宁波市传染病网络报告及时率及影响因素分析

目的 了解宁波市传染病网络报告及时率及其影响因素.方法 对2004-2006年宁波市疾病监测信息报告管理系统报告的传染病报告卡进行分析.结果 2004-2006年宁波市传染病报卡总数119 728张,及时报告110 662张,报卡及时率为92.43%,及时审核118 643张,审卡及时率为99.09%;11个县市(区)传染病报卡总数119 728张,报卡及时率最高97.29%,最低87.09%,审卡及时率最高99.79%,最低98.13%;工作日与节假日报卡及时率分别是94.33%和85.58%(P＜0.01),审卡及时率分别是99.75%和96.74%(P＜0.01);县级及以上医疗机构与乡级及以下医疗机构报卡及时率分别是92.38%和92.53%(P＞0.05),审卡及时率分别是99.06%和99.16%(P＞0.05).结论 宁波市自2004年开展传染病网络报告工作,传染病报告及时率高,且无城乡差异;强化网络直报工作的队伍建设,坚持休息日录卡及审卡,可提高传染病报告及时率.

Analysis of the promptness and influencing factors of the netwrok reporting of infectious diseases in Ningbo city

Objective The analysis was conducted to investigate the promptness of the network reporting of infectious diseases in Ningbo city along with the factors influencing the promptness. Methods Analysis was made on the report cards of infectious diseases reported by the "report and management system of disease surveillance information" in Ningbo city from 2004 to 2006. Results The promptness rate of report cards of infectious diseases in Ningbo from 2004 to 2006 was 92.43%, in view of 110 662 out of 119 728 cards that were promptly reported; the promptness rate of card verification was 99.09%, in view of 118 643 promptly verified cards. The highest promptness rate of report cards in 11 counties(districts) that had a total of 119 728 report cards was 97.29% and the lowest was 87.09%, the highest promptness rate of card verification being 99.79% and the lowest 98.13%. The promptness rates of report cards in working days and holidays were 94.33% and 85.58%, respectively (P<0.01), the promptness rates of card verification being 99.75% and 96.74%, respectively(P<0.01). The promptness rates of report cards of medical facilities at county or higher level and those below county level were 92.38% and 92.53%, respectively(P>0.05), the promptness rates of card verification being 99.06% and 99.16%, respectively(P>0.05). Conclusion The report and management system of disease surveillance information in Ningbo maintained a high promptness rate of infectious diseases report since 2004 and eliminated the difference of promptness between urban medical facilities and rural ones. The promptness of infectious diseases report can be further enhanced through improving the staff's skills and maintaining the performance of cards reporting and verification in holidays.