2009年全国法定传染病网络直报信息质量评价及指标探讨

Evaluation on quality of notifiable communicable diseases network direct reporting and discussion about evaluation indicators in China,2009

目的对2009年全国(未包括香港、澳门和台湾地区,下同)传染病网络直报信息质量进行评价,并对评价指标进行探讨。方法按终审日期为2009年1月1日至12月31日导出疾病监测信息报告管理系统内全部法定传染病个案卡片,不包括已删除卡片,采用SAS 9.1软件对个案信息按月和年对县(区)零缺报率、及时性和准确性进行分析。结果 2009年全国67 671个医疗卫生机构共报告甲乙丙类传染病报告卡6 487 969张,县(区)零缺报率月平均为1.65%,西部地区占绝大多数;报告及时率为98.09%,从诊断到报告的时间中位数为0.86 d,审核及时率为99.69%,从报告到审核的时间中位数为0.10 d,甲类及按甲类管理传染病及时性较差;月平均重卡率为0.02%,与2008年相比,报告卡信息错误率有大幅下降。结论 2009年传染病信息网络报告质量进一步提高,但仍存在问题。各级政府应加强传染病网络直报系统运维保障,特别是西部地区必要的经费支持;加强甲类及按甲类管理传染病、慢性传染病的报告和科学管理。对传染病网络直报信息质量的评价应该结合现场综合开展,指标有待进一步完善。

Objective To evaluate the quality of notifiable communicable diseases network direct reporting in China（except Hong Kong,Macao SARs and Taiwan Region） in 2009 and discuss the evaluation indicators.Methods All the notifiable communicable diseases reporting cards from 1 January to 31 December 2009（excluding those deleted） were analyzed with SAS 9.1 software to understand the monthly/yearly zero/miss reporting rates in counties（district）,timeliness and accuracy of reporting.Results A total of 6 487 969 notifiable communicable diseases cards were reported from 67 671 medical institutions in China in 2009.The monthly average zero reporting rate was 1.65%,which was mainly found in western China.The timely reporting rate was 98.09%,the median of the interval between diagnosis and reporting was 0.86 day.The timely verifying rate was 99.69%,the median of interval between reporting and verifying was 0.10 day.The timely reporting rate of class A communicable diseases（including those managed as class A communicable diseases） was low,the monthly average re-reporting rate was 0.02%.The proportion of reporting cards with errors declined significantly compared with 2008.Conclusion The quality of notifiable communicable diseases network direct reporting was further improved in China in 2009 The government at all level should strengthen the financial support to the direct network reporting system of notifable communicable diseases,especially in western China,The reporting of class A communicable diseases（or managed as class A communicable diseases） and chronic communicable diseases reporting and its management should be strengthened.The evaluation of reporting quality should be combined with field survey,and the evaluation indicator system should be improved.