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目的分析福建省法定传染病报告及时率和影响因素,为提高报告质量提供依据。方法对2013年中国疾病预防控制信息系统的网络报告数据进行描述性分析,对分层抽查的结果进行多因素logistic回归分析。结果2013年全省共报告272 501张法定传染病卡,报告及时率99.9%。有221张报告不及时,省、地市、区县、乡镇和村级不及时率呈递增趋势。周日和周四不及时率较高(0.1%和0.1%)。乙肝、手足口病、梅毒、其它感染性腹泻病和肺结核等报告不及时例数较多(79.6%),甲肝、猩红热等不及时率较高。多重logistic回归分析显示,专职人员数量、采用和完善HIS系统、操作熟练和实施惩奖措施有利于提高报告及时率,身兼多职和频繁调换工作是影响因素。结论区县级以下医疗机构法定传染病报告及时率较低,有关部门应采取配置专职人员、完善HIS系统、落实相关制度等措施,提高报告及时性。
Objective To analyze the timely reporting rate and influencing factors of notifiable infectious diseases in Fujian Province and provide the basis for improving the reporting quality. Methods A descriptive analysis was conducted on the data of online reporting of China CDC in 2013. Multivariate logistic regression analysis was performed on the results of stratified random sampling. Results In 2013, a total of 272 501 statutory infectious disease cards were reported in the province, with a reported rate of 99.9%. 221 reports were not submitted in time, and the provincial, prefectural and municipal governments, counties, townships and villages failed to timely report the increasing trend. The rates are not high on Sundays and Thursdays (0.1% and 0.1%). Hepatitis B, hand-foot-mouth disease, syphilis, other infectious diarrheal diseases and tuberculosis reported in less timely cases (79.6%), hepatitis A, scarlet fever and other not timely rate higher. Multiple logistic regression analysis showed that the number of full-time staff, adopting and perfecting HIS system, proficiency in operation and implementation of punitive measures were conducive to improving the reporting rate in time. Conclusions The reporting rate of notifiable infectious diseases in medical institutions under the county level is relatively low in time and relevant departments should take such measures as configuring full-time personnel, perfecting the HIS system and implementing related systems so as to improve the timeliness of the report.