2005-2006年云南省大理州传染病报告网络直报效果评价

目的 通过对2005-2006年传染病网络直报工作评价,探讨影响大理州传染病报告及时率的因素,以便采取相应措施,进一步提高大理州传染病的网络直报质量.方法 对2005-2006年大理州《疾病监测信息报告管理系统》报告的传染病报告卡进行分析.结果 2005-2006年大理州乡以上医疗机构均实现网络直报,直报人员中级以上职称占82.25%,30～45岁的人员占65%以上;传染病报告卡及时率为71.73%,审卡及时率89.57%;12县市传染病报告卡及时率最高96.13%,最低为49.04%,审卡及时率最高97.09%,最低73.56%;2005年与2006年报卡及时率分别为65.00%和78.57%(P＜0.01),审卡及时率分别为85.25%和93.23%(P＜0.01);县级以上医疗机构与乡级以下医疗机构报卡及时率分别是79.17%和65.92%(P＜0.01).结论 大理州2006年网络直报比2005年,录入及时性和审核及时性均显著提高,但及时率在80%以下,且各县市存在明显差异;设立专职的直报人员,坚持休息日录卡和审卡,可提高大理州传染病报告及时率.

Evaluation on the efficacy of internet-based reporting of infectious diseases in Dali prefecture of Yunnan from 2005 to 2006

Objective The present study was conducted to gain insight into the factors affecting the timeliness rate of reporting on infectious diseases in Dali prefecture through the evaluation on the efficacy of direct reporting of infectious diseases via network from 2005 to 2006 for improving the quality of direct reporting of infectious diseases via network in the prefecture by taking appropriate actions. Methods Data from the report cards for infectious diseases reported through the National Disease Surveillance Reporting and Management System in Dali prefecture from 2005 to 2006 were analyzed. Results All the medical facilities above the townshipin Dali prefecture developed the system of direct reporting via network from 2005 to 2006. The professionals in charge of direct reporting via network who were intermediate or higher professional title holders accounted for 82.25% of all the staff concerned, and over 65% of them were at the age of 30 to 45 years. The timeliness rate of reporting and checking cards on infectious diseases was 71.73% and 89.57%, respectively. The timeliness rate of reporting cards ranged from 49.04% to 96.13% in the 12 counties and cities, with the timeliness rate of checking being from 73.56% to 97.09%. The timeliness rate of reporting cards was 65.00% and 78.57%(P<0.01), and the timeliness rate of checking cards was 85.25% and 93.23%(P<0.01), in 2005 and 2006, respectively. The timeliness rate of reporting cards was 79.17% and 65.92%(P<0.01)in the medical facilities above county level and those below township level. Conclusion In Dali prefecture the timeliness of recording and checking on the direct reporting via network in 2006 was significantly higher than that in 2005, but the timeliness rate were still below 80%, there being significant difference between individual counties and cities. Full-time staff who working at recording and checking the cards regardless weekdays or weekends are needed to increase the timeliness rate of reporting on infectious diseases in DaLi prefecture.