论文部分内容阅读
目的以传染病漏报调查的方法对疫情网络直报系统的运行效率和质量进行评估,为进一步完善传染病管理措施提供科学信息。方法依据《传染病防治法》,制定了《广西医疗机构法定传染病报告管理及质量调查方案》,对全区乡镇级以上的87家医疗机构2006年1～9月法定传染病报告进行漏报调查分析。结果调查法定传染病报告21种4637例,漏报612例,平均漏报率为13.20%,北海市漏报率最低为0%,河池市最高达29.37%;乙、丙类传染病的漏报率分别为12.39%,17.15%;省、市、县、乡镇四级医疗机构的漏报率分别为:13.85%、11.16%、14.74%、21.70%;病种漏报率较高的有急性出血性结膜炎、疟疾、艾滋病、淋病、风疹、百日咳等。结论各级各类医疗机构应重视传染病疫情报告工作,加强医疗机构传染病疫情报告工作的规范化管理。
Objective To evaluate the operation efficiency and quality of the outbreak network direct reporting system by means of a survey on the omission of infectious diseases so as to provide scientific information for further improvement of infectious disease management measures. Methods Based on the Law of Prevention and Control of Infectious Diseases, the Report on the Management and Quality Investigation of Notifiable Infectious Diseases in Medical Institutions in Guangxi Province was formulated and the report on legal infectious diseases from January to September 2006 in 87 medical institutions above the township level was omitted research analysis. Results A total of 4637 cases were reported of 21 kinds of notifiable infectious diseases. The average false negative rate was 13.20%, the lowest false negative rate was 0% in Beihai City and the highest was 29.37% in Hechi City. The omission of B and C infectious diseases The rates of omission and false alarm were 12.39% and 17.15% respectively. The omission rates of the four levels of medical institutions in provinces, cities, counties and townships were 13.85%, 11.16%, 14.74% and 21.70% respectively. Conjunctivitis, Malaria, AIDS, gonorrhea, rubella, whooping cough and so on. Conclusion All kinds of medical institutions at all levels should pay close attention to the reporting of epidemic situation of infectious diseases and strengthen the standardized management of the reporting of infectious diseases in medical institutions.