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目的比较分析甘肃省张掖市报告的病例与外地报至本地病例的报告质量,评价张掖市传染病网络直报工作质量。方法统计分析2010—2014年张掖市报告的传染病报告卡和外地报至张掖市的报告卡,以报告时间、审核时间、报告及时率、审核及时率、完整性和准确性分析报告质量。结果 2010—2014年,按报告地区统计张掖市共报告传染病报告卡32 138张、报告时间1.52 h、审核时间26 min,报告及时29 255张、报告及时率99.66%,及时审核31 901例、审核及时率99.86%;外地报至张掖市传染病报告卡2 156张、报告时间3.54 h、审核时间47 min,报告及时2 078张、报告及时率98.53%,及时审核2 126张、及时审核率99.63%。结论张掖市本地病例报告质量高于外地报本地病例质量,网络直报工作存在的主要问题是公休日审卡不及时、医疗机构“重治轻防”对传染病填报工作不重视,建议解决公休日审卡待遇,加强网络直报培训及督导检查,进一步提高传染病网络直报质量。
Objective To compare and analyze the reported quality of cases reported in Zhangye City, Gansu Province and reported to local cases in other cities and evaluate the quality of direct reporting of infectious diseases network in Zhangye City. Methods Statistical analysis of infectious disease report cards reported by Zhangye City from 2010 to 2014 and report cards filed to Zhangye City from other places were conducted to analyze the report quality in terms of report time, audit time, report timely rate, audit timely rate, completeness and accuracy. Results In 2010-2014, a total of 32 138 reports of infectious diseases were reported in Zhangye City, reporting time was 1.52 hours, audit time was 26 minutes, reporting time was 29,255 pieces, reporting timely rate was 99.66%, timely reviewing 31,901 cases, The timely reporting rate was 99.86%; 2 156 cases were reported to Zhangye City for reporting infectious diseases, the report time was 3.54 hours, the examination time was 47 minutes, the report timely was 2 078 pieces, the report timely rate was 98.53%, the timely examination was 2 126 pieces, the timely examination rate 99.63%. Conclusion The quality of local cases reported in Zhangye City is higher than that reported in other places. The main problem with direct online reporting is that the public health card is not in a timely manner. The medical institutions should pay more attention to the filing of infectious diseases, Public holiday card review treatment, strengthen direct reporting network training and supervision and inspection, and further improve the quality of direct reports of infectious diseases network.