福建省传染病个案实行网络直报后的及时性分析

目的分析福建省传染病网络直报系统中传染病报告卡报告及时性,及其影响因素,探讨提高及时报告方法,为今后网络直报工作提供依据。方法使用VFP数据库语言,编写专门的统计程序,用传染病报告卡中医生填卡日期与卡片生成时间之差,作为统计指标,结果分析福建省辖区医疗机构自2004年1月1日至2009年12月31日6年间报告的传染病卡片共计1 163 546张,当日报告928 156张,当日报告率为79.77%,次日报告169 598张,平均及时报告率为94.35%。结论福建省各医疗单位自实现网络直报以来,传染病及时报告率逐年提高,及时报告率存在地区差异、工作日高于双休日、乙类传染病低于甲类、丙类和其他传染病,疾控机构、卫生院低于综合医院。

Timeliness of case reporting after implementation of internet-based reporting of communicable diseases in Fujian province

Objective To analyze the timeliness of communicable disease case reporting by internet-based reporting system in Fujian and provide evidence for the improvement of internet-based reporting. Methods VFP data base language was used to develop special statistical program, for the statistical analysis of interval between card filling time by doctors and card producing time. Results The analysis of 1 163 546 report cards of communicable diseases from the medical facilities in Fujian from 1 January 2004 to 31 December 2009 was conducted. Up to 928 156 cards were reported on that day （79. 77% ）, and 169 598 cards were reported on next day, The average timely reporting rate was 94. 35%. Conclusion After the implementation of internet-based reporting of communicable disease, the timeliness of reporting increased by years. The timeliness rate of reporting varied by regions and was higher in working days than rest days （ Saturday and Sunday）, for class A than class B diseases and for general hospitals than CDCs and health centers.