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[目的]了解我省医疗机构法定传染病漏报情况和漏报原因,为进一步提高传染病网络直报工作质量提供依据。[方法]采用分层抽样的原则在全省抽取298家医疗机构开展调查,[结果]本次调查共收集传染病个案14041例,全省医疗机构传染病总的漏报率为7.80%,无甲类传染病,乙、丙类传染病漏报率分别为7.99%和6.48%;医疗机构不同级别和不同科室传染病漏报率的差异均有统计学意义,市级、县级、乡镇级医疗机构传染病漏报率分别为12.05%、6.02%、8.23%,门诊、住院部、化验室传染病漏报率分别为5.92%、6.97%和21.17%。[结论]我省医疗机构传染病报告工作比较薄弱,医疗机构需加强传染病报告工作的规范化管理,建立有效的信息沟通报告机制,各级卫生行政部门应定期开展医疗机构传染病疫情报告工作的督导检查。
[Objective] To understand the situation of omission of notifiable infectious diseases in medical institutions in our province and the causes of omission, so as to provide evidences for further improving the quality of network direct reports of infectious diseases. [Methods] Totally 298 medical institutions were surveyed by stratified sampling. [Results] A total of 14041 cases of infectious diseases were collected in this survey. The overall omission rate of communicable diseases in medical institutions across the province was 7.80%, and none Class A infectious diseases, Class B and Class C infectious diseases omission rate of 7.99% and 6.48%; medical institutions at different levels and different departments of infectious disease omission rate differences were statistically significant, municipal, county, township level The failure rate of infectious diseases in medical institutions was 12.05%, 6.02% and 8.23% respectively. The omission rates of outpatient, inpatient and laboratory infectious diseases were 5.92%, 6.97% and 21.17% respectively. [Conclusion] The reporting of infectious diseases in medical institutions in our province is relatively weak. The medical institutions need to strengthen the standardized management of infectious diseases reporting and establish an effective reporting mechanism for information communication. Health administrative departments at all levels should regularly carry out epidemiological reports on infectious diseases in medical institutions Supervision inspection.