2006年全国乡镇卫生院网络直报情况分析

Analysis on the direct network reporting of township-level health centers of China in 2006

目的了解全国乡镇卫生院网络直报情况,为改善乡镇卫生院直报能力提供决策依据。方法使用网络报告率、未报告率、直报率、代报率等指标对2006年1～10月份全国(未包含香港、澳门、及台湾地区,以下同)乡镇卫生院网络直报能力进行评价。结果网络直报系统中注册的乡镇卫生院总数为381845个,平均网络报告率为70.25%,其中东部地区为74.09%,中部地区为67.01%,西部地区为71.11%。全国乡镇卫生院的网络报告数为26825个,其中进行代报的乡镇卫生院总数为3944个,代报构成比为14.70%,中部地区代报构成比最高,占21.31%。结论本次对全国乡镇卫生院2006年1～10月传染病网络直报情况的分析,发现全国乡镇卫生院网络报告率和直报率的总体水平都有较大提高。尤其是在卫生部西部计算机配备项目完成之后,使西部地区的网络直报能力得到较大改善,并超过了中部地区平均水平。如何增加中部地区的投入和保持西部地区网络直报能力的持续性增长,已成为当前急需解决的紧迫问题。

Objective The present study was conducted to analyze the direct network reporting of township-level health centers to show the difference of direct reporting ability between east, center and west regions in China for further amelioration and improvement. Methods Network reporting rate, unreported rate, direct reporting rate and substituted reporting rate were used to evaluate the ability of direct reporting network of township-level health centers health center all over China （except Hong Kong, Macao and Taiwan, the same below） from Jan. 1st to Oct. 31st in 2006. Results There were 381 845 township-level health centers registered in the direct network reporting system. The average network reporting rate was 70.25%, among which 74.09% was in the east of China, 67,01% in the center and 71.11% in the west. The number of network reports of township-level health centers in China was 26 825 and substituted reports 3944 with the proportion of 14.70%. The substituted reporting rate was highest in the center of China, being 21.31%. Conclusion Through the analysis of direct reporting network for infectious diseases of township-level health centers in China from Jan. 1st to Oct. 31st in 2006, it was seen that the network reporting rate and direct reporting rate of townshiplevel health centers had largely improved. Particularly, with the complement of the computer allocation project for west regions by MHO, the network reporting ability of township-level health centers in the west had greatly improved even beyond the one in the center region. The pressing problems now lie within the increase of the support to the center region and the maintenance of steady development of the ability of network direct reporting in the west.