疾病监测信息报告系统使用前后传染病报告质量分析

目的 通过对疾病监测信息报告系统使用前后传染病报告质量的比较,揭示系统成效及存在问题.方法 对2002-2003年和2004-2005年传染病登记报告率、分病种报告率、分医疗机构报告率进行对比,对2002-2003年和2004-2005年传染病报卡及时性、准确性和完整性进行对比.结果 系统使用后传染病登记报告率明显上升,以乙肝和肺结核登记报告率增长为最多及社区卫生服务中心登记报告率为最低;报卡的及时性、准确性及完整性均有极显著性提高.结论 应用疾病监测信息报告系统后登记报告率上升.前期报卡过程落后、调查漏报手段落后、性病管理落后以及社区卫生服务中心利用率低等因素影响登记报告率的进一步提高;系统提高了传染病报告的及时性、准确性和完整性.

Quality analysis on communicable disease reports before and after the application of the disease surveillance information reporting system

Objective The present study was designed to compare the quality of communicable disease reports before and after the application of the disease surveillance information reporting system,and to evaluate the effects and reveal the problems of the system. Methods The rate of registering and reporting of communicable diseases and the reporting rates by disease entities and healthcare facilities as well as the timeliness,veracity and integrality of the report cards were all compared between 2002-2003 and 2004-2005. Results The registering and reporting rate of communicable diseases increased after the application of the system,the reporting rates increased most significantly for Hepatitis B and pulmonary tuberculosis and was the lowest for community healthcare service centers. The timeliness,veracity and integrality of the reports showed remarkable improvement. Conclusion The registering and reporting rate of communicable diseases increased after the application of the system. The uncultured prophase of reporting card procedure,survey method of failure to report and sexually transmitted disease management and the low utilization of community healthcare service centers should be altered to accelerate the improvement of the registering and reporting rate. Furthermore,the timeliness,veracity and integrality of reports were also improved due to the new system.