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目的评估深圳市感染性腹泻监测信息管理系统运行状况,以提高监测工作质量。方法参照国际疾病监测系统评估方法,依据深圳市感染性腹泻病原谱哨点监测工作方案要求,通过现场考察、问卷调查等方法,对该市11家哨点医院、6个区疾病预防控制中心和市疾病预防控制中心工作情况及该系统使用情况开展调查。结果本次评估共调查该信息管理系统相关操作人员40人,男性14人(35%),女性26人(65%),其中疾病预防控制机构22人,医疗机构18人,被调查人群在性别、年龄、学历上差异均无统计学意义;在可操作性方面,大部分人认为系统容易使用,界面美观舒适,用语浅显易懂,能很快学会;47.5%的人认为登录速度还不够理想。在简便性方面,大部分人认为该系统对日常工作影响较小,病例定义容易判断、细菌和病毒纳入标准较容易判断,病例排除标准容易判断;41.0%的人认为系统要求的样本数量难以达到。在及时性方面,对患者样本的采集和检测基本能在患者发病3 d内完成,但对患者信息的录入时间不一致;在数据可靠性方面,大部分人认为录入数据真实可信,结果真实可信,愿意使用该系统进行统计分析,统计功能能够达到需求,有32.5%的人认为不能很好地了解本监测点的情况。在目的可达性方面,大部分人认为能够了解感染性腹泻的病原谱构成,对暴发疫情起到早期预警的作用,能够引导对重点地区和人群的主动监测,能为微生物风险评估提供疾病监测的本底数据。结论深圳市感染性腹泻监测信息管理系统运转良好,但仍存在部分问题,个别监测目标目前仍难以实现,有待进一步完善。
Objective To evaluate the operation status of infectious diarrhea monitoring information management system in Shenzhen so as to improve the quality of monitoring work. Methods According to the evaluation method of international disease surveillance system and according to the requirements of the work program of sentinel surveillance for infectious diarrhea in Shenzhen City, 11 sentinel hospitals, 6 disease prevention and control centers, City Center for Disease Control and Prevention work and the use of the system to carry out investigations. Results In the assessment, 40 operators, 14 males (26%) and 26 females (65%) were involved in the information management system. Among them, 22 were disease prevention and control institutions and 18 were medical institutions. Among the surveyed population, Age, and academic level. In terms of maneuverability, most people think the system is easy to use, the interface is beautiful and comfortable, the language is easy to understand, and can learn quickly; 47.5% of people think that the login speed is not ideal . In terms of simplicity, most people think the system has less impact on their daily work, the case definition is easy to judge, the inclusion criteria of bacteria and virus are easier to judge, and the criteria of case exclusion are easy to judge; 41.0% of people think that the number of samples required by the system is hard to reach . In terms of timeliness, the collection and detection of patient samples can be basically completed within 3 days after the patient\'s onset, but the time for entering the patient information is inconsistent. Most of the data reliability is believed to be true and reliable and the result is true Letter, willing to use the system for statistical analysis, statistical functions to meet the demand, 32.5% of people think that can not be a good understanding of the monitoring point situation. For the purpose of accessibility, most people think that they can understand the composition of the pathogenic spectrum of infectious diarrhea, play an early warning role in outbreaks, can guide the active surveillance in key areas and populations, and provide disease monitoring for microbial risk assessment Background data. Conclusion Shenzhen infectious diarrhea monitoring information management system works well, but some problems still exist. The individual monitoring objectives are still difficult to achieve and need to be further improved.