中国2013—2014年艾滋病高危人群干预工作网络直报数据质量分析

Quality of network direct reporting of information about intervention service in population athigh risk for HIV infection in China, 2013-2014

目的分析中国2013--2014年艾滋病高危人群干预工作网络直报中出现的数据错误，产生错误的原因，探讨提高干预数据质量的办法。方法整理2013--2014年全国艾滋病综合防治数据信息系统中高危人群干预信息报表的错误数据记录，包括县（区）自查和国家审查错误，采用描述性统计方法分析其分布。类型和产生原因。结果2013--2014年共修正干预数据错误1066个，年均登记错误率〈0．1％，每年上半年出现的错误占全部登记错误的71．3％（760／1066），东中西部地区分别占全部登记错误的14．9％（159／1066）、22．6％（241／1066）和62．5％（666／1066），MSM和吸毒人群中的干预数据错误多于暗娼人群。两年全部干预数据错误中，县（区）自查发现的占86．4％（921／1066），国家审核发现的占13．6％（145／1066），出错最多的数据项是HIV本年首次检测人数和干预覆盖人数。常见的错误原因有漏报与延误、工作人员失误、计算错误和理解错误等。结论总体上干预数据的登记错误率较低，可通过完善干预活动记录，加强统计和直报环节的数据质量控制，定期培训信息岗位工作人员等措施，来提高干预数据质量。

Objective To analyze the problems in the network direct reporting of information about intervention service conducted in population at high risk for HIV infection in China during 2013-2014, and provide evidence for the improvement of the network direct reporting of the intervention information. Methods The wrong records of the intervention service in population at high-risk were collected from national AIDS prevention and treatment information system. The wrong records, including those found at county （district） level and those found at state level, were analyzed with descriptive statistical method. Results A total of 1 066 wrong records were found during 2013-2014, and average annual wrong record rate was 〈0.1%. Up to 71.3% （760/1 066） of wrong records occurred in the first half year. The wrong records in eastern, central and western areas accounted for 14.9% （159/1 066）, 22.6% （241/1 066） and 62.5% （666/1 066） of the total respectively. More wrong records were found in the intervention information for men who have sex with men and injecting drug users than in those for female sex workers. Among the total wrong records, 86.4% （921/ 1 066） were found at county level and 13.6% （145/1 066） were found at state level. The wrong records were mainly ＂annual number of persons receiving the first HIV test＂ and ＂annual number of persons covered by intervention＂. Common causes of wrong records were underreporting and delay, staff fault, miscalculation and misunderstanding. Conclusion In general, the wrong record rate in intervention information for population at high risk for HIV infection reported directly through network was low in China. It is necessary to strengthen the recording of the intervention service, the quality control of statistics and network direct reporting and staff training to improve the quality of reported data of intervention service.