2018—2021年吉林省医疗机构传染病网络直报质量评价  

Evaluation of the reporting quality of notifiable infectious disease in medical institutions in Jilin Province from 2018 to 2021

作　　者：朱红 徐长喜[2] 潘阳[2] 赵庆龙[2] ZHU Hong;XU Changxi;PAN Yang;ZHAO Qingong(Jilin Provincial Institute of Tuberculosis Prevention and Treatment,Changchun 130062,Jilin Province,China;Jilin Provincial Center for Disease Control and Prevention)

机构地区：[1]吉林省结核病防治科学研究院,吉林长春130062 [2]吉林省疾病预防控制中心

出　　处：《热带病与寄生虫学》2023年第5期287-290,共4页Journal of Tropical Diseases and Parasitology

摘　　要：目的掌握吉林省各级医疗机构法定传染病信息报告质量,为提升全省传染病信息报告质量提供依据。方法运用多阶段分层随机抽样方法调查2018—2021年吉林省不同级别医疗机构法定传染病报告情况,采用优劣解距离(technique for order preference by similarity to an ideal solution,TOPSIS)法进行综合质量评价。结果2018—2021年,对吉林省内134家医疗机构开展调查,其中省级5家,地市级32家,县区级47家,乡镇级50家;法定传染病报告率为96.89%,报告及时率为99.75%,纸质(电子)传染病报告卡填写完整率为99.82%,纸质报告卡填写准确率为95.93%,网络报告信息一致率为93.47%,报告卡有效证件号填写完整率为99.79%。TOPSIS法综合评价结果显示,各级别医疗机构传染病报告综合质量从高到低依次为省级、乡镇级、地市级、县区级。结论吉林省医疗机构传染病网络直报质量整体较好,但仍存在报告不及时和不准确等问题,应继续提升医疗机构传染病报告水平。Objective To understand the quality of statutorily notifiable infectious disease information reported directly via network in medical institutions at all levels in Jilin Province for evidences to improve the quality of infectious disease information reporting across the province.Methods By multi-stage stratified random sampling,we retrieved the reports of notifiable communicable diseases from different levels of medical institutions in Jilin Province from 2018 to 2021,and applied the technique for order preference by similarity to an ideal solution(TOPSIS)to comprehensively evaluating the quality of the reports.Results A total of 134 medical institutions,including 5 institutions at provincial level,32 at prefecture level,47 at county level and 50 at township level in Jilin Province underwent survey from 2018 to 2021.The reporting and timely reporting rate of notifiable infectious diseases were 96.89%and 99.75%,respectively.The completion rate of infectious diseases reported by hard copy(electronic)and the accuracy rate of the hard copy were respectively 99.82%and 95.93%.The consistency rate of information in network reporting was 93.47%,and the completion rate of valid documentation numbers in the hard copy was 99.79%.Comprehensive evaluation results by TOPSIS method showed that the comprehensive quality of infectious disease reporting in medical institutions at all levels was ranked from high to low as provincial,township,prefecture,and county-level.Conclusion The quality of statutorily notifiable infectious disease information reported directly via network in medical institutions in Jilin Province was generally good,yet certain issues,such as delayed and inaccurate reporting,still exist,which suggests that the reporting quality should be further polished in the medical institutions.

关 键 词：医疗机构 法定传染病 报告质量 优势解距离法 吉林省 

分 类 号：R181.8[医药卫生—流行病学]