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目的了解2012─2014年新疆乌鲁木齐市传染病网络报告质量现状,为提高传染病报告质量和管理水平提供科学依据。方法通过问卷调查及《2012年新疆法定传染病报告质量调查方案》抽查乌鲁木齐市各类医疗机构,综合分析和评价其传染病的报告质量。结果 2012─2014年共调查35家医疗机构,共报告传染病19种3 036例,漏报率分别为2.88%、3.55%和3.80%,平均漏报率3.43%,不同年份漏报率差异无统计学意义(c2=1.37,P>0.05);乙类、丙类和其他重点监测传染病漏报率分别为1.94%、4.92%和8.70%,丙类(c2=20.22)和其他法定传染病(c2=24.34)漏报率均高于乙类(P<0.05),丙类和其他法定传染病比较无差异(c2=3.52,P>0.05);县(市)级医疗机构传染病漏报率最高5.56%,其次为乡(镇)级(3.16%)和省级医疗机构(2.27%);核对传染病报告卡3 036张,及时报告率86.41%,报告卡完整率94.73%、准确率87.78%,纸质报告卡与网络报卡一致率91.27%。结论乌鲁木齐市各类医疗机构传染病报告质量较好,但报告及时率和准确率有待提高,应继续加强医疗机构传染病报告管理意识,建立健全报告管理制度,确保传染病的报告质量。
Objective To understand the current status of infectious disease network reporting in Urumqi from 2012 to 2014 and provide a scientific basis for improving the reporting and management of infectious diseases. Methods Through the questionnaire survey and the “2012 Xinjiang report of infectious diseases reporting quality survey” random inspection of various types of medical institutions in Urumqi, a comprehensive analysis and evaluation of the quality of the reporting of infectious diseases. Results From 2012 to 2014, a total of 35 medical institutions were surveyed in 35 medical institutions, of which 1936 cases were reported with 3 036 cases of infectious diseases. The omission rates were 2.88%, 3.55% and 3.80% respectively, with an average false positive rate of 3.43%. There was no difference between different years (C2 = 1.37, P> 0.05). The omission rate of infectious diseases of Class B, C and other key surveillance were 1.94%, 4.92% and 8.70%, respectively, while that of Class C (c2 = 20.22) and other notifiable infectious diseases (c2 = 24.34) were higher than those of group B (P <0.05). There was no difference between group C and other legal infectious diseases (c2 = 3.52, P> 0.05) The highest rate was 5.56%, followed by township level (3.16%) and provincial-level medical institutions (2.27%). 3 036 infectious disease report cards were checked, the timely reporting rate was 86.41%, the report card complete rate was 94.73% and the accuracy rate 87.78%, paper report card and online newspaper card consistency rate of 91.27%. Conclusion The reports of communicable diseases in various medical institutions in Urumqi are of good quality. However, the promptness and accuracy of reporting should be improved. The awareness of infectious disease reporting and management in medical institutions should be further strengthened and the reporting management system established and perfected to ensure the quality of infectious disease reporting.