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目的评估电子信息系统在哨点医院流感样病例监测中的运行效果,探讨流感样病例监测新模式。方法在长沙市两家哨点医院中的一家医院(长沙市中心医院)中采用电子信息系统收集监测门诊信息和流感样病例(ILI)信息,在另一家医院(长沙市第一医院)中继续实行手工登记方式收集相关信息。从“中国流感监测信息系统”中导出2010年第6周—2015年第5周两家医院的ILI监测数据进行统计分析。结果手工登记时期与HIS过渡时期两家哨点医院ILI%差值的差异没有统计学意义,手工报表时期与HIS正式运行时期两家哨点医院ILI%差值的差异有统计学意义,HIS过渡时期与HIS正式运行时期ILI%差值的差异有统计学意义。结论 HIS操作简单,数据客观,利用HIS收集和报告ILI信息的方式必将逐渐取代传统的手工报告方式,成为一种新的流感样病例监测模式。
Objective To evaluate the effect of electronic information system in the surveillance of influenza-like cases in sentinel hospitals and to explore a new mode of influenza-like illness surveillance. Methods Electronic information system was used to collect the monitoring clinic information and influenza-like illness (ILI) information in one of the two sentinel hospitals in Changsha City (Changsha Central Hospital), and then was continued in another hospital (Changsha First Hospital) Implement manual registration to collect relevant information. From the “China Influenza Surveillance Information System” derived from the sixth week of 2010 - fifth week of 2015 ILI monitoring data from two hospitals for statistical analysis. Results There was no significant difference in ILI% difference between manual registration and two sentinel hospitals in HIS transition period. There was significant difference between ILI% difference in manual reporting period and two sentinel hospitals in HIS formal operation period. HIS transition There was significant difference between the ILI% difference in period and HIS formal operation period. Conclusions HIS is simple and objective, and the way of collecting and reporting ILI information by using HIS will gradually replace traditional manual reporting and become a new influenza-like case monitoring model.