滕州市2004年2485例网络直报传染病报告质量及医院法定传染病漏报调查分析

目的了解滕州市网络直报传染病报告质量和医疗机构法定传染病漏报情况,为疾病预防控制提供科学依据。方法采用分层抽样的方法对35所医疗机构2004年度登记报告的法定传染病进行调查,数据处理采用流行病学统计分析方法。结果网络直报传染病病例报告完整率87.20%,报告及时率70.70%,医疗机构法定传染病漏报率17.50%。结论法定传染病经网络直报后,病例报告完整率、及时率均较以往有明显的提高,但各医疗机构对传染病管理不均衡,部分医院临床医生的法定传染病报告意识、报告自觉性不强,应增强其法律意识,提高业务素质,做好疫情报告管理工作。

Investigation and Analysis on Quality of Direct Network Report for 2485 Cases of Infectious Diseases and Failure to Report Statutory Infectious Diseases by Hospitals in 2004 in Tengzhou

Objective This study was designed to understand the situation of quality of the infectious diseases reports handed on directly through network and failure to report statutory infectious diseases by hospitals in Tengzhou, so as to provide scientific evidence for disease control and prevention. Methods By adopting stratified sampling, investigation of statutory infectious diseases registered and reported by 35 medical institutes in 2004 was conducted. Statistic analysis of epidemiology was employed for data processing. Results The intact rate of infectious disease case reports handed on directly through network was 87.20% and the rate of timely report was70.70%, while the failure to report statutory infectious diseases by medical institutes was 17.50%. Conclusion Through direct network report, intact rate of report and the rate of timely report for statutory infectious diseases were both increased compared with the previous ones. However, the administration of infectious diseases by each medical institute was not balanced. As for clinical doctors in some hospitals, their consciousness to report statutory infectious diseases and awareness of report were not strong enough. Therefore, it is necessary to reinforce their legal consciousness and service quality, and to enhance the report and administration of epidemic situation.