苏州市1995年～2004年医院传染病漏报及报卡质量分析

传染病漏报检查是疫情监测工作的重要组成部分,能及时发现和掌握传染病病人未就诊或就诊后未依法报告的数量、病种等信息,可以帮助有针对性地改进疫情报告工作,利用漏报率推算调查发病率,评估就诊和疫情报告水平,修订预防与控制措施[1,2]。为保证苏州市传染病漏报调查的质量,该     

浅谈医院传染病漏报管理

医院作为传染病发病信息的窗口,及时发现和掌握传染病发病情况,做好传染病疫情报告和管理,对传染病的预防控制显得尤为重要。多年来,我院强化疫情报告管理,传染病报告准确、及时,无一例漏报发生,有效地控制了传染病疫情的发生。1健全制度,建立传染病疫情管理网络根据《中华人民共和国传染病防治法》,我院制定了传染病疫情报告管理制度,把握管理中的各个环节,定期开展检查和自查,明确职责,实行传染疫情报告责任追究制。我院的传染病疫情管理组织由主管业务的副院长、医教科科长、预防保健科科长、专职传染病管理员、护理部主任等有关科室负责…     

广西传染病报告管理变迁及现状

<正>传染病监测报告是疫情管理工作的基础,是控制传染病的启动环节,它的质量好坏直接影响一个地区传染病的预防与控制工作。自2004年1月1日我国实行传染病网络报告以来,疫情信息的收集、分析、反馈和利用得到了极大的改善,传染病报告的及时性、准确性有了明显提高[1]。如何提高广西传染病疫情报告信息质量,为疾病预防控制提供及时、真实、可靠信息,是当前亟需解决的问题。本文对广西传染病疫情信息报告管理     

2005-2013年漯河市某专科医院传染病疫情分析

目的分析2005-2013年某专科医院传染病流行特征和变化趋势,为制定传染病防治对策和措施提供科学依据。方法用描述流行病学方法对2005-2013年某专科医院疾病监测信息报告管理系统报告的法定传染病疫情资料进行分析。结果 2005-2013年共报告传染病乙类7种,丙类4种,其他1种,共12种,发病总数1069例,无甲类传染病和死亡病例报告。9年来传染病报告数居于前五位的病种依次为:乙型肝炎,手足口病,肺结核,其他感染性腹泻,流行性腮腺炎。结论乙肝、肺结核、手足口病、其他感染性腹泻为基层医院的重点管理传染病,医疗机构内要做好传染病报告和预防控制措施,防止医院感染的发生。     

某部队1997～2000年传染病发病情况分析

疫情监测是掌握官兵传染病疫情动态 ,研究传染病发生和流行规律 ,制订预防和控制传染病防治措施的重要依据。为了解部队官兵传染病疫情 ,选择了该部所属地处东北、西北、西南、华东、华中地区部队、部分院校、直属研究所及驻京机关部队的疫情报告资料 ,对其 1997～ 2 0 0 0年传染病疫情进行了分析 ,结果报告如下。1　资料和方法　资料来源于各责任疫情报告单位的传染病报告资料。采用杨树勤主编的卫生统计学相关统计方法进行数据统计分析。病种诊断标准依据《中华人民共和国传染病防治法》规定管理的传染病诊断标准。2　结果　 (1)发病率 :4…     

福建省肿瘤医院2011-2015年传染病疫情分析

目的 分析福建省肿瘤医院2011--2015年传染病报告病种,为改进疫情报告与制定防控措施提供依据.方法 对2011--2015年门诊及住院病人确诊的传染病病例资料进行描述性分析.结果 省肿瘤医院2011--2015年共报告乙、丙类传染病6 633例,以乙类传染病为主(99.7％),无甲类传染病报告;报告病种前3位为病毒性肝炎(57.4％)、梅毒(22.6％)和肺结核(18.9％),丙类传染病为流感和感染性腹泻;报告的传染病以血源和性传播疾病为主(80.7％).结论 除肿瘤登记上报外,病毒性肝炎、梅毒和肺结核为我院疫情报告的主要传染病,应进一步做好传染病疫情管理,完善防控措施.     

微型计算机疫情管理系统

<正> 一、前言做好疫情管理工作对于开展积极预防、控制和消灭急性传染病的流行和发生,保障人良身体健康具有重要作用,卫生部颁发的《中华人民共和国急性传染病管理条例》规定了病种管理范围、疫情报告的程序和方式,指定各级卫生防疫站为疫情管理机关,负责综合、分析并报告当地的疫情,为卫生行政部门制定防治传染病规划提供资料和科学依据。疫情也是研究传染病流行规律、评价防治措施效果的社会性医学实验资料,有很高的开发和研究价值。     

淄博市张店区1997～2002年医疗机构疫情监督检查结果分析

医院传染病报告是传染病管理的重要信息来源,各医院只有及时、完整、准确地报告传染病疫情,疾病控制部门才能获得准确的疫情资料[1],为制定传染病预防与控制规划提供可靠依据.为做好本辖区疫情报告工作,我们每年有计划地进行医院传染病漏报调查.现将1997～2003年我区医疗卫生单位法定传染病漏报监督检查结果分析如下.     

网络模式下医疗机构传染病疫情报告工作的考核

随着2004-01-01全国“传染病疫情监测信息网络直报系统”的启动,使传染病报告模式发生了根本性的改变,医疗机构通过网络直报报告传染病疫情,成为传染病监测信息报告的直接源头,其报告质量的高低决定着整个疫情报告质量的好坏。因此,进一步加强医疗机构传染病疫情报告管理工作十分重要。新颁发的《传染病防治法》第二十一条明确了疾病预防控制机构应对辖区医疗机构传染病疫情报告工作进行技术指导和考核的职责,使各级疾病预防控制开展医疗机构传染病疫情报告管理检查工作有了法律依据。这里就网络模式下如何开展医疗机构传染病疫情报告管理检…     

福建省医疗机构疫情报告管理问题分析

目的 了解福建省各级各类医疗机构法定传染病疫情网络报告管理质量.方法 2011年对全省部分医疗机构法定传染病报告管理情况进行调查.结果 《中国疾病预防控制信息系统》运行8年后,福建省医疗机构法定传染病疫情网络报告管理工作仍存在零、缺报问题,不同地区管理质量不均衡.结论 应加强医疗机构法定传染病疫情报告管理工作,做到规范化、持续化和常态化,提高传染病疫情报告管理工作质量.     

Perinatal care regionalization and acceptability by professionals in France

BACKGROUND: For twenty years, most of industrial countries developed recommendations on regionalization of perinatal care. Perinatal regionalization is particularly aimed at improving morbidity and mortality outcomes of low birth weight newborns by transferring pregnant women to the maternity units having a medical or neonatal environment suited to the risks incurred by mothers or babies. Perinatal regionalization cannot be effective without being well accepted by the majority of professionals. The objectives of this study were then to identify professionals'expectations and objections to perinatal regionalisation and to compare them from a professional group to another one. METHODS: Professionals of 3 French perinatal networks were under consideration: the Rh?ne, the Auvergne and the Gard-Lozère networks. The study included two stages: 1) a psychosociological qualitative study, based on professionals'interviews, aimed at identifying main concerns of professionals and developing a questionnaire; then 2) an epidemiological quantitative study, using this questionnaire within French networks. In the questionnaire, 8 dimensions explored the professionals'views: constraints related to regulation aspects and to the setting up of maternity units care levels, risk of loss of professionals' competence and prestige, consequences on medical practices, on inter-professional relationship, on work organization and financial aspects, and related to the new role of 'private practice'professionals, legal consequences. RESULTS: The response rate of the epidemiological study was 80%. The results permitted to construct 8 dimension scores describing the reasons of poor acceptability of regionalization. After taking into account the age, the sex, the network and the juridical status of the institution, the study revealed a significant poorer acceptability of regionalization by most of medical specialty groups (anesthetists, obstetricians, midwives and "private practice" professionals) compared with neonatologists, or by "private" professionals (professionals working in private clinics and "private practice" professionals) compared with professionals working in university or community hospitals. The study described also network setting up conditions related to its functioning. CONCLUSION: By identifying clearly professionals 'objections and expectations, this study should facilitate improvement in the organization of studied perinatal networks.     

公立医院区域化公益活动的探索与实践

介绍了某医院通过区域化合作,组成"惠民医盟"社团组织,着眼共同需求、共同目标,积极探索区域化、专业化、社会化、项目化的医疗服务机制,形成了互惠共赢的局面。     

The regionalization of perinatal care in Wales and Washington State.

OBJECTIVES. The purpose of this study was to compare perinatal regionalization and neonatal mortality in Wales and Washington State. METHODS. The 28 hospitals in Wales and the 80 hospitals in Washington State that offered maternity services and the 218,326 births that occurred in these hospitals in 1989 and 1990 were studied. Surveys were used to identify the neonatal technology and the referral policies of each hospital, and linked data from birth and death certificates were used to examine birthweight-specific neonatal mortality rates for all babies born in these hospitals. RESULTS. Welsh district general hospitals (broadly equivalent to Level II perinatal centers in the United States) have more sophisticated neonatal technology than their Washington State counterparts and appear less likely to refer small or preterm babies to regional or subregional centers. Neonatal mortality rates were quite similar in the two settings. CONCLUSIONS. Perinatal care in Wales appears to be less regionalized than in a similar region in the United States. The relative lack of perinatal regionalization in Wales may contribute to duplication and underutilization of expensive neonatal technologies. National health care systems do not, in and of themselves, lead to optimal regionalization of services.     

Prospective payment systems: steps to enhance quality, efficiency, and regionalization

The prospective payment system has many benefits and risks for the hospital industry. A quality-enhancing bidding process can be used to redistribute any unfair windfall profits, and foster quality care, effectiveness, efficiency, and productivity.