目的了解2010—2015年钦州市医疗机构传染病报告质量情况,为提高传染病报告质量提供理论依据。方法对2010—2015年钦州市医疗机构法定传染病报告质量调查资料进行统计分析。结果 2010—2015年该市法定传染病的总漏报率为16.74%,市和乡镇级医疗机构漏报率较高;各级医疗机构不同科室漏报率由高到低依次为门诊部21.05%,住院部14.59%,检验部门2.36%,影像部门1.87%,门诊部漏报率最高,差异有统计学意义;乙、丙类传染病漏报率分别为17.82%和23.28%,丙类传染病漏报率比乙类传染病漏报率高,差异有统计学意义;市级医疗机构漏报率为31.87%,钦南区为21.33%,钦北区为38.85%,灵山县为3.54%,浦北县为7.02%,钦北区漏报率最高,市级次之,差异有统计学意义;应用电子病历系统的医疗机构漏报率为6.59%,未用电子病历系统的医疗机构漏报率为23.16%,用电子病历系统的医疗机构漏报率较低;报告及时率为98.68%,完整率98.19%;准确率94.97%,一致率98.80%,乡镇级医疗机构报告及时率、完整率、准确率、一致率均比较低。结论该市卫生行政部门要加强对市级和乡镇级医疗机构传染病报告质量的执法检查力度,并将重点放在钦北区和市级,门诊部应该作为重点部门进行检查;同时加强对丙类传染病诊断标准的培训,提高临床医生的报告意识;还应制定统一的电子病历系统设置标准,并在全市推广应用;建议将传染病报告质量纳入医疗机构绩效考核的指标和医师个人执业记录中;医疗机构应落实传染病报告制度,以进一步提高法定传染病的报告质量。 Objective To understand the quality of infectious disease reporting in medical institutions in Qinzhou from 2010 to 2015 and provide a theoretical basis for improving the quality of infectious disease reporting. Methods A statistical analysis was made on the survey data of the reported legal notifiable diseases in medical institutions in Qinzhou during 2010-2015. Results The total omission rate of notifiable infectious diseases in the city from 2010 to 2015 was 16.74%, and the omission rate in municipal and township medical institutions was higher. The omission rate of different departments in different medical institutions from high to low was 21.05% , 14.59% in inpatient department, 2.36% in testing department and 1.87% in imaging department. The omission rate of outpatient department was the highest with the difference statistically significant. The omission rates of B and C infectious diseases were 17.82% and 23.28% respectively. The rate of underreporting was higher than that of group B in infectious diseases, the difference was statistically significant. The omission rate of municipal medical institutions was 31.87%, that of Qinan District was 21.33%, that of Qinbei District was 38.85% and that of Lingshan County was 3.54% Pubei County was 7.02%, Qinbei District, the highest rate of omission, followed by the municipal level, the difference was statistically significant; medical institutions using electronic medical records omission rate of 6.59%, not using electronic medical records system medical institutions omission Rate was 23.16%. The omission rate of medical institutions using electronic medical record system was low. The report promptly rate was 98.68% and the complete rate was 98.19%. The accuracy rate was 94.97% and the agreement rate was 98.80% , The accuracy rate, the agreement rate is relatively low. Conclusion The city’s health administrative departments should step up law enforcement inspection on the quality of infectious diseases reported by municipal and township-level medical institutions and put emphasis on Qinbei District and municipal-level clinics. Out-patient clinics should be checked as key departments. At the same time, Class infectious disease diagnosis standards training to improve clinicians awareness of the report; should also develop a unified set of electronic medical record system standards, and promote the city’s application; it is recommended that the quality of infectious disease reporting into the performance indicators of medical institutions and physician records of personal practice ; Medical institutions should implement the infectious disease reporting system to further improve the quality of the report of the legal notifiable diseases.