法定传染病疫情报告质量调查

Analysis of Reporting Quality on Infectious Disease Information

目的了解安徽省法定传染病疫情报告质量和传染病疫情信息利用水平，探讨进一步提高疫情报告质量的方法。方法采取分层抽样方法抽取36个医疗机构(包括16个村卫生室)，查阅这些医疗机构2003年7～9月份和2004年6月份传染病诊疗登记与报告资料，评价传染病报告率、迟报率、重报率以及传染病疫情管理质量。结果2003年和2004年调查对象传染病报告率分别为88．9％和92．2％，95％可信限分别为93．2％～84．6％和96．3％～88．1％。2003年三级医疗机构传染病报告率差异有显著性(X^2=9．1313，P<0．05)，2004年三级医疗机构传染病报告率差异无显著性(X^2=0．3725，P>0．05)；迟报率分别为5．3％和21．0％。结论传染病疫情实施网络直报大大提高了传染病报告率，医疗机构需要加强传染病疫情管理，疾病预防控制中心需要提高传染病疫情信息分析和利用能力。

Objective To know reporting quality of communicable diseases and improve utilization of infectious diseases information. Methods We collected the reported data of infectious disease in 7~9, 2003 and 6, 2004 from the 36 medical units which were selected by stratified sample in 2 prefectures, 4 counties, 8 communities and 16 villages in order to evaluate reporting rate, tardy status, repetitive rate and administrative quality on infections. Results The total reporting rate of infectious disease in the municipal, county and community medical institutions were 88.9%, 92.2% respectively in 2003 and 2004,and 95% confidence intervals were 93.2%～84.6% and 96.3%～88.1%. The reporting rate of the medical institutions at the three different levels had significant difference in 2003 (χ 2 =9.1313,P<0.05), but no significant difference in 2004. (χ 2 =0.3725, P>0.05). The late reporting rate was 5.3% and 21.0% in 2003 and 2004 respectively. Conclusions The infectious disease net reporting system had improved case reporting rate. Medical institutions should strengthen infectious disease information management further and the centers for disease control and prevention at various levels should enhance analysis of infections information.