2005-2017年全国布鲁氏菌病网络直报质量评价

Evaluation on quality of internet based reporting of brucellosis in China, 2005–2017

目的评价我国2005-2017年布鲁氏菌病(布病)的网络直报质量,发现存在的主要问题,为下一步报告质量的提高,提出措施建议。方法从中国疾病预防控制信息系统中,按终审日期导出2005-2017年的全部布病个案卡,对个案卡及时性、准确性以及南北地区、不同年份与不同省份间的差异进行分析。结果 2005-2017年全国累计报告布病个案卡499 421张,13年平均增长速度为6.14%。及时报告率为95.97%,整体呈上升趋势,由2005年61.90%上升至2017年99.47%,从诊断到报告的时间中位数为0.08 d(1.92 h);及时审核率为99.41%,整体呈上升趋势,由2005年95.25%上升至2017年99.70%;报告卡准确率为99.86%,呈逐年上升的趋势,2015-2017年准确率均为100.00%。报告病例中,多数病例集中在北方地区(98.22%),但南方地区(1.78%)报告病例呈逐年上升的趋势,与南方地区相比,北方地区在病例及时报告方面有一定延迟,病例及时审核率略高。不及时、不准确病例主要集中在内蒙古、山西、河北等布病高发省份。结论 2005-2017年我国布病疫情网络直报质量提升明显,能够很好地反映全国布病疫情流行趋势情况。但仍存在病例报告不及时,报告信息不准确问题,主要发生在北方地区。可通过持续开展布病疫情报告要求地培训、加强对重点地区报告质量的督导、以及改进监测系统信息报告设置等方面持续改进布病疫情网络直报质量。

Objective To evaluate the quality of internet based reporting of brucellosis in China from 2005 to 2017, find out the main problems and propose measures for the improvement of the reporting quality in the future. Methods From China Disease Prevention and Control Information System, the information about all the brucellosis case reporting cards from 2005 to 2017 were collected according to the final review date. The timeliness and accuracy of the reporting, and area, year and province specific differences in reporting quality were analyzed. Results A total of 499 421 case cards of brucellosis were reported during this period with an average increase rate of 6.14%. The overall timely reporting rate was 95.97%, the timely reporting rate increased gradually from 61.90% in 2005 to 99.47% in 2017. The median interval between diagnosis and reporting was 0.08 d(1.92 h). The overall timely verifying rate was 99.41%, the timely verifying rate increased gradually from 95.25% in 2005 to 99.70% in 2017. The overall accuracy rate of the reporting cards was 99.86%, the accuracy rate increased with year and reached 100.00% during 2015–2017. Most case reporting cards were from northern China(98.22%), but the annual case reporting cards from southern China showed an increasing trend. There was some delay in the timely case reporting in northern China, and the timely verifying rate in southern China was slightly lower. Untimely and inaccurate reporting of brucellosis cases mainly occurred in provinces with high-incidences of brucellosis, such as Inner Mongolia,Shanxi, and Hebei. Conclusion During 2005–2017, the quality of internet based reporting of brucellosis in China were improved obviously, resulting in better reflection of the epidemic trend of brucellosis in China, however, the problems of untimely and inaccurate reporting still existed, especially in northern China. It is necessary to conduct serial training on brucellosis reporting standards, strengthen the supervision of the reporting quality and optimize the reporting items in surveillance system to further improve the quality of the internet based brucellosis reporting in China.