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[目的 ]了解我市医疗单位疫情管理和传染病报告状况 ,为防病灭病决策提供科学依据。 [方法 ]随机抽取市县乡村不同等级医疗单位 ,开展 1998年度疫情管理检查和漏报率调查。 [结果 ]乡级以上医疗单位的疫情管理制度较健全 ,但运行不力。乡级以下卫生院 (所 )医务人员对疫情报告知识有待提高。不同等级医院、不同病种及医院不同部门其漏报率差别无显著性。[结论 ]门诊日志使用不完善、传染病登记不全、医生对传染病报告有关知识认识不足 ,法制观念淡薄。是漏报率高的主要原因。
[Objective] To understand the situation of epidemic management and infectious disease reporting of medical units in our city and to provide a scientific basis for decision-making on disease prevention and elimination. [Method] Randomly select different levels of medical units in cities, counties and villages to carry out epidemiological inspection and omission rate survey in 1998. [Results] The epidemic management system of medical units above the township level was relatively sound, but the operation was ineffective. Health centers (township hospitals below) medical knowledge of the epidemic needs to be improved. Different grades of hospitals, different diseases and different departments of the hospital failed to report the difference was not significant. [Conclusion] The outpatient clinic diary is not perfect, the registration of infectious diseases is not complete, doctors have not enough knowledge about infectious disease reports, and the concept of legal system is weak. Is the main reason for the high failure rate.