【摘要】 目的了解2009年全国(未包括香港、澳门特别行政区和台湾地区,以下同)传染病网络直报管理与报告质量现状,发现传染病报告各环节尚存在的问题,进一步提升我国传染病网络直报质量。方法采用多阶段分层随机抽样的方法,分别在全国31个省(自治区、直辖市)和新疆生产建设兵团抽取各级卫生行政部门、疾病预防控制中心(CDC)和医疗机构进行调查,对传染病网络直报管理与报告质量现状进行评估。结果本次共调查各级各类卫生机构459家,数据利用率100%。全国各级卫生行政部门、CDC和医疗机构对传染病网络直报的管理模式渐趋完善,包括经费保障、监督检查与评估、规范诊疗登记、数据利用与信息发布、培训和技术指导等,总体东中部地区好于西部地区。全国医院抽样传染病总漏报率为5.47%,网络报告及时率、纸质报告卡填写完整率、准确率以及纸质卡与网报卡内容填写一致率分别为94.84%、89.36%和70.23%,省级或省会医疗机构报告质量较差,东中部地区报告质量明显高于西部地区。结论我国传染病网络直报管理更加规范,报告质量进一步提高。各级各类卫生部门要继续加强对传染病网络报告的管理,特别是省级或省会医疗机构传染病报告工作,进一步提高西部地区传染病报告质量。更多还原

【Abstract】 Objective To evaluate the management and quality of communicable diseases network direct reporting in China(except Hong Kong and Macao SARs,Taiwan area) and find out the existing problems for the further improvement of reporting quality.Methods The evaluation was conducted for the health administrations,centers disease control and prevention(CDCs) and hospital selected at all levels by multi stage stratified random samplings in 31 provinces(autonomous region,municipality) and Xinjiang Production and Construction Corps in China.Results A total of 459 health institutions were investigated,and the data utilization rate was 100%.The management model in all level health administrations and CDCs had been greatly improved,including financial support,supervision,inspection and evaluation,clinic registration standardization,data utilization and information dissemination as well as training and technical guidance.Generally the management of communicable disease reporting in eastern and central regions were better than that in western region.The overall underreporting rate of communicable diseases in the hospitals sampled was 5.47%,the rate of timely reporting,the complete rate of paper cards,the consistent rate of paper cards and electronic cards was 94.84%,89.36% and 70.23% respectively.The reporting quality in provincial hospitals was not satisfied,and the reporting quality in eastern and central regions was significantly better than that in western region.ConclusionThe more standardized management of communicable diseases network direct reporting had been conducted and the reporting quality had been greatly improved in China.It is necessary for all health institutions to continue to strengthen the management of communicable diseases network direct reporting,especially for provincial hospitals.The reporting quality of communicable diseases in western region should be improved.更多还原