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目的分析当前艾滋病疫情网络直报数据质量,探讨网络直报工作存在的问题。方法 2010年1月1日下载艾滋病网络直报系统中2009年报告HIV/AIDS的定时数据库及相关工作表,对艾滋病网络直报个案数据进行准确性、完整性、及时性的统计分析。艾滋病防治数据质量核查评估分县(区)级自评、省级考评和国家级考评三阶段进行。评估指标为报表合格率和网报直报率。结果 63.3%的病例报告来自疾病预防控制中心(CDC),县级CDC占68.9%;部分病例报告存在填写错误;身份证号码、联系电话、工作单位等部分非必填项填写率较低;传播途径的填写率已达100%,但其中传播途径填写“不详”者占9.5%;2009年流调率为98.4%,完成流调率为90.9%;有88.8%的病例在免疫印迹法确认或诊断后15 d内报告。艾滋病病例报告数据质量评估省级自查报表合格率为94.3%,网络直报率为99.3%;国家核查报表合格率为98.9%,网络直报率为100.0%。结论 2009年艾滋病报告的流调率、完成流调率和及时率等指标较2008年进一步得到提高,数据质量评估结果良好,针对存在的问题,在今后的工作中进行调整完善和针对性地加强。
Objective To analyze the quality of direct reporting data of AIDS epidemic and to discuss the problems existing in direct online reporting. Methods January 1, 2010 Download the HIV / AIDS Timing Database and Related Worksheet of 2009 from HIV / AIDS Network Direct Reporting System and conduct statistical analysis on the accuracy, completeness and timeliness of HIV / AIDS Network Direct Reporting case data. AIDS prevention and control data quality assessment assessment sub-county (district) self-assessment, provincial assessment and state-level assessment of three stages. Evaluation indicators for the report pass rate and net report rate. Results 63.3% of case reports came from Center for Disease Control and Prevention (CDC), accounting for 68.9% of CDC at county level. Some cases were incorrectly filled in. Some of the non-required fields, such as ID card number, contact telephone number and work unit, The filling rate of the route has reached 100%, but among them, “unknown” means 9.5% of the routes of transmission; the rate of transfer was 98.4% in 2009 and the rate of transfer was 90.9%; 88.8% of the cases were detected by immunoblotting Confirm or report within 15 days after diagnosis. AIDS case report data quality assessment Provincial self-examination report pass rate of 94.3%, the network reported rate of 99.3%; the national verification report was 98.9% pass rate, the network reported rate of 100.0%. Conclusion The flow rate of AIDS reports, the completion of the flow rate adjustment and the rate of advancement in 2009 are further improved as compared with 2008, and the data quality assessment results are good. According to the existing problems, the indicators for the AIDS report will be adjusted, consummated and targeted in the future work .