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目的为了解枣庄市医疗机构传染病疫情管理报告工作情况。方法按照调查方案随机抽取调查枣庄市7家医疗单位2016年门诊日志、出入院登记本,抄录初步诊断为法定传染病的病历信息,县级及以上医疗机构同时查阅2016年检验和影像部门资料。结果抽取7所医疗机构的123例门诊及住院病例中,进行报告的111例,未报告的12例,总报告率为90.24%。在111例报告的病例信息中,报告及时率为100.00%,完整率为60.36%,准确率为95.52%,一致率为97.30%。其中,市级、县级与乡级的报告率分别为90.74%,87.07%和100.00%;从医疗机构类别上分,综合医院和卫生院两类机构报告率为100.00%,中医院类为92.59%,妇幼保健院类为81.48%(P<0.05)。结论枣庄市乡镇卫生院和市级医疗机构的疫情报告管理工作优于县级,综合医院和卫生院类的报告质量优于其他类别机构。
Objective To understand the Zaozhuang medical institutions infectious disease outbreak management report. Methods According to the investigation plan, seven medical clinics in Zaozhuang City were randomly selected to conduct outpatient diaries in 2016, and to register their medical records. The medical record information of the initial diagnosis of legal infectious diseases was copied. The medical institutions at the county level and above examined the 2016 inspection and imaging department data at the same time. Results Of the 123 outpatients and inpatient cases in 123 medical institutions, 111 cases were reported and 12 cases were unreported, with a total reported rate of 90.24%. Among the 111 reported cases, the prompt rate was 100.00%, the complete rate was 60.36%, the accuracy rate was 95.52% and the agreement rate was 97.30%. Among them, the report rates of municipal, county and township level were 90.74%, 87.07% and 100.00% respectively; from the classification of medical institutions, the report rate of general hospitals and hospitals was 100.00%, that of hospitals of Chinese medicine was 92.59 %, MCH class was 81.48% (P <0.05). Conclusion The reporting of epidemics in township hospitals and municipal medical institutions in Zaozhuang is superior to that in county level. The quality of reports in general hospitals and hospitals is better than that in other categories.