2022年度成都市郫都区传染病报告管理现状及迟漏报情况分析  

Analysis on the current status of the management of infectious diseases report and the delayed and missed reports in Pidu District in 2022

作　　者：于芳芳 彭媛 林洋 丁于评 王梦媛 吴茜 YU Fangfang;PENG Yuan;LIN Yang;DING Yuping;WANG Mengyuan;WU Qian(Chengdu Pidu District Center for Disease Control and Prevention,Chengdu 611730,Sichuan Province,China.)

机构地区：[1]成都市郫都区疾病预防控制中心,成都611730

出　　处：《职业卫生与病伤》2024年第1期26-31,共6页Occupational Health and Damage

摘　　要：目的 了解成都市郫都区传染病报告管理现状,为进一步规范传染病报告管理工作提供科学依据。方法 自制传染病报告管理调查表,于2023年5至7月对成都市郫都区纳入中国疾病预防控制信息系统的医疗机构开展全覆盖调查,利用Excel 2010、SPSS 23.0软件对相关数据进行汇总、分析,以P<0.05为差异有统计学意义。结果 2022年5月至2023年4月期间成都市郫都区医疗机构传染病报告率99.63%,及时率98.51%,高于国家规定95.00%以上的目标,传染病报告质量较好,但仍普遍存在迟报、漏报问题,存在迟报、漏报的机构占52.94%,其中医疗机构类型、人员配置、传报工作开展情况及医院信息化建设情况均会影响传染病报告质量,具体表现为医疗机构级别较低、门诊量较小、工作人员人数达标、工作年限较长、职称较高、自查频率较高及培训全覆盖的医疗机构报告率、及时率较高;培训次数较多的及时率较高;HIS与PACS/LIS互联互通的及时率较高。结论 成都市郫都区门诊量较大的综合性医疗机构占比大,且大部分医疗机构存在人员配置较低、自查、培训等重点日常工作流于形式、信息化建设落后等问题,今后应在上述方面着重指导,督促各医疗机构尽快整改到位,逐步提高郫都区传染病报告管理质量。Objective To understand the status of infectious disease reporting management in Pidu District,and to provide the scientific basis for further standardize the reporting and management of infectious disease. Methods During May to July 2023, a full-scale survey was conducted on medical institutions which were included in the Information System for Disease Prevention and Control of China in Pidu District of Chengdu,and the relevant data were summarized and analyzed by using Excel 2010 and SPSS 23.0,the difference P<0.05 was considered statistically significant.Results The reporting rate of infectious diseases was 99.63% and the timely rate of report was98.51% in the medical institutions of Pidu District of Chengdu from May 2022 to April 2023. which was higher than the 95.00% national targets. The reporting quality of infectious diseases in the region was good, but there were still problems of late reporting and underreporting, with 52.94%of the institutions had late reporting and underreporting. The type of hospital,personnel allocation,reporting work and hospital information construction will affect the reporting quality of infectious diseases, the specific performance was that the level of medical institutions was low, volume of outpatient was less, the number of staff was up to standard, long working years, higher titles,higher frequency of self-examination and the reporting rate and timeliness rate of medical institutions with full coverage of trainning was higher;The more training the higher the rate of timely report;The timely interconnection rate between HIS and PACS/LIS was higher. Conclusions There are large proportion of comprehensive medical institutions with a large number of outpatient clinics in Pidu District of Chengdu, and most of the medical institutions have low staffing, key daily work such as self-inspection and training is just a formality and not implement as requrired,lag of information construction and so on;In the future,we should give priority guidance in the above aspects,urge the medical

关 键 词：法定传染病 报告质量 迟报 漏报 

分 类 号：R181.8[医药卫生—流行病学]