目的了解成都市发热症状监测系统运行情况及质量,以发现问题并加以改进。方法在成都市每个区(市)县利用随机数随机抽取1所县级或县级以上医疗机构和2所社区卫生服务中心/乡镇卫生院作为调查对象进行调查。利用登记完整性、数据准确性、报告及时性、报告一致性、数据特异性等指标评价发热症状监测质量。结果共计调查63家机构;全市发热症状监测登记完整性、数据准确性、报告及时性、报告一致性分别为78.91%、88.68%、56.08%、84.66%;社区卫生服务中心/乡镇卫生院的登记完整性好于县级或县级以上医疗机构(χ2=8.40,P<0.05),其余指标无统计学差异。发热症状监测每日数据与ILI%的相关系数为0.18(P<0.05)。结论成都市发热症状监测质量(尤其是报告及时性)还有待进一步提高;需优化该系统和指标,整合各项监测工作,提高监测质量。 Objective To understand the operation and quality of fever symptom monitoring system in Chengdu in order to find out the problems and to improve it. Methods We randomly selected 1 county-level or above-level medical institutions and 2 community health service centers / township hospitals in each district (city) and county in Chengdu as the survey subjects. The registration quality, data accuracy, timeliness of reporting, reporting consistency, data specificity and other indicators were used to evaluate the quality of fever symptom monitoring. Results A total of 63 institutions were surveyed. The registration accuracy, accuracy, timeliness, and reporting consistency of the city’s fever symptom monitoring were 78.91%, 88.68%, 56.08% and 84.66% respectively. Registration of community health centers / township hospitals The completeness was better than that of the medical institutions at the county level or above (χ2 = 8.40, P <0.05), while the other indicators had no significant difference. The correlation between daily data and ILI% for fever symptom monitoring was 0.18 (P <0.05). Conclusion The quality of fever symptom monitoring in Chengdu (especially the timeliness of reporting) needs to be further improved. The system and indicators need to be optimized to integrate the monitoring work and improve the quality of monitoring.