diseases reporting quality in the medical institutions in Tonglu county in 2010.Results The miss reporting rate was 5.57%,the timely reporting rate was 100%,the complete rate of reporting cards was 90.96%,the consistent rate of paper cards and electronic cards was 92.66%,the diagnose accordance rates of virus hepatitis and bacillary dysentery were 88.16% and the awareness rate of knowledge about communicable disease reporting among medical personnel was 82.19%.The differences on all indicators between county medical institutions and township medical institutions had statistical significance except the consistent rate of paper cards and electronic cards（P〈0.05）.The miss reporting rate in county medical institutions was lower than in township medical institutions,but the completed rate of reporting cards,diagnose accordance rate and awareness rate of communicable disease reporting knowledge in county medical institutions were higher than in township medical institutions.Conclusion Much effort should be made to reduce the miss reporting rate,improve the complete rate of reporting cards and diagnose accordance rate and increase the awareness rate of communicable disease reporting knowledge in medical institutions in Tonglu,especially those at township level.

关 键 词：法定传染病 报告质量 调查分析 

分 类 号：R181.8[医药卫生—流行病学]