2016-2019年新疆阿克苏地区传染病信息报告系统质量综合评价

Comprehensive evaluation of quality of infectious disease information reporting system in Aksu, Xinjiang, 2016–2019

目的 了解新疆维吾尔自治区(新疆)阿克苏地区传染病信息报告质量管理现状,找出存在的问题,为完善和提高该地区传染病信息报告质量提供参考依据。方法 采用描述流行病学方法,对中国疾病预防控制信息系统的子系统传染病报告信息管理系统导出的阿克苏地区2016-2019年的传染病报告卡数据和传染病网络直报现场督导表进行分析,用趋势χ^(2)检验对影响传染病报告质量的报告及时性、审核及时性、报告卡填写完整性、综合评价指数等各因素数据进行统计处理。结果 2016-2019年,阿克苏地区传染病报告信息报告的综合评价指数在新疆14个地州中居前3位,但仍存在部分传染病报告卡未及时报告、未及时审核或有效证件填写不完整等问题。其中未及时报告率呈上升趋势,差异有统计学意义(趋势χ^(2)=21.173,P<0.05);未及时审核率呈下降趋势,差异有统计学意义(趋势χ^(2)=150.571,P<0.05);有效证件号不完整率呈下降趋势,差异有统计学意义(趋势χ^(2)=270.824,P<0.05);2016-2019年综合评价指数分别提升1.16%、0.25%、0.18%。结论 阿克苏地区传染病信息报告质量较好,报告、审核的稳定性较好,但部分传染病报告卡报告不及时、有效证件号不完整及部分报告卡审核不及时,是影响综合评价指数提升的重要原因。

Objective To understand the current status of infectious disease information report quality management in Aksu,find out the existing problems, and provide reference for improving the local information report quality of infectious disease.Methods The infectious disease report card data and field supervision table in Aksu from January 1, 2016 to December 31,2019 were collected from the subsystem of infectious disease report information management of national information system of disease prevention and control system for the description epidemiological analysis. Trend_(χ^(2)) test was used to analyze the influencing the factors for the reporting timeliness, verifying timeliness, reporting card completeness and comprehensive evaluation index. Results From January 1, 2016 to December 31, 2019, the comprehensive evaluation index of infectious disease information report in Aksu ranked 3 rd among the 14 prefectures in Xinjiang. However, there were still some problems,such as the failure of timely reporting, the failure of timely verifying or the incomplete filling of valid ID number. Among them, the rate of non-timely reporting was on the rise, and the difference was significant(Trend_(χ^(2))=21.173, P<0.05). The failure rate of timely verification showed a downward trend, and the difference was significant(Trend_(χ^(2))=150.571, P<0.05).The incomplete rate of valid ID number filling showed a downward trend, and the difference was significant(Trend_(χ^(2))=270.824, P<0.05). The comprehensive evaluation index increased by 1.16%, 0.25% and 0.18% respectively, from 2016 to2019. Conclusion The quality of infectious disease information report in Aksu was good, and the stabilities of reporting and verifying were good. However, there were reporting cards with poor reporting timeliness, incompleteness of valid ID number filling, and untimely verification, which were the important factors affecting the improvement of the comprehensive evaluation index.