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目的掌握福建省传染病监测时效性。方法利用福建省2004年网络直报系统的传染病个案库,分析网络直报各环节的时效性及其影响因素。结果医疗机构的“诊断→生成”总的P50 为1天,比该省2001—2003年P50为7天提前了6天;0天及时率为46.46%,比2001-2003年的12.68%增加了2.7倍。推断分析提示,传染病监测的时效性与不同行政区、报告单位、病种有关,县及县级以上医院、中医院监测时效性为最好,P50为0天,但0天及时率仅为50.76%,且病例来源占70.04%;疾病预防控制中心(CDC)最差,P50为3天,与其报告病例来源于无网络直报条件的卫生院有关,卫生院较差,P50为2天;卫生院、CDC网络直报的病例占21.21%。CDC的“生成→确认”总的P50为4 h,24 h内及时率为63.65%。结论实行医疗机构网络直报后传染病监测时效性由过去的7 天降至当今的1天,但0天及时率未过半,必须进一步加强系统全员培训、医院内部管理、CDC自身完善,优化网络直报系统,尽快解决不具备网络直报条件的卫生院网络建设问题。
Objective To grasp the timeliness of infectious disease surveillance in Fujian Province. Methods Using the case library of infectious diseases in the network direct reporting system of Fujian Province in 2004, the analysis of the timeliness and its influencing factors in all aspects of direct online reporting. Results The total P50 of “diagnosis → formation” in medical institutions was 1 day, 6 days earlier than the province’s P50 of 2001-2003 of 7 days; the rate of 0-day immediate response was 46.46%, an increase from 12.68% in 2001-2003 2.7 times. Inferred analysis suggests that the timeliness of infectious disease surveillance is related to different administrative regions, reporting units and disease types. The monitoring results of hospitals and hospitals at or above the county level are the best, and the P50 is 0 days, but the 0-day rate is only 50.76 %, And the source of cases accounted for 70.04%; CDC worst, P50 for 3 days, and its reported cases from non-network conditions directly related to the health center, poor health centers, P50 for 2 days; health Hospital, CDC network direct reports of cases accounted for 21.21%. CDC “generated → confirm” the total P50 is 4 h, within 24 h on-time rate was 63.65%. Conclusion The timeliness of monitoring of infectious diseases dropped from the past 7 days to the current 1 day after the network direct reporting by medical institutions. However, the timely rate of 0 days is not more than half, and it is necessary to further strengthen system full training, hospital internal management, CDC itself, and optimization Network direct reporting system, as soon as possible to solve the conditions of the network does not have direct reports of network construction of hospitals.