2007年鹤壁市医疗机构传染病疫情报告质量调查

目的]了解鹤壁市医疗机构传染病疫情报告质量,为今后进一步规范传染病报告管理工作提供依据。方法]2007年6~8月,对鹤壁市全部12家县级以上医疗机构进行调查。结果]12家医疗机构共查出传染病490例,漏报64例,漏报率为13.06%。其中,二甲医院传染病漏报率为5.74%,二甲以下医院为39.25%(P<0.01);综合性医院为7.11%,专科医院为42.68%(P<0.01);未分型肝炎为75.00%,手足口病为33.33%,乙肝为17.61%,甲肝为6.67%,流行性腮腺炎为6.25%,细菌性痢疾为2.63%,水痘为1.49%,其他传染病未见漏报。抽查传染病报告卡335张,报告及时率为98.51%;填卡内容一致率为78.81%。报告卡内容一致率,二甲医院为82.49%,二甲以下医院为72.03%(P<0.05);综合性医院为82.79%,专科医院为68.13%(P<0.01)。结论]鹤壁市医疗机构疫情报告质量工作有待加强,二甲以下医院和专科医院尤其严重。

Investigation on the Quality of Infectious Diseases Reporting at Medical Health Units of Hebi in 2007

Objective]To understand the quality of infectious disease reporting at medical health units of Hebi city in order to provide a theoretical basis for further improving infectious diseases reporting.Methods]A survey was conducted at 12 medical health units county above from Jun.to Aug.of 2007.Results]490 cases of infectious diseases were surveyed in 12 hospitals,64 of them were underreported,the average underreporting rate was 13.06%.The underreporting rate of Grade 2 A hospitals(5.74%) was lower than Grade 2 A hospitals below(39.25%)(P<0.01);and that of comprehensive hospitals(7.11%) was lower than professional hospitals below (42.68%)(P<0.01).The top seven infectious diseases with highest missing report rates were in turn hepatitis unclassified(75.00%),hand foot and mouth disease(33.33%),hepatitis B(17.61%),hepatitis A(6.67%),epidemic mumps(6.25%),bacillary dysentery(2.63%),chicken pox(1.49%);other infectious diseases were all reported.333 infectious diseases cards were sampled with an average timeliness rate of 98.51% and consistency rate(key items on the electronic card with those on the paper card) of 78.81%;so far as consistency rate,Grade 2 A hospitals(82.49%) were higher than Grade-2-A below(72.03%)(P<0.05),comprehensive hospitals(82.79%) were higher than professional hospitals(68.13%)(P<0.01).Conclusion]There is much to be improved in Hebi medical units about reporting of infectious diseases which should be taken seriously especially in Grade 2 A hospitals below and professional hospitals.