医院疫情主动监测与被动监测的利与弊

The hospital epidemic situation monitors and the passive monitor advantage and shortcoming

目的:探讨医院疫情主动监测与被动监测的利与弊。方法:按照随机分组的方法进行分组,其中主动监测人群为5 367例,被动监测人群为4 869例。结果:门诊主动监测完整率为68.72%,被动监测为50.91%,主动监测符合率为65.07%,被动监测为38.79%,两组监测方法在完整率和符合率差异均具有统计学意义(P<0.05),统计分析显示被动监测发病率与漏报率明显高于主动监测(P<0.05)。结论:采用医院疫情主动监测有较高的完整率、符合率和报告率,且漏报率较低,但消耗大量的人力、物力,应酌情开展。

Objective： To discuss the hospital epidemic situation to monitor and the passive monitor advantage and the shortcoming on own initiative.Methods： Carried on the grouping according to the stochastic grouping＇s method,the initiative monitor crowd was 5 367 cases,monitors the crowd was 4 869 cases passively.Results： The outpatient service initiative monitor percentage of head rice was 68.72%,the passive monitor was 50.91%,monitors the coincidence rate was 65.07% on own initiative,the passive monitor was 38.79%,two groups of monitoring methods had statistics significance in the percentage of head rice and the coincidence rate（P0.05）,the statistical analysis demonstration passive monitor disease incidence rate and the rate of missing report was higher than the initiative monitor（P0.05）.Conclusion： The hospital epidemic situation obviously to use the initiative monitor have the high percentage of head rice,the coincidence rate and the report rate,and the rate of missing report is low,but consumes the massive manpower,the physical resource,should use judgment to develop.