2009～2011年济宁市法定传染病疫情报告时效性分析

Analysis of the timeliness of a system to report infectious diseases in the City of Jining from 2009 to 2011

目的分析和评价济宁市传染病网络报告时效性,为提高疫情报告管理质量提供依据。方法将2009～2011年各网络直报医疗机构上报的所有法定传染病个案导出为Excel数据库,采用SPSS17统计软件,分析检验报告时效性。结果 2009～2011年济宁市传染病网络报告"诊断-生成"总的中位数(P50)为1.65h,24h报告及时率为99.74%,且逐年升高。不同年份、不同县市区、不同类型医疗卫生机构、不同种类传染病疫情报告时效性经秩和检验,差异有统计学意义(P<0.01)。结论济宁市传染病报告及时性处于较高水平;提高疫情报告时效性,应扩大疫情网络直报的覆盖面,规范疫情报告程序,加强督导和技术培训,全面提高疫情报告的质量。

Objective This study was conducted to analyze and evaluate the timeliness of web-based reporting of infec-tious diseases in the City of Jining from 2009 to 2011 in order to provide a basis to improve the quality of web-based re-ports. Methods Reports of notifiable infectious diseases were exported to an Excel database and their timeliness was analyzed using SPSS17 software. Results The median （Ps0） for the time taken for a web-based report of a notifiable infectious disease was 1.65h. The average timeliness of reports in 24 hours was 99.74% from 2009--2011 in the City of Jining, and this figure steadily increased each year. There were significant differences in report timeliness among different years, different counties, different types of medical and health facilities, and different types of infectious diseases accord-ing to a rank test. Conclusion The City of Jining has timely reports of notifiable infectious diseases. In order to im-prove the timeliness of reporting, the coverage of web-based reports should be expanded, reporting procedures should be regulated, and supervision and technical training should be enhanced.