论文部分内容阅读
目的了解新疆哈密地区2011年各级医疗机构法定传染病漏报情况,为进一步提高传染病网络直报工作质量提供依据。方法按照《新疆医疗单位法定传染病漏报调查方案(2012版)》,对抽查的医疗机构进行传染病报告质量与漏报调查分析。结果本次调查共收集传染病个案103例,哈密地区医疗机构传染病总的漏报率为15.53%,发生漏报的病种为风疹、猩红热、流行性腮腺炎、其他感染性腹泻病和手足口病,漏报率依次为100.00%、33.33%、25.00%、20.00%和12.50%;地(州)级、县(区)级和乡(镇)级不同级别医疗机构传染病漏报率分别为8.33%、13.33%和24.32%;哈密地区法定传染病报告及时率85.00%,报卡填写完整率43.75%、准确率为31.43%,报告一致率27.50%;其中地(州)级医疗机构报卡填写完整率、准确率为27.27%和55.56%,县(区)级为45.45%和0,乡(镇)级为66.67%和37.50%;报告一致率乡(镇)级32.00%、县(区)级31.82%、地(州)级21.21%。结论各级医疗机构仍存在漏报现象,报告质量也有待进一步提高,需加强传染病报告工作的规范化管理和培训等措施,各级卫生行政部门应定期开展医疗机构传染病疫情报告工作的督导检查,进一步提高报告质量,避免漏报。
Objective To understand the omission of notifiable infectious diseases reported by medical institutions at all levels in Hami of Xinjiang in 2011 and provide the basis for further improving the quality of direct reports on infectious diseases network. Methods According to the Investigation Report of Notifiable Infectious Diseases by Medical Units in Xinjiang (Version 2012), the investigation and analysis of the quality and omission of infectious diseases in the medical institutions were conducted. Results A total of 103 cases of infectious diseases were collected in this survey. The overall omission rate of infectious diseases in medical institutions in Hami region was 15.53%. The types of omissions reported were rubella, scarlet fever, mumps, other infectious diarrhea and hand-foot Mouth disease and false negative rate were 100.00%, 33.33%, 25.00%, 20.00% and 12.50% respectively. The rate of undeclared infectious diseases in different levels of medical institutions at the prefecture (prefecture), county (district) and township Accounting for 8.33%, 13.33% and 24.32% respectively. The reporting rate of legal notifiable diseases in Hami area was 85.00% in a timely manner, the completion rate was 43.75%, the accuracy rate was 31.43%, and the report consistency rate was 27.50% Card complete rate, the accuracy rate of 27.27% and 55.56%, county (district) level of 45.45% and 0, township (town) level of 66.67% and 37.50%; report the same rate of township (town) class 32.00%, county District) level 31.82%, prefecture (state) level 21.21%. Conclusion There are still omissions in medical institutions at all levels, and the quality of the reports needs to be further improved. Measures such as standardized management and training of infectious disease reporting need to be stepped up. Health administrative departments at all levels should conduct regular inspections and inspections of infectious disease outbreaks in medical institutions , To further improve the quality of the report, to avoid omissions.