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目的了解乌鲁木齐市儿童预防接种信息平台个案标记失访的现况及原因,为政策制定提供依据。方法研究选择2014年1月1日~12月31日出生,在乌鲁木齐市免疫规划信息平台中已建卡儿童。收集儿童户籍管理状态、父母录入的信息状态、在管单位级别等信息,使用SPSS 21.0进行统计分析。结果 1本次研究共记纳入研究对象57018人,其中管理个案为55 243人,失访个案1 775人,整体失访率为3.17%。2单因素结果显示,不同民族间、只留父亲联系方式、只留母亲联系方式、是否同时留双方联系方式、不同的户籍状态对其失访占比差异有统计学意义(P<0.05),3当同时存在父母双方的联系方式时,其被标志失访的几率下降为原来的0.210倍(95%CI=0.18~0.245);当户籍属性为本地或流动时,其被标记为失访的几率下降为原来的0.643倍(95%CI=0.559~0.74)。结论加强督导考核,同时提高失访率、临时接种率占考核评分比重,重点加强接种门诊人员的意识,在接种前仔细录入父母双方的联系方式,以确保后期通讯正常。
Objective To understand the current status and causes of the missing cases on the information platform of vaccination for children in Urumqi and provide the basis for policy making. Methods The study was selected from January 1, 2014 to December 31, 2014, and children were established in Urumqi’s immunization planning information platform. Collect the status of the household registration management, the status of the information input by the parents, the level of the management unit and other information, using SPSS 21.0 for statistical analysis. Results 1 This study enrolls a total of 51,818 subjects, of which 55,243 were managed and 1,775 were lost. The overall rate of lost to follow-up was 3.17%. (2) The result of single factor shows that among different ethnic groups, only the father’s contact information, only the mother’s contact information, and the contact information between the two parties are the same at the same time. There is significant difference (P <0.05) 3 When the contact information of both parents is present, the probability of being lost on the mark is reduced by 0.210 times (95% CI = 0.18-0.245); when the hukou attribute is local or mobile, it is marked as missing The odds of falling to 0.643 times the original (95% CI = 0.559 ~ 0.74). Conclusions Strengthen the supervision and examination, at the same time improve the rate of loss of follow-up, the proportion of temporary vaccination assessment score, focusing on strengthening the awareness of vaccination clinic staff, carefully recorded before inoculation contact information between parents to ensure normal communication late.