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目的了解安徽省法定传染病报告质量和管理现状,发现各级医疗卫生机构在传染病报告管理工作中存在的问题,为进一步提高法定传染病网络直报数据质量提供依据。方法采用分阶段分层随机抽样方法在全省16个市和2个直管县抽取疾病预防控制中心(CDC)和医疗机构开展现场调查。共调查89家机构,抽查法定传染病病例1 268例。结果安徽省各级CDC和医疗机构对传染病报告管理状况日趋完善,法定传染病报告率为95.19%,但各地传染病信息报告管理工作仍存在待改进的问题。不同级别医疗机构报告率差异无统计学意义,淮北地区报告率显著低于江淮之间地区和江南地区。综合评价结果显示,江淮之间地区CDC得分显著低于淮北地区和江南地区(t_1=-4.618,P_1=0.002;t_2=-3.395,P_2=0.013),医疗机构传染病报告管理质量综合评价指数前3位的地市为合肥市(0.9534)、铜陵市(0.9523)、马鞍山市(0.9456)。结论安徽省法定传染病报告管理工作更加规范,报告质量进一步提高。各级各类卫生部门应进一步加强对传染病信息报告工作的管理,完善医疗机构电子病历系统建设,鼓励鼓励有条件的医疗机构积极开展与传染病网络直报系统的直接数据交换功能。
Objective To understand the quality and status quo of the reporting of notifiable infectious diseases in Anhui Province and to find out the problems existing in the management of infectious diseases at all levels of medical and health institutions so as to provide basis for further improving the quality of direct reporting data of notifiable infectious diseases. Methods A stratified stratified random sampling method was used to collect CDC and medical institutions from 16 cities and 2 straight-line counties in the province to carry out on-site investigation. A total of 89 institutions were surveyed and 1 268 cases of notifiable infectious diseases were randomly selected. Results The state of CDC and medical institutions at all levels in Anhui Province managed to improve the reporting and management of infectious diseases and the reported rate of legal notifiable diseases was 95.19%. However, the management of informational reports on infectious diseases in various places still had to be improved. There was no significant difference in the reporting rate of medical institutions at different levels, the reporting rate in Huaibei was significantly lower than that between Jianghuai and Jiangnan areas. The results of comprehensive evaluation showed that the score of CDC between JACs was significantly lower than that of Huaibei area and Jiangnan area (t_1 = -4.618, P_1 = 0.002; t_2 = -3.395, P_2 = 0.013), before medical infectious disease report management quality comprehensive evaluation index The three cities are Hefei (0.9534), Tongling (0.9523) and Ma’anshan (0.9456). Conclusion The reporting of legal notifiable diseases in Anhui Province is more standardized and the quality of the report is further improved. All kinds of health departments at all levels should further strengthen the management of information reporting on infectious diseases, improve the construction of electronic medical record systems in medical institutions, and encourage and encourage qualified medical institutions to actively carry out direct data exchange with the direct reporting system for infectious diseases.