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目的了解基层传染病疫情网络直报管理与报告质量现状,发现疫情报告环节中存在的问题,为基层医疗机构疫情报告管理工作提供借鉴。方法抽查普宁市基层卫生院2010年10月～2011年9月的门诊日志,掌握日志登记规范情况;并搜索其中所有的法定传染病病例,与网络直报系统记录进行核对,检查报告卡填写情况,计算漏报率、迟报率及错报率。将结果进行统计学分析对比。结果普宁市乡镇卫生院门诊部的日志登记总规范率为61.33%;法定传染病总漏报率为15.72%;错报率为5.03%;直报及时率为92.97%;网络重报率为1.53%;三个科别的传染病报告质量中,以中医内科最差(日志登记规范率为20%、法定传染病漏报率为100%),与外科及西医内科的差异有统计学意义。结论必须加强对基层医务人员特别是中医类别医务人员的传染病报告相关知识培训及相关法制教育,提高传染病疫情网络直报质量。
Objective To understand the status quo of direct reporting and management of the epidemic situation of grass-roots infectious diseases and to find out the problems in the reporting of epidemic situation so as to provide reference for the management of epidemic reports in primary medical institutions. Methods The outpatient diary of Puning Primary Care Hospital from October 2010 to September 2011 was sampled and the log registration criteria were mastered. All the cases of legal notifiable diseases were searched and checked with the network direct reporting system to check the status of the report card , Calculate false negative rate, late rate and wrong rate. The results of statistical analysis and comparison. Results The general registration rate of log clinics in township clinics of Puning was 61.33%. The total rate of omission of notifiable infectious diseases was 15.72%. The rate of false positives was 5.03%. The timely rate of direct reports was 92.97%. The rate of network retransmission was 1.53 %. Among the quality of the reported infectious diseases in three departments, the difference was statistically significant between traditional Chinese medicine and medicine (20% for log registration and 100% for notifiable infectious diseases), and surgical and Western medicine. Conclusion It is necessary to strengthen the training of relevant knowledge on infectious diseases reporting and relevant legal education for grassroots medical personnel, especially medical personnel in the Chinese medicine category, and improve the quality of direct online reporting of infectious disease outbreaks.