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目的掌握宝山区传染病信息报告质量和管理情况,了解各级医疗卫生机构在工作中存在的问题,为进一步提高传染病网络直报工作效率和报告质量提供依据。方法按照《全国法定传染病漏报调查方案》和《中国传染病信息报告管理系统》中下载的传染病报告卡信息,对抽查的医疗机构进行传染病报告质量与漏报调查分析。结果宝山区各级各类医疗机构传染病报告率98.72%,及时率100.00%,完整率100.00%,正确率97.07%;社区服务中心和二级医院均未漏报,漏报现象集中于三级医院。目前宝山区法定传染病网络直报管理的体系和制度基本完善,但仍存极少数医疗机构制度的缺失。医疗机构院内信息系统利用率仍偏低,存在待改进的问题。结论宝山区医疗机构漏报率较低,但仍存在漏报现象,报告质量仍需改进。应加强院内自查和培训、区级督导等措施,进一步提高报告质量,避免漏报。同时医疗机构信息系统的完善,实行传染病报告的信息化,能有效提高医院传染病报告的质量和效率。
Objective To understand the quality and management of infectious disease information reports in Baoshan District and to understand the existing problems in the work of medical and health institutions at all levels so as to provide evidences for further improving the work efficiency and reporting quality of infectious disease network direct reports. Methods According to the information of Report Card of Infectious Diseases downloaded from the Survey Report of National Legal Notifiable Diseases and the Information Management System of Infectious Diseases in China, the quality of medical reports and the omissions of infectious diseases were investigated and analyzed. Results The reported rate of communicable diseases was 98.72% in all kinds of medical institutions at all levels in Baoshan district, with a prompt rate of 100.00% and a complete rate of 100.00%, with a correct rate of 97.07%; neither community service centers nor secondary hospitals reported any omissions, hospital. At present, the system and system of direct reporting of legal notifiable infectious diseases in Baoshan District are basically complete, but there are still a few exceptions to the system of medical institutions. Medical institutions hospital information system utilization is still low, there are problems to be improved. Conclusion The omission rate in Baoshan District medical institutions is low, but the omission phenomenon still exists and the quality of the report still needs to be improved. Self-inspection and training should be strengthened in the hospital, district-level supervision and other measures to further improve the quality of the report to avoid omissions. At the same time, the improvement of the information system of medical institutions and the implementation of informationalization of infectious disease reports can effectively improve the quality and efficiency of hospital infectious disease reports.