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目的对兰州市2004-2009年法定传染病网络直报信息质量进行评价,为进一步提高报告信息质量提供科学依据。方法利用《疾病监测信息报告管理系统》监测数据,运用SPSS 11.5软件对网络报告信息质量进行综合评价。结果 2004-2009年兰州市共报告法定报告传染病报告卡164 973张,未及时报告29 142张,未及时审核5 424张,无重卡,无零缺报县(区);未及时报告率为17.66%,未及时审核率为3.29%;2009年传染病病例从诊断到报告的时间间隔为0.56d,从报告到审核的时间间隔为0.84h;报告质量呈逐年上升趋势;报告质量较好的县(区)为城关区、榆中县,较差的为永登县、西固区。结论 2004-2009年兰州市疫情报告质量逐年提升,但报告质量存在地区不平衡性。医疗机构的迟报是直接影响兰州市网络直报工作的主要因素。因此,要进一步强化各级疾病预防控制机构和卫生监督机构对属地医疗机构传染病报告管理的指导和监督力度。
Objective To evaluate the quality of direct reporting of notifiable infectious diseases network in Lanzhou from 2004 to 2009, and provide scientific basis for further improving the quality of the reported information. Methods Using the monitoring data of disease monitoring information reporting system, SPSS 11.5 software was used to evaluate the quality of online reporting information. Results A total of 164 973 report cards of legal notifiable infectious diseases were reported in Lanzhou in 2004-2009, 29 142 were not reported in time, 5 424 were not examined in time, no heavy truck was found, and no county (district) 17.66%, not timely review rate was 3.29%; 2009, the time between diagnosis and reporting of infectious diseases was 0.56 days and the time interval from reporting to auditing was 0.84 hours; the quality of the reports showed an upward trend year by year; the quality of the reports was good County (district) for Chengguan District, Yuzhong County, poor for Yongdeng County, Xigu District. Conclusion The quality of epidemic reports in Lanzhou City increased year by year from 2004 to 2009, but the quality of the reports was uneven. Late reporting of medical institutions is a direct impact Lanzhou direct network report the main factors. Therefore, it is necessary to further strengthen the guidance and supervision of disease prevention and control agencies and health supervision agencies at all levels on the management of infectious disease reports of medical institutions in territories.