深圳市社区食源性疾病主动监测系统评价

Evaluation on active surveillance system of foodborne disease in community of Shenzhen City

目的了解深圳市社区食源性疾病主动监测系统的运行现状，评价现有监测系统与监测目的是否匹配；分析深圳市社区食源性疾病监测系统数据填报质量及存在的主要问题，为进一步优化社区食源性疾病的监测模式系统提供科学的依据。方法在罗湖辖区内37家社区健康服务中心（社康中心）中，随机抽取15家社康中心开展监测系统评价调查，通过资料分析、现场查看监测系统、问卷调查以及深入访谈等方式，对监测系统运行状况进行评价。结果①简单性：92．6％的被调查医生都认为系统容易使用，96．3％的被调查医生认为报告卡内容容易理解，100％的被调查医生都认为能够很快学会使用系统上报食源性疾病报告卡。填报一张食源性疾病报告卡所需的时间中位数为1～3min，每位医生平均每周上报数据需要时间不超过20min。②可接受性：罗湖区报告单位覆盖率为100％，被调查者对系统总体满意度达96．3％。③时效性：出现症状至就诊之间间隔时间平均为24—48h，患者就诊至社康医生上报报告卡的时间同样不超过24h，及时性为100％。④可靠性：食源性疾病报告卡5个信息项目存在不同程度的漏填情况，其中以实验室检测结果项目漏填情况最为严重，达87．6％（149／170）。食源性疾病报告卡中报告病例符合率为75．3％（128／170），重卡率为7．1％（12／170）。结论深圳市社区食源性疾病主动监测系统简单性、时效性、可接受性较高，不足之处在于漏报率较高，报告信息项目漏填、填报合格率偏低。建议加快数据统计模块和预警模块的建设，从而提高社区食源性疾病报告卡填报的合格率，降低其漏报率。

[ Objective]To understand the operation status of the Active surveillance system of foodborne disease in community of Shenzhen City, evaluate whether the surveillance system can reach the surveillance purposes, analyze the data quality and main problems of the system, and provide scientific basis for further optimize the foodborne disease surveillance model in community. [ Methods] 15 community health service centers were randomly collected from 37 centers in Luohu District, to evaluate and investi- gate the surveillance system. By using the data analysis, filed investigation, questionnaire survey and in-depth interview, the opera- tion status of surveillance systems was evaluated. [ Results] （~）In the simplicity： 92.6% of the physicians regarded that the surveil- lance system is simple, 96.3% believed that the contents of surveillance form are easy to understand, 100% thought that they can rapidly learn to report the foodborne disease card by using the system. The users filled in a foodborne disease report card spent 1-3 minutes averagely, and time that physician reported the data in a week was short than 20 minutes. （~）In the acceptability： the re- porting coverage rate was 100% in Luohu District, and 96.3% of the physicians were satisfied with the system. （~）In the timeli- ness ： the patients came to see a doctor within 24- 48 hours after the onset of symptoms, the physicians reported the reporting cards within 24 hours after hospital visiting, and the timeliness rate was 100%. （~）In the data quality： there were missing reports in 5 in- formation indexes of the foodborne disease report card at different degrees, and the missing report rate of laboratory examination re- sults was the highest, which reached 87.6% （149/170）. The coincidence rate of report card was 75.3% { 128/170）, and rate of repeated card was 7.1% （12/170）. [ Conclusion] The simplicity, timeliness and acceptability of the Active surveillance system of foodborne disease in community of Shenzhen City are relatively high. However, the missing report rate is not satisfactory, which the qualified rate of missing report in information indexes is relatively low. It is important to strengthen the construction of data statistics module and early warning module, to improve the qualified rate of report card and reduce the missing report rate.