桐乡市传染病网络直报质量评价

Quality evaluation of infectious disease network report system in Tongxiang City

目的了解桐乡市传染病网络报告质量情况,为各级卫生部门提供准确的决策依据。方法调查2004-2007年《疾病监测信息报告管理系统》中报告的传染病病例,报告及时性、审核时间、报告准确性等报告质量进行综合评价。结果桐乡市4年共报告20238例传染病病例。平均报告及时率为88.41%、审核时间1.75h、审核及时率99.84%、漏报率为1.64%,其中乡镇卫生院漏报率为3.21%、市直属医院漏报率为0.40%,差异有统计学意义(χ2=31.28,P<0.01),报告、审核时间逐年缩短。结论桐乡市传染病疫情网络直报系统报告质量逐年提高,但还需完善。建议进一步健全管理体系,加强培训,增加资金投入,确保全市疫情报告系统高效、稳定、持续发展。

Objective To understand the situation of direct network report on infectious disease, and to provide scientific basis for decision making. Methods Investigation into infectious disease cases was performed and timeliness of case report, time of verification and accuracy of report were evaluated according to Management System of Disease Control Information Report （2004-2007）. Results 20 238 infectious disease cases were reported during four years in Tongxiang with the average reporting timeliness rate of 88.41% , verifying time of 1.75 hours, timely verifying rate of 99. 84% , leaky repert rate of 1.64% （ 3.21% in community hospitals and 0. 40% in city hospitals （ P 〈 0. 01 ） . Time of reporting and verification had been decreasing by year. Conclusion Network report quality of infectious diseases in Tongxiang City has been improved gradually though it still requires being promoted. It is advised to strengthen the administrative system, reinforce training and increase capital investment to insure an efficient, eonsistant and sustainable development of the city epidemic report system.