儿童预防接种信息管理系统及其短信预约使用效果分析

Analysis on application of children vaccination information management system and telephone appointment

目的运用儿童预防接种信息管理系统(CIIMS)管理,提高阜阳市儿童建卡率和免疫规划疫苗接种率。方法建立儿童预防接种个案数据库,通过电子扫描系统进行接种。分析CIIMS建设常态化运作前后儿童建卡和接种信息资料,比较短信预约启用前后同一县区和不同县区之间的接种信息资料。结果 CIIMS常态运作后,全市适龄儿童建卡率、基础免疫接种率、加强免疫接种率均有提高,差异均有统计学意义(χ2=64.37,P=0.00;χ2=194.66,P=0.00;χ2=157.22,P=0.00)。界首市实施CIIMS短信预约后,免疫规划疫苗接种及时率高于颍泉区,差异有统计学意义(χ2=36.82,P=0.00);界首市实施CIIMS短信预约后的免疫规划疫苗接种及时率高于实施前,差异有统计学意义(χ2=37.41,P=0.00)。结论 CIIMS的应用促进了适龄儿童建卡率和接种率的提高,运用CIIMS短信预约能有效提高儿童预防接种的及时率。

Objective To improve the immunization program and further strengthen the vaccination information management system （ CIIMS） in Fuyang county of Anhui province. Methods The vaccination information data were collected from China“childhood immuniza-tion information management system” software, so as to analyze the effectiveness after the construction of CIIMS normalization. Results The card-setting rate, basic and strengthen vaccination rates of children in the city were increased after CIIMS normalization （χ^2 =64. 37, P=0. 00;χ^2=194. 66,P=0. 00;χ^2 =157. 22,P=0. 00）. The timely vaccination rate for Measles Containing Vaccine1 in Jieshou was higher than that of Yingquan in the first half of 2014 （χ^2 =36. 82, P=0. 00）. In addition, The timely vaccination rate for Jieshou in the first half of 2014 was higher than that of 2013 （χ^2 =37. 41,P=0. 00）. Conclusion CIIMS can help to improve card-setting and vaccination rates, while telephone message appointment can effectively improve the timely vaccination rate of children.