| 2013年全国医疗机构法定传染病报告卡填报质量调查分析 |
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| 引用本文： | 王晓风,郭青,张业武,苏雪梅,张春曦,于萌. 2013年全国医疗机构法定传染病报告卡填报质量调查分析[J]. 疾病监测, 2016, 31(6): 522-526. DOI: 10.3784/j.issn.1003-9961.2016.06.018 |
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| 作者姓名： | 王晓风 郭青 张业武 苏雪梅 张春曦 于萌 |
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| 作者单位： | 1.中国疾病预防控制中心, 北京 102206 |
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| 基金项目： | This study was supported by the fund for National Science and Technology Major Project of China (No.2013ZX10004218-06-006)国家科技重大专项(No.2013ZX10004218-06-006) |
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| 摘 要： | 目的 通过现场调查了解医疗机构法定传染病报告信息的填报质量,发现传染病报告管理中存在的问题。方法 采用分层多阶段整群抽样的方法在全国31个省(自治区、直辖市)和新疆生产建设兵团抽取9个省116家医疗机构开展现场调查。结果 本次调查共收集医疗机构诊疗登记的法定传染病个案共2384例;收集到相应纸质传染病报告卡共2053张。纸质传染病报告卡填写完整率72.28%,其中医生诊断时间、患者工作单位填写完整率最低;与病例登记信息相比,卡片填写准确率为41.35%,发病日期和医生诊断时间准确率最低;与网络报告的电子传染病报告卡相比,卡片填报一致率为68.64%,其中病例的急慢性分型一致率最低。东部地区传染病报告中卡片填写完整率、准确率和一致率均高于中部地区,而西部地区卡片填写的完整率、填报一致率相对最高;不同级别医疗机构中,省级和地市级报告质量指标均较低,乡镇级则相对最高。结论 全国法定传染病疫情填报信息准确性有待进一步提高。医疗机构应加强对院内传染病报告工作的规范和管理,确保传染病报告核心信息来源的准确性;有效利用医院信息系统,充分发挥其对传染病报告的积极作用。
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| 关 键 词： | 医疗机构 法定传染病 网络直报 报告质量 医院信息系统 |
| 收稿时间： | 2014-12-01 |
Analysis on quality of notifiable communicable disease reporting card by medical institutions in China, 2013 |
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| Affiliation: | 1.Chinese Center for Disease Control and Prevention, Beijing 102206, China |
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| Abstract: | Objective To understand the quality of communicable disease reporting in China. Methods The field survey was conducted in 116 hospitals in 9 provinces selected through multi-stage stratified cluster sampling in 31 provinces (autonomous regions and municipalities) and Xinjiang Production and Construction Corps. Results A total of 2384 cases of communicable diseases recorded were surveyed, and 2053 paper reporting cards were collected. The completion rate of the reporting cards was 72.28%, the filling rates of diagnosis time and patient affiliation were the lowest. The accuracy rate of the reporting cards was 41.35%, the filling rates of onset date and diagnosis time were the lowest. The consistent rate between paper reporting cards and network reporting was 68.64%, the classification of acute and chronic type of cases had lowest consistent rate.The complete rate, the accuracy rate and consistent rate of the reporting cards in the eastern China were higher than those in the central China, while the complete rate and consistent rate in the western China were high.The quality of communicable disease report of medical institutions at township level was higher than those of medical institutions at provincial and municipal level. Conclusion The quality of notifiable communicable disease reporting in China needs to be further improved.Medical institutions should strengthen the standardized management of notifiable disease reporting, ensure the accuracy of the information sources of communicable disease reporting, and take advantage of the hospital information system. |
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| Keywords: | Medical institution Notifiable communicable disease Network report Reporting quality Hospital information system |
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