2006年全国法定传染病网络报告信息质量评价

Quality evaluation of infectious diseases information based on internet reporting system in 2006

目的对2006年全国传染病网络报告信息质量进行评价(未包括香港、澳门和台湾地区,以下同),为进一步提高报告信息质量提供科学依据。方法利用《疾病监测信息报告管理系统》监测数据,应用未及时报告率、未及时审核率、重复报告率以及县区零缺报率等评价指标体系,直接采用结构化查询语句(Structured Query Language,SQL)对监测数据库进行查询与分析。结果2006年全国共报告甲、乙、丙类传染病报告卡4986932张,未及时报告卡总数为855990张,未及时审核卡总数为186721张,累计重卡总数6008张,累计零缺报县区总数为1351个。全国传染病未及时报告率为17.16%,未及时审核率3.74%,传染病重复报告率0.03%,县区零缺报率3.63%。传染病病例从诊断到报告的时间间隔为0.69d,从报告到审核的时间间隔为43 min,且1～12月份的报告质量呈逐月上升趋势。全国东中西部地区区域报告质量差距显著,东部地区报告质量要好于中西部地区。结论与2005年相比,2006年全国传染病报告信息质量有明显提高,报告和审核的及时性得到了进一步加强,这对于传染病爆发疫情的早期识别具有重要的意义。但报告信息质量存在区域的不平衡性,西部地区传染病报告信息质量亟待加强。另外,县区级疾病预防控制中心对传染病报告卡的审核质量需要加强,而不仅仅是形式审核。

Objective This study was conducted to evaluate the intemet-based information quality of infectious disease in 2006, and support scientific base to improve the quality in the next work. Method Using the surveillance data from national intemet-based information system of infectious diseases in 2006, and doing data query and analysis using structured query language. The indexes of quality evaluation include the proportion of timely report failure, proportion of timely checking failure, proportion of repeated report and proportion of no report county. Results There were totally 4 986 932 report cards in 2006, 855 990 was timely report failure, 186 721 was timely checking failure, 6008 was re- ported repeatedly, and cumulative no report county was 1351. The proportion of timely report failure, timely checking failure, repeated report and no report county were separately 17.16%, 3.74%, 0.03%, 3.63%. The time delay from diagnose to report was 0.69d; from report to checking was 43m. From January to December, the report information quality of infectious disease had been improved gradually. The quality was significantly different among the East, Middle and West district. The quality of East district was the best according to the analysis results. Conclusion Comparing to the year 2005, the report information quality of infectious disease has been improved significantly. The timeliness of report and checking has been strengthened, which is meaningful to the early warning alert of outbreak. How-ever, it is not balance among the different districts, which need to be advanced for the West district. Besides, county CDC can check the report information of infectious disease timely, but the checking quality should be advanced.