2007-2009年广东省茂名市医疗机构法定传染病漏报原因分析

目的分析广东省茂名市2007-2009年法定传染病漏报原因,提高传染病报告率,以便及时、准确地掌握传染病疫情动态,及时、有效控制疫情。方法对茂名市2007-2009年各级医疗机构进行法定传染病报告调查,查阅门诊日志、出入院登记本、检验科、放射科、传染病登记本等记录,对传染病登记数及报告数进行统计分析。结果 2007-2009年茂名市法定传染病总漏报率为12.67%,以镇级医疗机构漏报率较高,漏报率较高的病种为淋病、痢疾、病毒性肝炎。结论卫生行政部门应加强医疗机构法定传染病报告执法检查;医疗机构加强奖惩和自查制度落实、建立功能科室和临床医生的结果反馈机制,是减少漏报的有效手段。

Causes of underreporting of notifiable communicable diseases in Maoming, Guangdong province, 2007-2009

Objective To analyze the causes of underreporting of notifiable communicable diseases in Maoming,and provide evidence for improvement of communicable disease reporting and better control of epidemic.Methods The statistical analysis was conducted on registering and reporting data of communicable disease cases from 2007 to 2009,which were collected from the all medical institutions in Maoming by checking their outpatient departments,admission and discharge,laboratory,radiology department and communicable diseases records.Results The underreporting rate of notifiable communicable diseases was 12.67% in Maoming during this period.The underreporting rate in township health centers was highest,and the main diseases which were highly underreported were gonorrhea,dysentery and viral hepatitis.Conclusion It is necessary for health authority to strengthen the supervision of communicable disease reporting and necessary for health institutions to practice rewards and penalties,set up feedback system of diagnosis results in order to reduce underreporting of communicable diseases.