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目的探讨医院传染病报告系统对传染病报告质量的影响,为提高传染病报告质量提供参考依据。方法将2011—2015年钦州市开展的传染病报告质量检查中的医院分为3组,分别是具有传染病报告系统的智能组,不具有传染病报告系统的电子组和没有使用电子病历系统的手工组,比较3组医院在系统使用前后传染病报告质量的变化情况。结果 2011—2015年智能组在系统使用后的传染病报告率、及时率、完整率和准确率分别上升19.58%、22.98%、12.94%和21.54%,均有统计学意义;电子组分别上升8.50%、10.18%、1.69%和2.80%,只有报告率和及时率有统计学意义外;手工组的报告质量变化均无统计学意义。结论传染病报告系统的使用能有效提高传染病报告质量,为进一步提高传染病报告质量,卫生计生行政部门应在全市积极推广传染病报告系统的使用。
Objective To investigate the impact of hospital infectious disease reporting system on the quality of infectious disease reporting and provide reference for improving the quality of infectious disease reporting. Methods The hospitals in Qinzhou City during the quality control of infectious disease reporting during 2011-2015 were divided into three groups: the intelligence group with the infectious disease reporting system, the electronic group without the infectious disease reporting system, and the electronic group without the electronic medical record system Manual group, comparing the changes of the reported quality of infectious diseases before and after the system was used in the three groups of hospitals. Results In 2011-2015, the reporting rate, timely rate, completeness rate and accuracy of infectious diseases of the intelligent group increased by 19.58%, 22.98%, 12.94% and 21.54% respectively after using the system, which were statistically significant. The electronic group increased by 8.50 %, 10.18%, 1.69% and 2.80%, respectively, except for reporting rate and timeliness rate were statistically significant; manual group report quality changes were not statistically significant. Conclusion The use of infectious disease reporting system can effectively improve the quality of infectious disease reporting. To further improve the quality of infectious disease reporting, the administrative department of health planning and family planning should actively promote the use of infectious disease reporting system in the whole city.