我国急性血吸虫病疫情漏报原因的探讨

Investigation on reasons of missing cases' report for acute sch-istosomiasis

目的了解我国急性血吸虫病疫情漏报的主要原因。方法利用头脑风暴法提出急性血吸虫病漏报的各种可能,经归纳列出急性血吸虫病疫情漏报的原因。通过专家咨询法对列出原因进行咨询,得出各个原因重要性的权重。结果共归纳出急性血吸虫病疫情漏报原因10条,其中管理机制弊端的权重为0.18,其他依次为个体行医0.13、扩大化疗0.13、报病意识不强0.13、瞒报数据0.09、病人就诊率低0.09、流动人口0.08、误诊0.08、诊断水平低0.07,另延迟报告的权重为0.02。结论急性血吸虫病疫情漏报的原因诸多,其中管理机制存在弊端、个体行医、扩大化疗、报病意识不强等可能是急性血吸虫病疫情漏报主要原因。

Objective To understand the main reasons of the missing cases' report for acute schistosomiasis. Methods By using the brainstorming method, the reasons of the missing cases' report for acute schistosomiasis were proposed and then summarized. The importance of each reason was weighted by specialist consultation (Delphi) method. Results A total of 10 reasons for the missing cases' report for acute schistosomiasis were summarized. The most important reason was the malpractice of management mechanism with a weight of 0. 18. The importance of individual clinics , expanded chemotherapy, weak consciousness for cases reporting, hiding real cases, low rate of seeing a doctor, mobile population, misdiagnosis and low level of diagnosis for acute schistosomiasis were 0.13, 0.13, 0.13, 0.09, 0.09, 0.08, 0.08 and 0.07, respectively. Report delaying was weighted by only 0. 02. Conclusion There are several reasons that account for the missing cases' report for acute schistosomiasis. Malpractice of management mechanism, individual clinics, expanded chemotherapy, weak consciousness for cases reporting may be the main reasons for the missing cases' report of acute schistosomiasis.