滨州市法定传染病医疗机构报告数据准确性及影响因素分析  

Analysis of the accuracy and influencing factors of the data reported by the hospitals of notifiable infectious diseases in Binzhou

作　　者：张云兰 王俊华 罗卫华[1] 丁元江[1] 郭辉[1] Zhang Yunlan;Wang Junhua;Luo Weihua;Ding Yuanjiang;Guo Hui(Binzhou Center for Disease Control and Prevention,Binzhou 256600,China;Binzhou People′s Hospital,Binzhou 256600,China.)

机构地区：[1]滨州市疾病预防控制中心,山东滨州256600 [2]滨州市人民医院,山东滨州256600

出　　处：《中国医院统计》2022年第6期428-434,共7页Chinese Journal of Hospital Statistics

摘　　要：目的了解滨州市法定传染病报告质量与管理现状,发现存在问题,为规范报告管理工作,提高报告质量提供依据。方法采用分层随机抽样方法,抽取滨州市97家医疗机构进行法定传染病报告质量与管理现状调查。定性资料采用频数和构成比/率(%)进行描述,组间差异分析采用χ^(2)检验;多因素分析采用多元logistic回归。结果2017-2020年每年开展传染病报告自查的医院均在90%以上,开展传染病相关培训的医院占比逐年提高。不同级别、不同类别医疗机构传染病漏报率、报卡及时率、报卡填写完整率、报卡填写准确率及报告卡有效证件填写完整率均有统计学差异(P<0.05)。工作人员专职、定期对医务人员开展传染病管理知识培训、定期开展传染病报告质量自查、实现电子病案管理、影像科有异常结果反馈记录、检验科有异常结果反馈记录等是传染病报告质量的独立影响因素(P<0.05)。结论给予专项经费,保障专业队伍稳定,加强传染病报告规范及诊断标准培训,加强传染病网络直报规范化管理,健全完善传染病报告制度,加快推进监测报告信息化建设,是提高传染病报告质量的重要举措。Objective To understand the status quo of reporting quality and management of the notifiable infectious diseases in Binzhou,and to find out problems in the work,so as to provide theoretical basis for standardizing reporting management and improving the reporting quality.Methods Stratified random sampling method was used to select 97 medical institutions in Binzhou City to investigate the reporting quality and management status of notifiable infectious diseases.Qualitative data were described by frequency and constituent ratio/rate(%),and differences between groups were analyzed by chi-square test.Multivariate logistic regression was used for multivariate analysis.Results From 2017 to 2020,more than 90%of medical institutions carried out self-examination of infectious disease reporting every year,and the proportion of medical institutions carrying out training related to infectious disease increased year by year.There were statistical differences among different levels and different categories of medical institutions in terms of the under-reporting rate,timeliness rate,integrity rate,accuracy and the integrity rate of valid identification of infectious disease reporting(P<0.05).Full-time staff,regular training of infectious disease management knowledge for medical staff,regular self-examination of infectious disease reporting quality,implementation of electronic medical record management,abnormal results feedback records in imaging departments,abnormal results feedback record in laboratory departments were independent influencing factors of infectious disease reporting quality(P<0.05).Conclusion The important measures to improve the quality of infectious disease reporting are to provide special funds,ensure the stability of professional team,strengthen the training of infectious disease reporting standards and diagnostic standards,strengthen the standardized management of infectious disease network direct reporting,perfect the infectious disease reporting system,and accelerate the construction of surveillance repo

关 键 词：传染病报告管理 法定传染病 影响因素 滨州市 

分 类 号：R195.4[医药卫生—卫生统计学]