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目的分析宜昌市2007-2011年预防接种疑似异常反应(AEFI)调查诊断处理现状,为制订湖北省异常反应补偿办法提供参考。方法收集整理近5年调查处理个案,建立EXCEL数据库。结果预防接种纠纷案调查处理59起,其中56起予以补偿或赔偿,补偿率为94.92%。总体表现为:(1)补偿率高与调查诊断率低的两极分化。其中补偿经费中偶合反应和接种差错所占比重大,分别占42.29%和18.45%。(2)接种差错事件成为赔偿“重灾区”。(3)AEFI调查诊断程序复杂,周期长。(4)确诊为偶合反应的个案处理难度大。(5)县市调查诊断工作还存在薄弱环节,凸显人力与财力投入不足的特点。结论建立健全法规体系,提高AEFI调查诊断质量与覆盖率,确保调查诊断工作规范化、人性化。
Objective To analyze the status of diagnosis and treatment of suspected abnormal reaction (AEFI) in Yichang City from 2007 to 2011, and to provide reference for formulating the compensation for abnormal reaction in Hubei Province. Methods To collect and organize the investigation and handling cases in the recent 5 years and establish the EXCEL database. Results 59 cases of vaccination dispute investigation were handled, of which 56 were compensated or compensated, the compensation rate was 94.92%. The overall performance as follows: (1) the high compensation rate and the survey diagnosis rate is low polarization. Among them, coupling compensation and vaccination errors accounted for 42.29% and 18.45% respectively. (2) Inoculation error event becomes compensation “hardest hit area ”. (3) AEFI investigation of complex diagnostic procedures, long cycle. (4) It is very difficult to deal with the cases of confirmed coupling reaction. (5) There is still a weak link in the investigation and diagnosis of counties and cities, highlighting the inadequacy of manpower and financial resources. Conclusion The establishment of a sound regulatory system to improve the quality of diagnosis and coverage of AEFI survey and coverage, to ensure that the investigation and diagnosis of standardized and humane.