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目的了解成都军区传染病报告管理工作现状,查找存在问题,为改进军队传染病报告管理工作,提高报告质量提供依据。方法对全军区20家医疗卫生机构2012年的法定传染病报告工作开展检查,从组织制度建设、人员配置情况、硬件设施配备、传染病报告程序和报告质量等方面进行调查分析。结果各医疗卫生机构组织制度健全、报告程序清楚;所有医疗卫生机构均配备了负责传染病报告工作的专(兼)职人员,其中专职人员10人(50%),长期从事本单位传染病报告管理工作的仅5人(25%),专职传染病报告人员平均工作年限为1.5年,基础知识考核平均成绩65分;传染病整体漏报率与迟报率分别为39.68%和50.00%,总医院与中心医院传染病漏报率的差异有统计学意义(χ2=19.06,P<0.01)。按要求装备短信编码器,具备突发状况下利用短信息进行传染病报告能力的单位仅1家,短信编码器安装使用率为5%,各单位对病例数据均未加分析利用。结论成都军区传染病报告漏报率与迟报率较高,缺乏长期从事传染病报告工作人员,对报告数据利用率低,管理工作质量有待大力加强。
Objective To understand the status quo of infectious disease reporting and management in Chengdu Military Region and find out the existing problems so as to provide basis for improving the management of infectious disease reports and improving the quality of reports. Methods To carry out the inspection of the legal infectious diseases reported by 20 medical and health institutions in the entire military region in 2012 and conduct investigation and analysis on the organizational system construction, staffing, hardware facilities and equipment, infectious disease reporting procedures and reporting quality. Results All medical and health institutions had a sound organizational system and a clear reporting procedure. All medical and health institutions were equipped with special staff (concurrently) responsible for infectious disease reporting, including 10 full-time staff (50%), Only 5 people (25%) in management work, the average length of service of allied infectious disease report workers was 1.5 years, and the average score of basic knowledge examination was 65 points. The overall omission rate and the rate of delayed report of infectious diseases were 39.68% and 50.00% respectively, There was a significant difference in the rate of underreporting of infectious diseases in hospitals and central hospitals (χ2 = 19.06, P <0.01). Equipped with short message encoder as required, there is only 1 unit capable of reporting infectious diseases using short message under unexpected conditions, and the installation and usage rate of SMS encoder is 5%. All units did not analyze and utilize the case data. Conclusion The omission rate and delayed rate of infectious disease reports in Chengdu Military Region are relatively high. There is a lack of staff members who have been engaged in infectious disease reporting for a long time. The utilization rate of reported data is low and the quality of management work needs to be greatly strengthened.