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目的了解河南省医疗机构法定传染病疫情报告质量现况,为制定针对性传染病疫情信息报告管理措施提供理论依据。方法采用多级抽样方法在全省范围内抽取60家医疗机构开展调查。结果全省医疗机构传染病总漏报率为3.18%,乙类传染病漏报率为2.59%,丙类传染病漏报率为3.77%,差异无统计学意义(χ2=0.606,P=0.436);各类医疗机构间漏报率差异无统计学意义(P=0.164 2);门诊和住院部的漏报率分别为2.73%和4.14%,差异无统计学意义(χ2=0.747,P=0.387);全省总体及时报告率为95.95%,各类医疗机构间差异无统计学意义(P=0.876 6);个案信息的完整率、准确率和一致率分别为91.84%、80.42%和83.68%,其中医院和卫生院的完整率差异有统计学意义(χ2=13.935,P=0.000)。结论河南省医疗机构法定传染病疫情信息报告工作仍存在不少问题,各地应采用各种措施和手段进一步提高报告质量。
Objective To understand the status quo of the quality of notifiable infectious disease reports in medical institutions in Henan Province and to provide a theoretical basis for the formulation of management measures for the reporting of epidemic situation information of infectious diseases. Methods A multistage sampling method was used to survey 60 medical institutions across the province. Results The total missing rate of communicable diseases in medical institutions was 3.18%, the omission rate of infectious diseases of Class B was 2.59% and the false negative rate of infectious diseases of Class C was 3.77% (χ2 = 0.606, P = 0.436 ) (P = 0.164 2). The omission rates of outpatients and inpatients were 2.73% and 4.14%, respectively, with no significant difference (χ2 = 0.747, P = 0.387). The overall timely reporting rate in the province was 95.95%, with no significant difference among various medical institutions (P = 0.876 6). The completeness, accuracy and agreement rate of case information were 91.84%, 80.42% and 83.68 %, Of which there was significant difference in the complete rate between hospitals and hospitals (χ2 = 13.935, P = 0.000). Conclusion There are still many problems in the reporting of the legal status of notifiable infectious diseases in medical institutions in Henan Province. Various measures and measures should be taken by all localities to further improve the quality of the reports.