陕西省2004年传染病疫情报告信息质量评价

目的初步评价陕西省实行网络直报后传染病疫情报告的信息质量状况,探讨影响报告及时性的主要因素,提高疫情报告的及时性、敏感性和准确性。方法通过《中国疾病预防控制信息系统》中的子系统《疾病监测信息报告管理系统》获取陕西省2004报告的乙类、丙类传染病报告卡;从系统中导出Excel数据库,运用SPSS12.0软件对数据进行处理、统计分析。结果陕西省内县及县以上医院直报率达90.97%;报告单位以综合医院为主,占77.87%;全年仅有少数未审卡和重卡存在;有两个县区分别出现1月次零缺报现象;全省传染病诊断到报告1.87d,报告到审核0.91h,诊断到审核2.63天;报告的及时性比实行网络直报前缩短3.9d。结论诊断到报告时间是影响报告及时性的主要因素;全省各市对传染病报告卡信息的审核质量参差不齐;网络直报工作急需规范管理;针对问题提出了建议。

Evaluation on Information Quality of Communicable Disease Epidemic Situation Report in 2004 in Shanxi Province

Objective This study was conducted to primarily evaluate the information quality of communicable disease epidemic situation report after implementing direct network report in Shanxi province, explore major factors influencing timeliness of report, and increase the timeliness, sensitivity and veracity of epidemic report. Methods The report cards of communicable disease class B and C of 2004 in Shanxi province were obtained through Disease Surveillance Data Report and Management System, the subsystem of Disease Prevention and Control Information System of China. All statistical analyses were performed using Microsoft Excel and SPSS software package version 12.0 for Windows. Results The direct report rate reached 90.97% in hospitals at county or above levels in Shanxi province. The integrated hospitals were predominant in the report units, and accounted for 77.87%. There were only few unexamined and repeated cards all the year round. One month of zero report occurred in two counties respectively. The average time of communicable disease from diagnosis to report was 1.87 days, from report to examination 0.91 hours, from diagnosis to examination 2.63 days. The report time was 3.9 days shorter than that before implementation of direct network report system. Conclusion The time from diagnosis to report had a significant effect on the timeliness of report. There were differences in the examination quality for communicable disease report cards among cities and counties in Shanxi; there is an emergent need for normative management of direct network report system; suggestions for the problems were proposed.