产科新生儿预防接种信息管理系统的实现和实施效果的评价  

Implementation and Effect Evaluation of Obstetric Neonatal Immunization Information Management System

作　　者：蔡碧[1] 李宁[1] 张迟[1] 王雷[1] 唐险峰[1] 罗玉娥[1] 

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《中国疫苗和免疫》2014年第2期141-145,159,共6页Chinese Journal of Vaccines and Immunization

摘　　要：目的评价产科新生儿预防接种信息管理系统(Obstetric Neonatal Immunization Information Management System,ONIIMS)的实现及实施效果,加强和规范儿童预防接种信息管理系统的报告,提高预防接种信息采集及时率、准确性、覆盖率。方法通过使用浏览器/服务器(Browser/Server,B/S)架构,建立ONIIMS平台,实现湖北全省1457个产科预防接种单位用户和500多个卫生行政部门及疾病预防控制机构系统管理用户,对产科新生儿预防接种个案信息的管理系统。根据所选定的预防接种管理单位,将全省产科新生儿预防接种个案信息自动推送至全省1844个预防接种单位客户端系统,客户端系统自动下载相关个案信息,完成平台和客户端之间数据的动态更新。结果经过2年的运行,全省共有1457个产科预防接种单位,用户系统使用权限覆盖率100%。有新生儿出生的产科1392个,产科新生儿建档覆盖率为95.54%;共完成了1 271 781名新生儿的个案建档,个案信息完整率为94.02%;5日及时建档率为87.19%,5日个案及时审核率95.64%。卡介苗接种率为86.27%,首剂乙型肝炎(乙肝)疫苗(First Dose Hepatitis B Vaccine,HepB1)接种率为95.58%,HepB1及时接种率为90.26%,新生儿母亲乙肝病毒表面抗原阳性率为4.12%,新生儿接种乙肝免疫球蛋白率5.45%。结论 ONIIMS的实施和应用,加强了信息采集的及时性、准确性、完整性,与预防接种单位客户端实现了无缝链接。从根本上解决了儿童底数、重复建预防接种卡、流动儿童异地接种数据共享、接种率计算不准确等,目前儿童预防接种信息管理系统无法解决的难题。Objective Evaluation of obstetric neonatal immunization information management system implementation and evaluate effect, strengthen and standardize child vaccination information management system reports, improve immunization information collection timely rates and accuracy and coverage. Method By using the Browser/Server （B/S） structure, to establish obstetric neonatal vaccination information management platform and to achieve the systematic management to Hubei province＇s 1457 maternity units inoculated users and more than 500 units of health administrative departments and disease prevention and control, and obstetric neonatal vaccination case information management system. Based on the selected units, children~ immunization information automatically sent to the 1844 vaccination units in the whole province. The client download the vaccination information, complete platform and customer end of data between dynamic updates. Result After implementation the information system for two years, there were total 1,457 units of obstetric inoculation in the province,the user system coverage was 100%. There were 1 ,392 obstetrics which being in charge of neonatal delivery, and the coverage of establishing file of neonatal in obstetric was 95.54%. 1,271,781 neonatal completed the immunization information. Completeness of case immunization information was 94.02%. Timely filing rate within 5 days was 87.19% ,the timely audit rate within 5 days was 95.64%. Bacilli Calmette-Guerin vaccine vaccination rate was 86.27%, HepB1 coverage was 95.58%, timely HepB1 coverage was 90.26%, mothers＇hepatitis B surface antigen positive rate was 4. 12%, all neonatal hepatitis B immuno globulin coverage rate was 5.45%. Conclusion Implementation and application of neonatal vaccination information management system in obstetric enhanced information collection timeliness, accuracy and completeness. It resolved problems, such as getting correct targeted population, repeat vaccination cards, sharing immunization information of migrant childr

关 键 词：预防接种 信息管理系统 产科预防接种单位 新生儿 浏览器 服务器架构 

分 类 号：R186[医药卫生—流行病学]