2013年天津市医疗机构传染病报告质量调查  

Investigation of quality of communicable disease reporting in medical institutions in Tianjin,2013

作　　者：陈虹[1] 夏卫东[1] 许婕[1] 刘长娜[1] 徐娜[1] 

机构地区：[1]天津市疾病预防控制中心卫生信息所,天津300011

出　　处：《疾病监测》2014年第7期586-589,共4页Disease Surveillance

摘　　要：目的了解天津市医疗机构传染病报告质量和工作现状,为提高传染病报告质量提供参考依据。方法调查各区(县)医疗机构2013年1—9月门诊、住院病历,二、三级医疗机构抽查门诊病例20例和住院病例5例,一级医院抽查门诊病例10例。核对抽查病例所在医院的门诊住院病例登记、传染病卡片、网络直报系统电子卡片三者之间信息,计算传染病漏报率、及时报告率、报告卡填写完整率和准确率、报告卡与网络报告信息一致率。结果调查传染病690例,总漏报率2.17%,乙、丙类传染病漏报率分别为2.33%和1.97%(χ2=0.10,P=0.75)。及时报告率99.11%,纸质报告卡填写完整率98.67%,纸质报告卡填写准确率75.56%,网络报告信息一致率93.93%。结论天津市2013年传染病总漏报率较低,各医疗机构电子病历系统使用情况差别较大,报告质量有待提高,需加强督导和培训力度,完善电子病历的应用,从而减少漏报病历,提高医疗机构法定传染病报告率。Objective To evaluate the quality of notifiable communicable disease reporting in medical institutions in Tianjin. Methods The survey was conducted in medical institutions in Tianjin from January to September, 2013 by examining medical records and case survey. The underreporting rate, timeliness rate, completeness and accuracy of reporting cards and concordance rate of electronic reporting were evaluated. Results A total of 690 cases were surveyed. The overall underreporting rate was 2.17% , the underreporfing rate was 2.33% for diseases in class B and 1.97% for disease in class C （χ2 = 0. 10, P = 0. 75 ）. The overall timeliness rate was 99.11%, the completeness and accuracy of reporting cards were 98.67% and 75.56%, the concordance rate of electronic reporting was 93.93%. Conclusion The overall underreporting rate of communicable diseases in medical institutions in Tianjin was low and the application of electronic recording system varied. It is necessary to improve the reporting quality by strengthening supervision and training, improving the application of electronic recoding system for the purpose of reduction of underreporting and increase of the reporting rate of notifiable communicable diseases .

关 键 词：医疗机构 法定传染病 漏报率 报告质量 

分 类 号：R181.81[医药卫生—流行病学]