广东省网络直报肺结核患者传染病报告卡质量分析

Analysis of the network direct reporting quality for infectious disease cards of TB in Guangdong province

目的评价广东省各级各类医疗机构通过网络直报系统报告的肺结核患者传染病报告卡(简称"传报卡")质量,并提出改进措施。方法利用网络直报系统,每天以报告地区和录入时间为条件下载前一天的肺结核患者传报卡。下载的肺结核患者传报卡录入时间为2012年2月1日至2013年1月31日。以报告及时率、信息漏填率和信息错填率为指标,对广东省网络直报系统报告的200 015张肺结核患者传报卡的报告质量进行分析评价。结果广东省各类各级医疗机构报告肺结核患者传报卡的报告及时率、信息漏填率和信息错填率分别为98.59%(197 189/200 015)、77.01%(154 040/200 015)和1.07%(2144/200 015)。结核病防治(简称"结防")机构报告及时率(99.49%,24 669/24 795)高于非结防机构(98.46%,172 520/175 220),差异有统计学意义(χ2=166.32,P<0.001);结防机构的信息漏填率(68.42%,16 965/24 795)低于非结防机构(78.23%,137 075/175 220),差异有统计学意义(χ2=1180.65,P<0.001);漏填项包括身份证号[63.01%(126 027/200 015)]、现住详细地址[13.64%(27 283/200 015)]、家长姓名[11.93%(131/1098)]、工作单位[32.73%(15 968/48 792)]和联系电话[25.51%(51 023/200 015)]等;结防机构的信息错填率(0.71%,175/24 795)低于非结防机构(1.12%,1969/175 220),差异有统计学意义(χ2=35.78,P<0.001)。结论广东省结防机构肺结核患者传报卡报告及时率、信息错填率、信息漏填率等指标均优于非结防机构。提高非结防机构报告肺结核患者传报卡质量是改善传报卡质量的关键。

Objective To evaluate the network direct reporting quality for infectious diseases of TB at all medical institutions and find out the existing problems for the further improvement of reporting quality. Methods The data of network direct reporting for infectious diseases of TB were collected and analyzed. The report area and entry time as the qualification download before the day of the TB reporting cards. All the TB reporting cards were collected from February 1, 2012 to January 31, 2013. We used the timely reporting rate, information missing rate and lack of information rate to analysis of 200 015 pulmonary TB reporting cards in Guangdong province. Results The timely reporting rate, information missing rate and lack of information rate at all medical institutions were 98.59%（197 189/200 015）, 77.01%（154 040/200 015）and 1.07%（2144/200 015）respectively. The timely reporting rate, information missing rate and lack of information rate in TB institutions（99.49%,24 669/24 795） were higher than the medical institutions（98.46%,172 520/175 220） and the difference is statistically significant（χ2=166.32,P〈0.001）. The lack of information for TB report cards included ID card number[63.01%（126 027/200 015）], address of TB cases[13.64%（27 283/200 015）], parents name of TB cases[11.93%（131/1098）], work address[32.73%（15 968/48 792）] and telephone numbers[25.51%（51 023/200 015）]. The missing information rate is lower in the TB institutions（0.71%,175/24 795）than non-TB institutions（1.12%,1969/175 220） and the difference is statistically significance（χ2=35.78,P〈0.001）. Conclusion The quality of TB reporting card is higher in TB institutions. We should improve the reporting quality in other medical institutions.