首页|2017-2021年枣庄市法定传染病报告质量综合评价

2017-2021年枣庄市法定传染病报告质量综合评价

Comprehensive evaluation of the reporting quality of statutory infectious diseases in Zaozhuang City from 2017 to 2021

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目的 综合评价枣庄市法定传染病报告质量,提高疫情报告水平.方法 收集2017-2021年枣庄市医疗机构法定传染病报告信息并按照《全国法定传染病管理质量和现状调查方案(2017)》进行复核,选用R 4.2.1和SPSS 26.0软件,采用Cochran-Armitage检验和Fisher's精准检验进行数据分析,检验水准α=0.05,运用TOPSIS对传染病报告质量进行评价.结果2017-2021年枣庄市法定传染病报告率、及时率、完整率、准确率、一致率、有效证件完整率分别为98.43%、99.38%、95.74%、93.75%、93.50%和94.90%,且各指标呈现随时间上升趋势;一级医疗机构报告质量优于二级、三级医疗机构;法定传染病报告质量呈地区差异,峄城、台儿庄报告质量居前;不同机构类别传染病报告质量不同;医疗机构登记项目设置与填写是否规范、是否开展业务培训、有无考核记录、有无反馈记录等因素影响传染病报告质量.结论 枣庄市法定传染病报告质量总体向好,但部分指标仍低于全省水平,下一步应针对薄弱环节精准施策,加强培训,规范报告流程,畅通反馈机制,加强考核管理,提高传染病报告质量.
Objective To comprehensively evaluate the reporting quality of notifiable infectious diseases in Zaozhuang City,and to improve the level of epidemic reporting.Methods The information on statutory infectious diseases reported by medical institutions in Zaozhuang City from 2017 to 2021 was collected and reviewed according to the National Plan for Management Quality and Status Investigation of Notifiable Infectious Diseases(2017).R 4.2.1 and SPSS 26.0 software were selected,and the Cochran-Armitage test and Fisher's exact test were used for data analysis.The test level was α=0.05.TOPSIS was used to evaluate the reporting quality of infectious diseases.Results From 2017 to 2021,the reporting rate,timeliness rate,completeness rate,accuracy rate,consistency rate and valid certificate integrity rate of statutory infectious diseases in Zaozhuang City were 98.43%,99.38%,95.74%,93.75%,93.50%and 94.90%,respectively,and the indicators showed an upward trend with time.The reporting quality of level Ⅰ medical institutions was better than those of level Ⅱ and Ⅲ medical institutions.The reporting quality of statutory infectious diseases varied from region to region,with Yicheng and Taierzhuang ranked first.The reporting quality of infectious diseases in different types of institutions was different.Whether the setting and filling of registration items were standardized,whether business training was carried out,whether there were assessment records,whether there were feedback records and other factors of medical institutions affected the reporting quality of infectious diseases.Conclusions The reporting quality of statutory infectious diseases in Zaozhuang City had generally improved over time,but some indicators were still below the provincial level.Policies against weak links should be implemented accurately next step,such as strengthening training,standardizing the reporting process,unblocking the feedback mechanism and strengthening assessment management,to improve the reporting quality of infectious diseases.

notifiable infectious diseasesTOPSISquality evaluationmedical institutions

李林林、刘军

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枣庄市疾病预防控制中心,山东枣庄 277100

法定传染病 TOPSIS 质量评价 医疗机构

中国疾病预防控制中心妇幼保健中心合生元母婴营养与健康研究项目

2018FYH006

2024

职业卫生与病伤
四川省疾病预防控制中心

职业卫生与病伤

影响因子:0.725
ISSN:1006-172X
年,卷(期):2024.39(1)
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