论文部分内容阅读
目的了解甘肃省张掖市传染病网络直报工作现状,分析报告质量及影响因素,为提高综合报告质量提供参考。方法利用Excel 2003软件对2008年报告卡片进行分析,评价指标分别为报告及时率、审核及时率、报告准确率、完整率、质量综合评价。结果 2008年张掖市共报告卡片12 649张,报告及时率93.25%,准确率98.02%,完整率25.99%,地市、县区、乡镇及以下不同级别医疗机构报告率差异有统计学意义(P<0.01);审核时间38 min,审核及时率为99.51%;6县区综合质量评价最高为0.47%,最低29.86%。报告不及时卡片854张,其中肺结核占67.56%;重卡590张,肺结核占72.37%。结论肺结核是影响报告质量最重要的传染病,现阶段提高综合质量的关键是提高肺结核报告及时率,减少迟报重报;报告卡完整性亟待提高;建议医疗机构加强公休日报告的管理,逐步完善直报系统的提示功能。
Objective To understand the status quo of direct reporting of communicable diseases network in Zhangye City, Gansu Province, analyze the quality and influencing factors of reporting, and provide reference for improving the quality of comprehensive reporting. Methods The Excel 2003 software was used to analyze the 2008 report cards. The evaluation indexes were the report timely rate, the audit timely rate, the report accuracy rate, the complete rate and the quality comprehensive evaluation. Results A total of 12 649 cards were reported in Zhangye city in 2008, with a reporting rate of 93.25%, a rate of 98.02% and a complete rate of 25.99%. There was significant difference in reporting rates among medical institutions of different levels in cities, counties, townships and townships (P <0.01). The audit time was 38 min, and the timely audit rate was 99.51%. The highest comprehensive quality evaluation of 6 counties was 0.47% and the lowest was 29.86%. The report did not timely 854 cards, of which 67.56% of tuberculosis; heavy card 590, accounting for 72.37% of tuberculosis. Conclusions Pulmonary tuberculosis (TB) is the most important infectious disease affecting the quality of reports. The key to improving overall quality at this stage is to improve the timely reporting of TB and reduce the retransmission of late TB reports. The integrity of the report card needs to be improved urgently. It is suggested that medical institutions should strengthen the administration of public holiday reports Improve the direct reporting system prompts.