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目的分析福建省现行预防接种异常反应报告、诊断和补偿现状,探讨存在的问题和原因。方法分析2008年后全国疑似预防接种异常反应(AEFI)监测信息系统数据,对存在的问题提出措施和建议。结果福建省AEFI各项监测数据和指标逐年提高。截至2013年12月31日,AEFI病例中异常反应占12.6%;省级专家组对1995年后遗留的疑难病例调查诊断,对101例进行补偿。存在的问题有:诊断主体不够明确统一、未指定就诊医院、补偿流程不够完善、未规定诊断书送达时间、特殊病例的诊断时间等。结论应科学规定调查、诊断、处理的各个环节,指定异常反应就诊医院,完善补偿流程等,更好地保障受种者的合法权益,保障免疫规划预防接种顺利开展。
Objective To analyze the current status of vaccination anaphylaxis reports, diagnosis and compensation in Fujian Province and to explore the existing problems and causes. Methods The data of AEFI monitoring information system after 2008 was analyzed, and measures and suggestions were put forward for the existing problems. Results The AEFI monitoring data and indicators in Fujian Province increased year by year. As of December 31, 2013, 12.6% of the abnormal cases occurred in AEFI cases; the provincial expert group diagnosed the difficult cases left over after 1995, and 101 cases were compensated. The existing problems are: the diagnosis of the main body is not clear and uniform, the hospital is not designated, the compensation process is not perfect, did not provide the diagnosis of service delivery time, diagnosis of special cases and so on. Conclusions Scientific investigation, diagnosis and treatment should be provided in all aspects, hospitals designated for anomalous reactions and compensation procedures should be improved so as to better protect the legitimate rights and interests of the recipients and ensure the smooth implementation of immunization program vaccination.