深圳市犬(动物)伤暴露人群监测系统评价

目的 全面评价深圳市犬(动物)伤暴露人群监测系统运行情况,为进一步改进系统,科学合理监测深圳市犬(动物)伤暴露人群情况以防控狂犬病提供科学依据。 方法 参考WHO和美国疾病预防控制中心疾病监测系统评价指南,确定系统可操作性、系统简便性、系统及时性、数据可靠性、监测目的可达性5项评价指标,回顾性调查深圳市2017年、2018年犬(动物)伤暴露人群监测报告及时性情况,随机现场问卷调查和访谈犬伤门诊15家、疾控中心5家共40名系统使用者。 结果 深圳市犬(动物)伤暴露人群监测系统覆盖全市各疾控中心、各犬伤门诊,覆盖率100%,代表性较好。除罗湖区报告及时性略有下降,其余各区报告及时性均保持高及时性或有所上升。72.5%被调查者认为系统登录快速;80.0%认为系统浅显易懂,容易理解;87.5%认为系统容易使用;75.0%认为系统界面美观舒适;80.0%认为查询以往上报情况方便;72.5%对系统总体感觉满意。20.0%被调查者认为系统增加了工作量,其中犬伤门诊26.7%认为系统增加了工作量,而疾控中心无人认为系统增加了工作量(P<0.05);82.5%被调查者认为系统内容容易完成。92.5%认为系统内容与真实情况一致,其中犬伤门诊96.7%认为一致,显著高于疾控中心的80.0%(P<0.05)。95.0%被调查者认为系统能为监测分析提供基础数据;85.0%认为系统能引导主动监测,其中犬伤门诊96.7%认为系统能引导主动监测,显著高于疾控中心的50.0%(P<0.05)。 结论 深圳市犬(动物)伤暴露人群监测系统运转基本良好,其系统代表性、系统及时性、监测目的可达性、数据可靠性各方面数据指标值很高(均>85%),可操作性及简便性较高(77.9%和81.25%),但也存在问题和不足,尤其在系统可操作性及简便性方面需要进一步改进。

Evaluation of surveillance system for population exposed to dog (animal) attack injury in Shenzhen city

Objective To comprehensively evaluate the running status of surveillance system for population exposed to dog (animal) attack injury in Shenzhen city, and to provide a scientific basis for further improving the system, scientifically and rationally monitoring the status of population exposed to dog (animal) attack injury, and preventing and controlling rabies in Shenzhen. Methods According to the guidelines for evaluating public health surveillance systems from the WHO and the US Centers for Disease Control and Prevention, five evaluation indicators, such as system operability, system simplicity, system timeliness, data reliability and monitoring purpose accessibility, were identified. We retrospectively surveyed the timeliness of reports on surveillance of population exposed to dog (animal) attack injury in Shenzhen city in 2017-2018, randomly conducted on-site questionnaire surveys, and interviewed 40 system users from 15 dog (animal) attack injury clinics and 5 CDCs. Results There was a surveillance system for population exposed to dog (animal) attack injury in each CDC and each dog (animal) attack injury clinic in Shenzhen city, with a coverage rate of 100% and a good representativeness. Although there was a slight decline in the timeliness rate in Luohu district, the rates in other districts remained a higher level or showed an increase. Among all the surveyed users, 72.5% thought the system was fast to log in, 80% thought it was easy to understand, 87.5% thought it was easy to use, 75.0% thought the system interface was beautiful and comfortable, 80.0% thought it was convenient to look over the past reports, and 72.5% were overall satisfied with the system. 20.0% of the surveyed users thought the system increased their workload, among which 26.7% from the dog (animal) attack injury clinics thought the system increased their workload, but no users with the above-mentioned point of view were found in the CDCs (P<0.05). 82.5% of the surveyed users thought the system content was easy to complete. 92.5% believed the system content was consistent with the real situation, among which the users with the above-mentioned point of view were significantly higher in the dog (animal) attack injury clinics than in the CDCs (96.7% vs. 80.0%, P<0.05). 95.0% of the surveyed users believed the system could provide basic data for monitoring and analysis. 85.0% believed the system could guide active monitoring, among which the users with the above-mentioned point of view were significantly higher in the dog (animal) attack injury clinics than in the CDCs (96.7% vs. 50.0%, P<0.05). Conclusions The running status of surveillance system for population exposed to dog (animal) attack injury in Shenzhen city is generally well, with high-level indicators regarding representativeness, timeliness, accessibility and data reliability (all > 85%), easy operability (77.9%) and simplicity (81.25%). But there are still some problems existed, especially in the operability and simplicity of the system which need to be further improved.