2019年安徽省民营医疗机构传染病监测能力现状

目的 通过评估安徽省民营医疗机构传染病报告质量及管理现状，为提升其传染病监测能力提供参考依据。方法 将纳入“中国疾病预防控制信息系统”中业务范围包含“传染病报告”的安徽省民营医院按医疗机构级别采用分层随机抽样法，共调查45家民营医疗机构，对医疗机构原始登记情况、人员与设备配备、信息系统功能与传染病报告质量进行现场调查。结果 纳入调查的45家民营医疗机构多为非营利性私有制医院，安徽省民营医院法定传染病报告率为78.43%，报告及时率为85.50%；91.11%民营医院建立传染病报告管理组织及相关制度，55.56%的医疗机构门诊日志项目设置不齐全，80.00%的医疗机构门诊日志填写不规范；93.33%的民营医疗机构开展了传染病报告管理知识培训及定期自查工作，仅53.33%的医疗机构针对自查结果进行了有效的奖惩措施；45家医疗机构中只有1家医院的信息系统具备传染病报告管理功能。结论 应进一步加强传染病报告管理的领导和责任落实，强化卫生健康行政部门工作主体责任，并强化各级疾病预防控制中心对辖区内民营医院的技术指导，加强临床医生传染病报告技术培训，多方面提高传染病报告意识，减少漏报、迟报现象的发生。

Infectious disease reporting and management status in Anhui non-governmental medical institutions,2019

Objective To evaluate the quality and management status of infectious disease reports of non-governmental medical institutions in Anhui Province, to provide reference basis for improving their infectious disease monitoring ability.]Methods A stratified random sampling method was used to select 45 non-governmental medical institutions in Anhui Province from China information system for disease control and prevention. An on-site investigation was conducted on the original registration of medical institutions, personnel and equipment allocation, the function of the information system, and the quality of infectious disease reports.]Results The 45 non-governmental medical institutions were mostly non-profit private hospitals. The reporting rate was 78.43% and timeliness rate was 85.50%. 91.11% of non-governmental medical institutions had established infectious disease report management organizations and related systems. 55.56% of medical institutions had incomplete outpatient log items and the filling was not standardized in 80.00% of them. 93.33% of medical institutions carried out infectious disease reporting knowledge training and regular self-examination according to the regulations, but only 53.33% of them took effective reward and punishment measures for the results of self-examination. Only one hospital’s information system had the function of infectious disease report management. Conclusion. The leadership and responsibility of infectious disease report management should be further implemented. The main responsibility of health administrative departments should be strengthened. Meanwhile, the technical guidance of the Centers for Disease Control and Prevention to private hospitals within their jurisdiction and the technical training of clinicians on infectious disease reporting should also be strengthened. The awareness of reporting infectious diseases should be improved from many aspects to reduce the occurrence of underreporting and late reporting.