2017~2018年景德镇市医疗机构传染病报告工作现状及影响因素分析(1)
摘要：目的 了解景德鎮市医疗机构传染病报告工作情况，通过分析找出影响因素，为制定干预措施、提高工作质量提供依据。方法 按照传染病报告质量调查方案要求，采用定量调查方法， 于2017年1月～2018年12月对景德镇市82家医疗机构开展传染病报告质量调查，获取传染病报告相关指标并对传染病信息报告相关影响因素开展问卷调查与卡方自动交互检测法(CHAID)分析。结果 景德镇市医疗机构存在传染病漏报，漏报率为0.90%，漏报病种分别为流感(5.77%)、其他感染性腹泻病(1.75%)、淋病(1.65%)、手足口病(1.27%)、乙肝(0.74%)、肺结核(0.51%)，各类传染病漏报率比较，差异有统计学意义(P<0.05);地市级、县区级和乡镇级医疗机构漏报率分别为0.39%、1.41%、3.25%，差异具有统计学意义(P<0.05)。还包括传染病报告相关管理工作未落实到位、基础资料登记不全等问题。通过CHAID分析可知，影响报告质量的因素由大到小依次为奖惩记录、培训情况和直报人员人数、职称。结论 政府应加大投入，以推进全市医疗机构信息化进程;各医疗机构要完善传染病报告各项规章制度，落实AB岗及奖惩机制，加强医务人员相关知识培训，进一步提升报告质量。
, 百拇医药
关键词：传染病;网络报告;卡方自动交互检测法
中图分类号：R181.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.16.040
文章编号：1006-1959(2019)16-0124-03
Abstract：Objective To understand the reporting status of infectious diseases in medical institutions in Jingdezhen City， and to find out the influencing factors through analysis， and to provide basis for formulating intervention measures and improving work quality.Methods According to the requirements of the infectious disease report quality survey program， quantitative survey methods were used to conduct infectious disease report quality surveys for 82 medical institutions in Jingdezhen City from January 2017 to December 2018， and to obtain relevant indicators of infectious disease reports and information on infectious diseases. Report related factors and conduct questionnaire survey and chi-square automatic interactive detection (CHAID) analysis.Results There were reports of infectious diseases in the medical institutions in Jingdezhen City， the false negative rate was 0.90%， and the reported cases were influenza (5.77%)， other infectious diarrhea (1.75%)， gonorrhea (1.65%)， hand， foot and mouth disease (1.27%)， hepatitis B (0.74%)， tuberculosis (0.51%)， the rate of underreporting of various infectious diseases was compared， the difference was statistically significant (P<0.05); the prefecture-level， county-level and township-level medical institutions underreported The rates were 0.39%， 1.41%， and 3.25%， respectively，the difference was statistically significant (P<0.05). It also includes issues such as the failure to implement the relevant management work on infectious disease reports and the incomplete registration of basic data. According to the CHAID analysis， the factors affecting the quality of the report are， from large to small， the reward and punishment records， the training situation， the number of direct reports personnel， and the professional titles.Conclusion The government should increase investment to promote the informationization process of medical institutions in the city. All medical institutions should improve the rules and regulations of infectious disease reports， implement the AB post and reward and punishment mechanism， strengthen the training of medical personnel， and further improve the quality of reports., 百拇医药(彭志斌 周东胜 钟敏霞 戴学伟)
, 百拇医药
关键词：传染病;网络报告;卡方自动交互检测法
中图分类号：R181.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.16.040
文章编号：1006-1959(2019)16-0124-03
Abstract：Objective To understand the reporting status of infectious diseases in medical institutions in Jingdezhen City， and to find out the influencing factors through analysis， and to provide basis for formulating intervention measures and improving work quality.Methods According to the requirements of the infectious disease report quality survey program， quantitative survey methods were used to conduct infectious disease report quality surveys for 82 medical institutions in Jingdezhen City from January 2017 to December 2018， and to obtain relevant indicators of infectious disease reports and information on infectious diseases. Report related factors and conduct questionnaire survey and chi-square automatic interactive detection (CHAID) analysis.Results There were reports of infectious diseases in the medical institutions in Jingdezhen City， the false negative rate was 0.90%， and the reported cases were influenza (5.77%)， other infectious diarrhea (1.75%)， gonorrhea (1.65%)， hand， foot and mouth disease (1.27%)， hepatitis B (0.74%)， tuberculosis (0.51%)， the rate of underreporting of various infectious diseases was compared， the difference was statistically significant (P<0.05); the prefecture-level， county-level and township-level medical institutions underreported The rates were 0.39%， 1.41%， and 3.25%， respectively，the difference was statistically significant (P<0.05). It also includes issues such as the failure to implement the relevant management work on infectious disease reports and the incomplete registration of basic data. According to the CHAID analysis， the factors affecting the quality of the report are， from large to small， the reward and punishment records， the training situation， the number of direct reports personnel， and the professional titles.Conclusion The government should increase investment to promote the informationization process of medical institutions in the city. All medical institutions should improve the rules and regulations of infectious disease reports， implement the AB post and reward and punishment mechanism， strengthen the training of medical personnel， and further improve the quality of reports., 百拇医药(彭志斌 周东胜 钟敏霞 戴学伟)