目的为了解大通县38个医疗卫生单位传染病网络直报的应用状况。方法2008年7月,现场调查资料分析。结果全县网络直报人员47人,35岁以下占70%,中专以上学历占95%,从事防疫工作的占65%,有83%接受过计算机及网络直报培训。直报计算机上网率100%,但设备的日常维护工作跟不上。2008年上半年乡镇卫生院(所)传染病网络直报病例只占总上报病例的5%。这说明今后提高基层卫生院(所)网络直报率是直报工作的重点。结论应加强政府和卫生主管部门对网络直报工作人财物的投入。县疾控中心应加强对网络直报人员的培训,设备维护和直报工作的督导,各医疗单位尤其是乡镇卫生院(所)应加强人员培训和规范直报工作。 Objective To understand the application of direct reporting of communicable diseases in 38 medical and health units in Datong County. Method July 2008, field survey data analysis. Results The county network directly reporting personnel 47 people, 35 years of age accounted for 70%, 95% of secondary school education, engaged in epidemic prevention work accounted for 65%, 83% received computer and network direct report training. Reported directly to the computer network rate of 100%, but the routine maintenance of equipment can not keep up. In the first half of 2008, direct cases of infectious diseases reported by township hospitals were only 5% of the total reported cases. This shows that in the future to improve grass-roots level hospitals () network direct report rate is the focus of direct reports. Conclusion The government and health authorities should strengthen their input into the direct reports of workers and property. County CDC should strengthen the direct reporting personnel training, equipment maintenance and direct reporting supervision, all medical units, especially township hospitals should strengthen personnel training and standardize direct reporting.