Xie Xue-qin, Chen Chen, Yang Xiao-ying, Wei Zai-hua, Liu Jing-long
Department of Statistics and Information, Beijing Center for Diseases Control and Prevention, Beijing, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2008 May;42(5):335-8.
To evaluate the quality of the infectious diseases reporting via network in Beijing hospitals and to filtrate factors that affect the reporting quality.
We collected 5536 infectious disease cases randomly and investigated 52 medical treatment organizations. Information was collected by field questionnaire survey, interview and gathering routine reporting data for analyzing the quality.
The result showed that the timeliness of the 52 medical treatment organizations was 94.18%, the consistency was 80.84%, the completeness was 88.47%, and the misreport was 13.73%. The reporting quality of the second level hospitals was higher than that of the first level hospitals, township health centers and the third level hospitals. The reporting quality of urban hospitals was higher than that of the suburb hospitals. The reporting quality of outpatient and inpatient departments was higher than that of the laboratory. The laboratory was the primary part of underreporting.
Strengthening guidance, training and paying attention to each weak portion would certainly ameliorate the quality of infectious diseases reporting via network.
评估北京市医院传染病网络直报质量,筛选影响报告质量的因素。
随机抽取5536例传染病病例,调查52家医疗机构。通过现场问卷调查、访谈及收集常规报告数据等方式获取信息,进行质量分析。
结果显示,52家医疗机构的及时率为94.18%,一致率为80.84%,完整率为88.47%,漏报率为13.73%。二级医院报告质量高于一级医院、乡镇卫生院及三级医院。城区医院报告质量高于郊区医院。门诊和住院科室报告质量高于检验科。检验科是漏报的主要部门。
加强指导、培训并关注各薄弱环节,必将改善传染病网络直报质量。