民营医疗机构传染病网络直报漏报现状调查  被引量:9

Status analysis of underreporting in the direct online reporting system of infectious diseases in private medical institutions

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作  者:王晴 赵宏婷 刘丹 夏云婷[3] 王珊[4] 姜晓红[4] Wang Qing;Zhao Hongting;Liu Dan;Xia Yunting;Wang Shan;Jiang Xiaohong(Division of Infectious Diseases,Chinese Center for Disease Control and Prevention,Beijing 102206,China;Department of Toxicology,Institute of Occupational Health and Poison Control,Chinese Center for Disease Control and Prevention,Beijing 100050,China;Prevention and Control Center Rural Water Improvement Technical Guidance Center,Beijing 102200,China;Department of Surveillance and Information,Chaoyang District Center for Disease Control and Prevention,Beijing 100021,China)

机构地区:[1]中国疾病预防控制中心传染病管理处,北京102206 [2]中国疾病预防控制中心职业卫生与中毒控制所毒理室,北京100050 [3]中国疾病预防控制中心农村改水技术指导中心,北京102200 [4]北京市朝阳区疾病预防控制中心监测信息科,100021

出  处:《中华医院管理杂志》2020年第8期634-638,共5页Chinese Journal of Hospital Administration

摘  要:目的:了解民营医疗机构传染病报告现状和漏报率,探讨民营医疗机构在传染病报告管理中存在的问题,为其规范管理提供科学依据。方法:采用现场查阅资料、面对面访谈的方式,收集2019年1—5月反映北京市朝阳区具有网络直报权限的16家民营医疗机构传染病报告现状的定量数据和定性资料。用率、构成比等指标对样本特征及调查指标进行描述,率或构成比的比较采用χ^2检验。结果:朝阳区具有网络直报权限的16家民营医疗机构传染病漏报率为11.73%,漏报率居前3位的传染病为急性出血性结膜炎(100.00%)、生殖器疱疹(100.00%)和病毒性肝炎(96.36%);住院部漏报率高于门诊部,慢性传染病的漏报率高于急性传染病;民营医疗机构存在传染病诊断培训不足,自查等制度不完善、落实不到位等问题。结论:朝阳区民营医疗机构的传染病漏报率较高,其中以慢性传染病漏报最为严重。需加强传染病诊断培训,紧密结合电子信息系统进一步规范医院传染病报告流程以减少漏报,为医院传染病防控建立基础。Objective To understand the missing report rate and reporting status of infectious diseases in private medical institutions and discuss the defects involved,so as to provide a scientific basis for further standardizing the management of infectious disease reporting.Methods By virtue of onsite data collection and face-to-face interview of 16 private hospitals in Chaoyang district of Beijing from January to May 2019,which were equipped with direct network report system,qualitative and quantitative data of their current infectious disease reporting were collected.Ratio or constituent ratio indicators was used to describe sample characteristics and survey indicators,while the ratio or constituent ratio were compared viaχ^2 test.Results The missing report rate of these hospitals was 11.73%.Top three infectious diseases neglected were acute hemorrhagic conjunctivitis(100.00%),genital herpes(100.00%)and viral hepatitis(96.36%).The missing report rate of inpatients was higher than that of outpatients,and that of chronic infectious diseases was higher than that of acute infectious diseases.These hospitals were found with such defects as insufficient training of infectious disease diagnosis,and poor self-inspecting regulations and poor management actions.Conclusions The missing reports rate of infectious diseases was high among private hospitals in Chaoyang district,especially that of chronic infectious diseases.It is necessary to strengthen infectious disease diagnosis training,and further standardize the infectious disease reporting process in hospitals using the electronic information systems,so as to reduce underreporting and consolidate infectious disease prevention and control in hospitals.

关 键 词:民营医疗机构 传染病报告 漏报 医院管理 

分 类 号:R197.2[医药卫生—卫生事业管理]

 

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