2009-2013年甘肃省白银市健康危害因素网络直报质量分析

Quality of network direct reporting of health hazards in Baiyin,Gansu,2009- 2013

目的通过对2009-2013年健康危害因素网络直报数据进行分析,提出相应措施,进一步规范职业病网络直报工作。方法计算各县（区）职业病网络直报覆盖率、分机构分种类报告情况、报告及时率、审核及时率、审核通过率等指标,采取χ2检验的方法进行比较分析。结果全市累计报告健康危害因素各类报告卡770张。报告质量分析,医疗机构报告率达46.46%（χ2=29.200,P〈0.01）,全市平均报告及时率为84.16%（648/770）（χ2=55.670,P〈0.01）。除2009年全市审核及时率为98.70%（76/77）外,其余4年全市审核及时率均为100.00%。全市各类报告卡审核通过率在92.04%~100.00%之间,5种病种卡片及时审核通过率差异有统计学意义（χ2=21.530,P〈0.01）;按照县（区）报告卡审核通过率差异有统计学意义（χ2=61.211,P〈0.01）。结论全市累计报告健康危害因素各类报告卡770张,以综合医院为主,报告最多为农药中毒,报告卡总数呈逐年上升趋势,医疗机构报告率、全市平均报告及时率两指标均呈明显上升趋势,但审核通过率存在显著差异。

Objective To evaluate the quality of network direct reporting of health hazards in Baiyin,Gansu province,during 2009- 2013 for the improvement of network direct reporting of occupational disease. Methods The coverage rates of reporting network,medical institution and disease specific reporting rates,timely reporting rates,timely verifying rates and qualified rates in all counties（ district） were calculated. χ2test was used for the data comparison and analysis. Results A total of 770 reporting cards of health hazards were analyzed. The reporting rate of medical institutions was 46. 46%（ χ2= 29. 200,P 0. 01） and the average timely reporting rate was 84. 16%（ 648 /770）（ χ2= 55. 670,P 0. 01）. Except the timely verifying rate of 98. 70% in 2009,the timely verifying rates were 100. 00%in other years. The qualified rates of all kinds of reporting cards ranged from 92. 04% to 100. 00%. The differences in qualified rates of the reporting cards of five kinds of diseases were statistical significant（ χ2= 21. 530,P 0. 01）; and the qualified rates of reporting cards were statistically significant in five counties（ χ2= 61. 211,P 0. 01）. Conclusion The total number of reporting cards of health hazards was 770,which were mainly from general hospitals. Pesticide poisoning was the major health hazard. The number of reporting cards increased with year. The reporting rate in medical institutions and the average timely reporting rate were greatly improved,but the differences in qualified rate were statistical significant.