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目的 了解安徽省法定传染病疫情报告质量和传染病疫情信息利用水平,探讨进一步提高疫情报告质量的方法。方法 采取分层抽样方法抽取36个医疗机构(包括16个村卫生室),查阅这些医疗机构2003年7~9月份和2004年6月份传染病诊疗登记与报告资料,评价传染病报告率、迟报率、重报率以及传染病疫情管理质量。结果 2003年和2004年调查对象传染病报告率分别为88. 9%和92. 2%, 95%可信限分别为93. 2% ~84.6%和96. 3% ~88. 1%。2003年三级医疗机构传染病报告率差异有显著性(χ2 =9.1313,P<0.05),2004年三级医疗机构传染病报告率差异无显著性(χ2 =0.3725,P>0. 05);迟报率分别为5. 3%和21. 0%。结论 传染病疫情实施网络直报大大提高了传染病报告率,医疗机构需要加强传染病疫情管理,疾病预防控制中心需要提高传染病疫情信息分析和利用能力。
Objective To understand the quality of epidemic reporting of notifiable infectious diseases and the utilization of epidemic situation information of infectious diseases in Anhui Province and to explore ways to further improve the quality of epidemic reporting. Methods Thirty-six medical institutions (including 16 village clinics) were drawn by stratified sampling method, and the registration and reporting of infectious diseases clinics in July-September 2003 and June 2004 were reviewed, and the reporting rate of infectious diseases was evaluated. The rate of return, re-rate and infectious disease outbreak management quality. Results The reported rates of infectious diseases in 2003 and 2004 were 88.9% and 92.2% respectively, with 95% confidence limits of 93.2% -84.6% and 96.3% -88.1%, respectively. There was a significant difference in reporting rate of infectious diseases in tertiary medical institutions in 2003 (χ2 = 9.1313, P <0.05). There was no significant difference in reporting rate of infectious diseases in tertiary medical institutions in 2004 (χ2 = 0.3725, P> 0.05). The rates of late reporting were 5.3% and 21. 0% respectively. Conclusion The direct online reporting of infectious disease outbreaks has greatly increased the reporting rate of infectious diseases. Medical institutions need to strengthen the management of epidemic situation of infectious diseases. CDC needs to improve the capability of information analysis and utilization of epidemic situation of infectious diseases.