四川省基于区域平台自动交换的传染病报告现状调查  

Investigation on the status of infectious disease reports based on automatic exchange of regional platforms,Sichuan

作　　者：李羚[1] 张雪峰[1] 刘润友[1] 张云娜[1] 吕强[1] LI Ling;ZHANG Xue-feng;LIU Run-you;ZHANG Yun-na;LV Qiang(Sichuan Center for Disease Control and Prevention,Chengdu,Sichuan 610041,China)

机构地区：[1]四川省疾病预防控制中心,四川成都610041

出　　处：《现代预防医学》2024年第16期2988-2992,共5页Modern Preventive Medicine

摘　　要：目的为了解四川省二级及以上医疗机构基于区域平台自动交换的传染病报告现状,为下一步完善传染病信息报告自动交换工作提供依据。方法通过系统查看计算交换成功率、粗交换成功率,现场通过问卷调查了解传染病报告管理相关系统使用情况。R软件用于统计分析。结果2023年7—12月68家医疗机构交换成功率为92.67%,粗交换成功率达到95.87%。市级与其他级别医疗机构比较,交换成功率、粗交换成功率较高,实现自动交换时间间隔较长。交换成功率与实现自动交换时间间隔(r=0.44,P<0.001)、粗交换成功率(r=0.51,P<0.001)均呈正相关。90%以上的机构有医院信息系统(Hospital Information System,HIS)、实验室信息系统(Laboratory Information System,LIS)、影像归档和通信系统(Picture Archiving and Communication Systems,PACS)。77.94%的机构能自动生成传报卡,80%以上具有传报卡管理和信息统计查询功能。73.53%实现了传染病报告卡(传报卡)的自动预警,预警后强制报卡的机构占比25%。自动交换后感觉工作量减轻的占比88.24%。结论医疗机构交换成功率及粗交换成功率整体较高,市级高于其他级别医疗机构。医疗机构基本信息系统建设率较高,但自动交换相关基础功能还不完善。自动交换一定程度上提高了报告的效率,但仍不能完全替代手工报卡。Objective To understand the status quo of infectious disease reports automatically exchanged by secondary and above medical institutions in Sichuan province based on regional plaform,and provide basis for improving the work on automatic exchange of infectious disease information reports in the next step.Methods Check and calculate the success rates of exchange and rough exchange through the system,the use of the infectious disease reporting management related systems was investigated by questionnaire survey.T-test and chi-square test were used for comparison between groups,and spearman correlation analysis was used for correlation.Results From July to September 2023,the exchange success rate in 68 medical institutions was 92.67%,and the success rate of crude exchange reached 95.87%.Compared with other level medical institutions,municipal medical institutions had higher success rate of exchange and crude exchange,and longer time interval to realize automatic exchange.The exchange success rate was positively correlated with the time interval to realize automatic exchange(r=0.44,P<0.001)and the crude exchange success rate(r=0.51,P<0.001).More than 90%of the institutions had HIS,LIS,PACS.77.94%of the institutions could automatically generate the report card,more than 80%had the report card management and information statistics query functions.73.53%realized the automatic early warning of infectious disease report card,and 25%of the institutions reported the card forcibly after the early warning.88.24%felt that the workload of infectious disease report was reduced after automatic exchange.Conclusion The success rate of automatic exchange and the success rate of crude exchange in medical institutions were higher overall,municipal medical institutions were higher than other levels of medical institutions.The construction rate of basic information system in medical institutions was high,but the basic functions of automatic exchange were not perfect.Automatic exchange improves the efficiency of reporting to some extent,bu

关 键 词：区域平台 自动交换 传染病报告 

分 类 号：R195.4[医药卫生—卫生统计学]