2015年四川省医疗机构传染病漏报情况调查  

Assessment on reporting rates of notifiable infectious disease in medical institutions in Sichuan province in 2015

作　　者：马莉珍[1] 罗湘蜀[1] 杨长虹[1] 许军红[1] 蔺鸿[1] 康殿巨[1] 张雪峰[1] 张雯[1] 

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2017年第3期247-251,共5页Journal of Preventive Medicine Information

摘　　要：目的调查2015年全省医疗机构法定传染病报告情况。方法分层多阶段抽样选取21个市州的87个医疗机构进行现场调查。结果本次共查出法定报告传染病1 132例,漏报率为7.69%;丙类传染病漏报率(8.48%)高于乙类(7.57%)。省级、市级、县级和乡镇级医疗机构漏报率分别为18.33%、6.34%、8.84%和4.40%,各级医疗机构门诊漏报率均高于住院部。全省医疗机构及时报告率为95.84%,报告卡填写完整率为95.68%,准确率为89.92%,纸质报告卡与网络报告卡信息一致率为90.88%。漏报率较高的疾病为炭疽(100%)、包虫病(57.14%)、伤寒和副伤寒/黑热病(33.33%)、肺结核(29.41%)和乙脑(18.75%)。漏报率较高的3个市(州)是乐山市(22.92%)、凉山州(20.41%)和泸州市(15.71%)。结论四川省医疗机构传染病报告质量比往年有所上升,但依然存在不少问题,主要表现为省级医疗机构的漏报情况严重,基层医疗机构报告能力差,部分市州疾控传染病报告管理部门的工作质量下降导致漏报率上升。Objective To ferent levels in Sichuan stratified cluster method evaluate the reporting ration of notifiable infectious disease in medical institutions at dif- province. Methods A total of 87 medical institutions were selected by a multi - stage and investigated. Results 1 132 cases were collected from the record of outpatient and inpatient and the whole missing reporting rate was 7.69%. Missing reporting ratio of category C infectious dis- ease was higher than category B. The missing reporting rates of the provincial, prefecture , country and town- ship levels medical organizations were 18.33%, 6. 34% , 8.84% and 4. 40% . and the missing reporting rate of outpatient was higher than inpatient in this research . Rates of infectious disease reporting card information on timeliness , integrity, accuracy , and consistency were 95.84%, 95.68%, 89. 92%, 90. 88% repara- tively . The top five disease of high missing reporting rates were： anthrax, echinococcus, typhoid and paraty- phoid, visceralle ishmaniasis, pulmonary tuberculosis, and Epidemic Type B Encephalitis, with rates of 100%, 57. 14%, 33.33%, 29.41% and 18.75% respectively. The top three cities of high missing reporting rates were： Leshan, Liangshan Yi Autonomous Prefecture, and Luzhou, with rates of 22. 92% , 20. 41% and 15.71% respectively. Conclusion Although the quanlity of infectious disease reporting card had been raised,the problem of the high missing reporting rates provincial medical hospitals showed obviously as well as the low capability in country hospitals in Autonomous Re- gion of Minority Nationalities. In some way, the focus on management of communicable diseases reporting in disease control and prevention institutions was reduced in some cities which led the high rates of the missing reporting.

关 键 词：传染病报告 四川省 疾病预防控制 

分 类 号：R183[医药卫生—流行病学]