重庆市急性驰缓性麻痹病例监测工作质量研究  

Quality Assessment Study of Acute Flaccid Paralysis Surveillance in Chongqing City

作　　者：徐佳薇[1] 王青[1] 胡联友[1] 

机构地区：[1]重庆市疾病预防控制中心免疫规划所,重庆400042

出　　处：《现代预防医学》2014年第16期2960-2962,共3页Modern Preventive Medicine

摘　　要：目的评价重庆市证实无脊灰目标后近几年急性弛缓性麻痹(AFP)监测系统工作质量。方法对2004-2010年中国免疫规划信息系统中AFP监测数据进行统计分析。结果AFP病例监测系统敏感性下降;报告及时性和合格便采集情况较差,近年来在报告时间分布上、合格便采集情况上有统计学差异,P0.05;农村患者倾向于在低级别医疗就诊。结论近年来AFP监测质量有滑坡,应落实各级医疗机构AFP监测人员培训工作、提高AFP监测工作质量;加强乡镇级医疗机构特别是人才队伍的建设,避免漏诊;提高居民对新农合补偿方案知晓程度,以引导居民合理选择就诊机构。Objective This study aimed to evaluate the quality of the surveillance for acute flaccid paralysis （AFP） in nearly 7 years after achieving the goal of eradicating pdiomyelitis. Methods The SPSS software was used to analyze AFP surveillance data in the Chinese EPI surveillance system from 2004 to 2010. Results The sensitivity of AFP surveillance system was decreasing from 2004 to 2010 as demonstrated by deficiency of prompt report and qualified sample collection. There was conspicuous statistical difference in the time distribution of case reports （P〈0.05） and in qualified samples collection （P〈0.05）. Low level medical institutions were the first choice for patients in the countryside. Conclusion The quality of the surveillance of AFP has slipped in recent years. Training in medical services sites for AFP surveillance should be implemented. Staffs＇ work quality should be improved. To avoid the misdiagnosis, the establishment of medical institution and the professional development of its staff in townships should be strengthened. Efforts have to be made to improve residents＇ awareness of the new rural cooperative medical system so that they can choose medical institutions more reasonably.

关 键 词：急性弛缓性麻痹 监测 质量 

分 类 号：R183.4[医药卫生—流行病学]