北京市临床医生新发传染病报告知信行调查  

Investigation on knowledge,belief and practice of clinical doctors in reporting emerging infectious diseases

作　　者：史芸萍[1] 高燕琳[1] 刘洋[1] 王超[1] 虎霄 周滢[1] 李伟 李刚[1] SHI Yunping;GAO Yanlin;LIU Yang;WANG Chao;HU Xiao;ZHOU Ying;LI Wei;LI Gang(Beijing Center for Disease Prevention and Control,Beijing 100013,China)

机构地区：[1]北京市疾病预防控制中心,100013

出　　处：《首都公共卫生》2024年第3期167-172,共6页Capital Journal of Public Health

基　　金：北京市疾病预防控制中心、北京市预防医学研究中心科研培育专项(编号:2020-BJYJ-18)。

摘　　要：目的了解北京市临床医生对新发传染病报告的知信行情况,为将来更好地报告新发传染病提供参考依据。方法采用多阶段抽样方法,对呼吸科、感染科临床医生进行线上问卷调查,收集其人口学信息、传染病报告相关知识素养、新型冠状病毒感染(以下简称新冠感染)诊疗及报告行为等相关信息,组间比较采用χ^(2)检验。结果抽取152家医疗机构,实际完成调查148家。共收回问卷495份,其中491份有效,问卷有效率为99.2%。调查对象以30~<50岁(74.1%)、本硕学历(89.2%)、中高级职称(83.7%)、女性(67.8%)为主,对传染病报告工作感到不厌烦的占60.1%,认为传染病报告工作非常重要、传染病报告相关培训非常有必要的占比均≥80.0%。临床医生认为传染病报告卡中难以收集的项目包括现住址、人群分类、病人属于、工作单位、发病日期、联系方式;其中前3项被认为不必要收集项目;患者不配合、传染病报告卡内容理解问题、工作忙没时间、单位系统问题是传染病报告卡填写不顺利的主要原因。有新冠感染报告的医疗机构调查对象中高学历(χ^(2)=5.526,P<0.001)、高职称(χ^(2)=6.136,P=0.047)、填写过传染病报告卡(χ^(2)=8.384,P=0.004)及接到过新冠感染相关通知文件(χ^(2)=4.696,P=0.030)的占比均高于无新冠感染报告组,前者的传染病报告知识储备考试优秀占比高于后者(χ^(2)=14.166,P<0.001)。结论临床医生具备依法依规及时报告法定传染病的意识,传染病报告卡中的项目亟待梳理,临床医生填卡不顺利涉及患者、自身、系统三方面原因,需采取不同的改进措施。新发传染病的报告,受政策影响容易集中在高级别或定点医疗机构,非定点医疗机构的传染病报告工作需政策支持并提升诊疗能力。Objective To understand the knowledge,belief,and practice of clinical doctors in Beijing regarding the reporting of emerging infectious diseases,and to provide experience for emerging infectious disease reporting system in future.Methods Multi-stage sampling method was used to conduct an online questionnaire survey on clinicians in department of respiratory and department of infectious disease.General demography,knowledge and literacy related to infectious disease reporting,diagnosis and treatment of COVID-19,reporting behaviors and other relevant information of the respondents were collected,andχ^(2)test was used to analyze the differences among different groups.Results A total of 152 medical institutions were selected,and 148 were finally completely surveyed.A total of 495 questionnaires were retrieved,with a questionnaire valid rate of 99.2%.Survey subjects were mainly females,aged between 30-<50 years old,with a bachelor’s degree as the main education level.They had positive attitude towards infectious disease reporting work,with 60.1%of them feeling untired on it and≥80.0%of them considering it very important.Clinical doctors believed that the items that were difficult to collect were current address,career,patient affiliation,workplace,date of onset,and phone number.The patient’s affiliation,job,and current address were considered unnecessary collection items.The main reasons were lack of patient cooperation,misunderstanding of the content,lack of time and issues with the system.The proportion of high education(χ^(2)=5.526,P<0.001),high professional title(χ^(2)=6.136,P=0.047),completed infectious disease report card(χ^(2)=8.384,P=0.004),and received COVID-19 related notification documents(χ^(2)=4.696,P=0.030)in the report group with COVID-19 infection cases were higher than those without COVID-19 infection case report.The proportion of excellent candidates in the knowledge reserve exam in the group with infectious disease case reports was higher than that in the group without case reports(χ^(2)=

关 键 词：传染病报告 知信行 新发传染病 

分 类 号：R155.3[医药卫生—营养与食品卫生学]