2006年江西省安福县医疗机构传染病网络直报工作质量分析与建议

目的 了解江西省安福县实现传染病网络直报后的医院传染病疫情报告质量,发现存在的问题和探讨改进策略,以进一步规范医疗机构传染病报告的管理、提高报告质量.方法 根据《江西省医疗机构法定传染病报告管理及质量调查方案(2006年)》,对安福县县、乡(镇)两级医疗机构的法定传染病疫情报告工作质量进行调查和分析.结果 实行网络直报后,安福县医疗机构的传染病报告率和及时率均有明显提高,分别为95.33%和87.24%;但漏报情况仍然存在,漏报率为4.67%,其中,辅助科室漏报率高于门诊及住院科室;卡片填写的完整率和准确率分别为80.19%和78.90%.结论 对传染病报告工作必须从加强医疗机构的内部管理与疫情报告人员的培训、疾控机构的督查指导等方面采取综合措施加以改进和提高.

Quality analysis of internet-based reports on infectious diseases in Anfu County of Jiangxi in 2006

Objective The present study was designed to gain an insight into the quality of the re- ports on infectious disease in the hospitals in Anfu County after the implementation of the direct net- work report system and into the existing problems in the field for the improvement of strategies for the management of the infectious diseases in the medical facilities.Methods An investigational analysis was performed of the quality of the reports on infectious diseases from the medical facilities at the county and township levels in Anfu County based on"The Survey Protocol for the Quality of Case Management and Report of Notifiable Diseases in Jiangxi Province(2006)".Results It was shown that the actual report rate of infectious diseases and the timeliness in reporting in Anfu Hospital were dra- maticaUy improved after the implementation of the direct network report system,being 95.33% and 87.24% respectively.But there still existed failures to report the conditions with a rate of 4.67%,the rate being higher in auxiliary departments than in outpatient department and in-patient department.The rates of the card completeness and accurateness were 80.19% and 78.90%,respectively.Conclusion Comprehensive measures,including internal management of medical facilities,training of epidemic re- porters and supervision and instruction from CDC,should be taken to improve the epidemic reporting of infectious diseases.