2003～2004年忻州市各级医疗单位法定传染病漏报调查

目的]探讨忻州市法定传染病疫情的报告情况和漏报原因，加强传染病报告管理，减少漏报发生。方法]采用随机抽样方法对忻州市医疗机构进行传染病漏报调查。对2003年7月至2004年7月传染病报告与门诊日志及检验科传染病登记对照检查，调查漏报原因。结果]医疗机构传染病漏报率为12．89％，市级医院漏报率为4．35％，县级医院漏报率为11．76％，乡镇卫生院的漏报率为9．30％，村卫生所漏报率高达59．02％。漏报较严重的病种是麻疹29．60％、病毒性肝炎15．20％、痢疾8．33％、肺结核6．33％。结论]传染病疫情报告存在严重的漏报，应不断完善报告制度，提高报告质量。

Investigation on Missing Report of Notifiable Diseases in Hospitals in Xinzhou City from 2003 to 2004

Objective]To explore the status of the report and causes of missing report of notifiable diseases , improve the report system, reduce the occurrence of missing report. Methods]Investigation was conducted on the report system of notifiable diseases with random sampling method in the hospitals of Xinzhou. The causes of missing report were analyzed based on the check-up of the report of infectious diseases from July 2003 to July 2004 ,outpatients records of diseases and record of infectious diseases from examination department. Results] The missing report rate of infectious diseases was 12.89% in medical agencies. The missing report was 4.35%, 11.76% ,9.30% and 59.02% in the hospitals at city level, county level, town level and in village clinics respectively. The rate of missing report of measles , viral hepatitis, dysentery and tuberculosis was 29.6 %, 15.20 % ,8. 33 % and 6.33% respectively. Conclusion]The missing report of infectious diseases was serious. The report system need to be improved.