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目的调查2015年全省医疗机构法定传染病报告情况。方法分层多阶段抽样选取21个市州的87个医疗机构进行现场调查。结果本次共查出法定报告传染病1 132例,漏报率为7.69%;丙类传染病漏报率(8.48%)高于乙类(7.57%)。省级、市级、县级和乡镇级医疗机构漏报率分别为18.33%、6.34%、8.84%和4.40%,各级医疗机构门诊漏报率均高于住院部。全省医疗机构及时报告率为95.84%,报告卡填写完整率为95.68%,准确率为89.92%,纸质报告卡与网络报告卡信息一致率为90.88%。漏报率较高的疾病为炭疽(100%)、包虫病(57.14%)、伤寒和副伤寒/黑热病(33.33%)、肺结核(29.41%)和乙脑(18.75%)。漏报率较高的3个市(州)是乐山市(22.92%)、凉山州(20.41%)和泸州市(15.71%)。结论四川省医疗机构传染病报告质量比往年有所上升,但依然存在不少问题,主要表现为省级医疗机构的漏报情况严重,基层医疗机构报告能力差,部分市州疾控传染病报告管理部门的工作质量下降导致漏报率上升。
Objective To investigate the report of notifiable infectious diseases in medical institutions in 2015 in China. Methods Stratified and multistage sampling 87 medical institutions in 21 cities and prefectures were selected for on-site investigation. Results A total of 1 132 statutory reported communicable diseases were detected. The omission rate was 7.69%. The omission rate of C (8.48%) was higher than that of B (7.57%). The omission rates at provincial, municipal, county and township level medical institutions were 18.33%, 6.34%, 8.84% and 4.40%, respectively, and the omission rates of outpatient visits at all levels of medical institutions were higher than those of inpatient departments. The timely reporting rate of medical institutions across the province was 95.84%, the completion rate of report card filling was 95.68% and the accuracy rate was 89.92%. The consistency rate of paper report card and online report card information was 90.88%. The most common reported diseases were anthrax (100%), echinococcosis (57.14%), typhoid and paratyphoid fever / malaria (33.33%), tuberculosis (29.41%) and JE (18.75%). The three cities with higher false negative rates are Leshan (22.92%), Liangshan (20.41%) and Luzhou (15.71%). Conclusion The quality of infectious disease reporting in medical institutions in Sichuan Province has risen over the previous years, but many problems still remain. The main problems are the omission of reporting at the provincial medical institutions, the poor reporting ability of primary medical institutions, and the reports of some state CDC epidemics The decline in the quality of the work of management led to an increase of underreporting rate.