駐馬店市傳染病與突發(fā)公共衛(wèi)生事件網(wǎng)絡(luò)直報(bào)狀況分析
發(fā)布時(shí)間：2018-07-21 20:03
【摘要】： 目的 疾病監(jiān)測(cè)是疾病預(yù)防控制的重要手段。SARS的暴發(fā)和流行,暴露了我國(guó)疾病監(jiān)測(cè)系統(tǒng)存在的問題和不足。隨著中國(guó)疾病預(yù)防控制信息系統(tǒng)的建設(shè)和發(fā)展,在其應(yīng)用過程中,各種問題的不斷出現(xiàn),各種工作規(guī)范、報(bào)告質(zhì)量評(píng)價(jià)標(biāo)準(zhǔn)體系的急需完善,都需要更多的研究和探討去解決、去修訂。本研究旨在通過對(duì)駐馬店市傳染病與突發(fā)公共衛(wèi)生事件網(wǎng)絡(luò)直報(bào)狀況進(jìn)行分析,全面了解存在的問題和影響因素,提出改進(jìn)措施和建議,提高工作質(zhì)量和報(bào)告水平。同時(shí),探討網(wǎng)絡(luò)直報(bào)系統(tǒng)存在的不足和需要完善的地方,為有關(guān)部門制定相關(guān)工作管理規(guī)范、完善質(zhì)量評(píng)價(jià)標(biāo)準(zhǔn)體系提供科學(xué)依據(jù)。 材料與方法 資料來源于駐馬店市傳染病與突發(fā)公共衛(wèi)生事件網(wǎng)絡(luò)直報(bào)狀況調(diào)查和“疾病監(jiān)測(cè)信息報(bào)告管理系統(tǒng)”與“突發(fā)公共衛(wèi)生事件報(bào)告管理信息系統(tǒng)”的報(bào)告結(jié)果。對(duì)駐馬店市的疾病預(yù)防控制機(jī)構(gòu)、縣級(jí)以上醫(yī)療機(jī)構(gòu)和鄉(xiāng)鎮(zhèn)衛(wèi)生院進(jìn)行調(diào)查。在網(wǎng)絡(luò)直報(bào)系統(tǒng)內(nèi)查詢傳染病與突發(fā)公共衛(wèi)生事件報(bào)告結(jié)果。使用EXCEL整理資料,運(yùn)用統(tǒng)計(jì)軟件SPSS11.5進(jìn)行資料的統(tǒng)計(jì)學(xué)分析,顯著性檢驗(yàn)水準(zhǔn)取α=0.05。 結(jié)果 1.網(wǎng)絡(luò)直報(bào)建設(shè)狀況 網(wǎng)絡(luò)直報(bào)覆蓋率已達(dá)100%,疾病預(yù)防控制機(jī)構(gòu)實(shí)現(xiàn)網(wǎng)絡(luò)直報(bào)率為100%,縣級(jí)以上醫(yī)院和鄉(xiāng)鎮(zhèn)衛(wèi)生院實(shí)現(xiàn)網(wǎng)絡(luò)直報(bào)率分別為95.65%和96.24%。專用計(jì)算機(jī)擁有率為85.95%,網(wǎng)絡(luò)暢通率為87.60%。疾病預(yù)防控制機(jī)構(gòu)各項(xiàng)制度健全率為100%,縣級(jí)以上醫(yī)院和鄉(xiāng)鎮(zhèn)衛(wèi)生院網(wǎng)絡(luò)直報(bào)管理制度健全率分別為93.18%和91.06%。 2.網(wǎng)絡(luò)直報(bào)人員狀況 專職人員占32.08%,兼職人員占67.92%,只有1個(gè)網(wǎng)絡(luò)直報(bào)人員的單位占73.14%,中專學(xué)歷占66.21%,臨床醫(yī)學(xué)專業(yè)占52.90%,預(yù)防醫(yī)學(xué)專業(yè)占17.06%,高級(jí)職稱占2.05%,中級(jí)職稱占8.19%,初級(jí)以下者占60.75%,各類機(jī)構(gòu)不同崗位工作時(shí)間網(wǎng)絡(luò)直報(bào)人員分布差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)。 3.傳染病報(bào)告結(jié)果 2004年傳染病發(fā)病率為174.57/10萬,2008年為321.63/10萬,2004～2008年丙類和非法定傳染病年報(bào)告數(shù)差異有統(tǒng)計(jì)學(xué)意義(P＜0.05)。2008年醫(yī)院傳染病零缺報(bào)率為4.13%,代報(bào)率為4.41%,法定傳染病遲報(bào)率為1.80%,遲審率為2.25%,重卡率為0.18%,漏報(bào)率為4.19%,各縣區(qū)遲報(bào)卡片與遲審卡片分布差異有統(tǒng)計(jì)學(xué)意義(P＜0.05),綜合指數(shù)最高為4.95%,最低為0.18%。 4.突發(fā)公共衛(wèi)生事件報(bào)告結(jié)果 4個(gè)縣區(qū)有報(bào)告,6個(gè)縣區(qū)無報(bào)告。遲報(bào)率為90.63%,信息報(bào)告不完整的事件占90.63%,無進(jìn)程報(bào)告的事件占40.62%,平均結(jié)案時(shí)間為28.99天。 5.監(jiān)測(cè)信息的分析和通報(bào)狀況 分析和通報(bào)制度健全,通報(bào)周期多為1個(gè)月,質(zhì)量評(píng)價(jià)周期多為1個(gè)季度。 6.網(wǎng)絡(luò)直報(bào)督導(dǎo)檢查和技術(shù)培訓(xùn)狀況 各疾病預(yù)防控制機(jī)構(gòu)均開展了督導(dǎo)檢查和技術(shù)培訓(xùn),年督導(dǎo)和培訓(xùn)次數(shù)多為2次。對(duì)醫(yī)生進(jìn)行傳染病報(bào)告知識(shí)培訓(xùn)的縣級(jí)以上醫(yī)院占100%,鄉(xiāng)鎮(zhèn)衛(wèi)生院占74.73%。 7.影響因素 調(diào)查232家醫(yī)院,醫(yī)生的傳染病報(bào)告意識(shí)占81.47%,醫(yī)生和網(wǎng)絡(luò)直報(bào)人員的責(zé)任心分別占95.56%和80%。調(diào)查4家疾病預(yù)防控制中心,突發(fā)公共衛(wèi)生事件調(diào)查信息收集與反饋的及時(shí)性、完整性和突發(fā)公共衛(wèi)生事件的性質(zhì)均為100%。 小結(jié) 1.駐馬店市網(wǎng)絡(luò)直報(bào)覆蓋率已達(dá)100%,網(wǎng)絡(luò)直報(bào)建設(shè)逐步得到完善�？h級(jí)以上醫(yī)院和鄉(xiāng)鎮(zhèn)衛(wèi)生院實(shí)現(xiàn)網(wǎng)絡(luò)直報(bào)率分別為95.65%和96.24%。網(wǎng)絡(luò)直報(bào)人員數(shù)量不足,多為兼職,接受專業(yè)教育水平較低。 2.網(wǎng)絡(luò)直報(bào)系統(tǒng)的應(yīng)用,使傳染病報(bào)告的積極性提高,缺漏報(bào)相對(duì)減少,是報(bào)告的傳染病發(fā)病率升高的原因之一。傳染病報(bào)告的及時(shí)性提高,監(jiān)測(cè)范圍擴(kuò)大。綜合指數(shù)的差異性顯示,有些縣區(qū)的傳染病網(wǎng)絡(luò)直報(bào)工作仍需加強(qiáng)。突發(fā)公共衛(wèi)生事件報(bào)告的縣區(qū)較少,除無事件發(fā)生因素外,還應(yīng)考慮實(shí)際工作中的漏報(bào)問題。突發(fā)公共衛(wèi)生事件報(bào)告的及時(shí)率和完整率較低,報(bào)告質(zhì)量有待提高。 3.影響傳染病網(wǎng)絡(luò)直報(bào)的主要因素是醫(yī)生的傳染病報(bào)告意識(shí)和醫(yī)生、網(wǎng)絡(luò)直報(bào)人員的責(zé)任心。影響突發(fā)公共衛(wèi)生事件網(wǎng)絡(luò)直報(bào)的主要因素是突發(fā)公共衛(wèi)生事件的性質(zhì)和調(diào)查信息的收集與反饋。
[Abstract]:objective
Disease monitoring, an important means of disease prevention and control, is the outbreak and epidemic of.SARS, which exposes the problems and shortcomings of the disease monitoring system in China. With the construction and development of the information system for disease prevention and control in China, in the process of its application, various problems are constantly emerging, various work norms, and the urgent need for the quality evaluation system of the report are urgently needed. The purpose of this study is to make more research and discussion to solve and to revise it. This study aims to understand the existing problems and influencing factors through the analysis of the situation of the network direct reporting of infectious diseases and public health emergencies in Zhumadian, and put forward improvement measures and suggestions to improve the quality and reporting level of work work. Meanwhile, the network direct reporting system is discussed. The deficiencies and needs to be improved provide scientific basis for the relevant departments to formulate relevant work management standards and improve the quality evaluation standard system.
Materials and methods
The data came from the survey on the network of infectious diseases and public health emergencies in Zhumadian and the results of the report of "the information report management system of disease monitoring information" and "the management information system for public health emergencies". The data were transferred to the disease prevention and control institutions in Zhumadian, the medical institutions at the county level and the township hospitals. Check the results of the report of infectious diseases and public health emergencies in the network direct reporting system. Use EXCEL to sort out the data and use the statistical software SPSS11.5 to carry out statistical analysis of the data. The significant test level is alpha =0.05..
Result
1. construction of network direct report
The coverage rate of network direct reporting has reached 100%, the rate of network direct reporting by the disease prevention and control institution is 100%, the rate of network direct reporting of hospitals and township hospitals at the county level and above is 95.65%, and 96.24%. special computer ownership rate is 85.95%. The rate of network unimpeded rate is 100% for the system of 87.60%. disease prevention and control system, and the hospital at the county level or above is 100%. And township hospitals directly reporting system management rate is 93.18% and 91.06%.
2. network direct report personnel status
Full-time staff accounted for 32.08%, part-time personnel accounted for 67.92%, only 1 network direct reporting personnel accounted for 73.14%, secondary school education accounted for 66.21%, clinical medicine accounted for 52.90%, preventive medicine accounted for 17.06%, senior titles accounted for 2.05%, intermediate titles accounted for 8.19%, junior and below accounted for 60.75%, and the distribution of staff in various institutions working hours network was poor. The difference was statistically significant (P < 0.05).
3. report of infectious disease
The incidence of infectious diseases in 2004 was 174.57/10 million and 321.63/10 million in 2008. There were significant differences in the annual report number of 2004~2008 years and non statutory infectious diseases (P < 0.05) the zero deficiency rate of hospital infectious diseases was 4.13%, the rate of reporting was 4.41%, the rate of legal communicable disease was 1.80%, the rate of late trial was 2.25%, the rate of heavy card was 0.18%, and the rate of missing report was 4.19%. There was a significant difference in the distribution of delaying cards and late trial cards in counties (P < 0.05), with a composite index of 4.95% and a minimum of 0.18%.
4. report of public health emergencies
4 counties have reported, 6 counties have no report. The rate of delay is 90.63%, the incomplete information report accounts for 90.63%, the non process report accounts for 40.62%, the average settlement time is 28.99 days.
5. analysis and notification of monitoring information
The analysis and notification system is sound, the notification period is 1 months, and the quality evaluation cycle is mostly 1 quarters.
6. network direct report supervision and technical training
All the diseases prevention and control institutions have carried out supervision and technical training, and the number of annual supervision and training is 2 times. 100% of the hospitals at the county level and above are trained for the knowledge of infectious diseases, and the township hospitals are 74.73%..
7. influencing factors
In 232 hospitals, 81.47% of the doctors' awareness of infectious diseases reported, the responsibility of doctors and Internet direct reports accounted for 95.56% and 80%. survey 4 centers for disease prevention and control respectively. The timeliness of information collection and feedback for public health emergencies, integrity and the nature of sudden public health events were all 100%.
Summary
1. the coverage rate of network direct reporting in Zhumadian has reached 100%, and the construction of network direct reporting has been gradually improved. The direct reporting rate of network direct reports in hospitals and township hospitals at the county level and above is 95.65% and 96.24%. network direct reports are insufficient, most of which are part-time and low professional education.
The application of 2. network direct reporting system makes the enthusiasm of the infectious disease report more active and the lack of leakage is relatively reduced. It is one of the reasons for the increase of the incidence of infectious diseases in the report. The timely improvement of the report of infectious diseases and the expansion of the monitoring range. The difference of the comprehensive index shows that the direct report work of the infectious disease network in some counties still needs to be strengthened. Public health emergency is still needed. There are few events reported in the county. In addition to the non event factors, we should also consider the problem of missing reports in actual work. The timely and complete rate of the report on public health emergencies is low, and the quality of the report needs to be improved.
3. the main factors affecting the direct reporting of infectious diseases are doctors' awareness of infectious diseases and doctors, and the responsibility of the network directly. The main factors that affect the network direct reporting of public health emergencies are the nature of public health emergencies and the collection and feedback of investigation information.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2009
【分類號(hào)】：R184
本文編號(hào)：2136709
[Abstract]:objective
Disease monitoring, an important means of disease prevention and control, is the outbreak and epidemic of.SARS, which exposes the problems and shortcomings of the disease monitoring system in China. With the construction and development of the information system for disease prevention and control in China, in the process of its application, various problems are constantly emerging, various work norms, and the urgent need for the quality evaluation system of the report are urgently needed. The purpose of this study is to make more research and discussion to solve and to revise it. This study aims to understand the existing problems and influencing factors through the analysis of the situation of the network direct reporting of infectious diseases and public health emergencies in Zhumadian, and put forward improvement measures and suggestions to improve the quality and reporting level of work work. Meanwhile, the network direct reporting system is discussed. The deficiencies and needs to be improved provide scientific basis for the relevant departments to formulate relevant work management standards and improve the quality evaluation standard system.
Materials and methods
The data came from the survey on the network of infectious diseases and public health emergencies in Zhumadian and the results of the report of "the information report management system of disease monitoring information" and "the management information system for public health emergencies". The data were transferred to the disease prevention and control institutions in Zhumadian, the medical institutions at the county level and the township hospitals. Check the results of the report of infectious diseases and public health emergencies in the network direct reporting system. Use EXCEL to sort out the data and use the statistical software SPSS11.5 to carry out statistical analysis of the data. The significant test level is alpha =0.05..
Result
1. construction of network direct report
The coverage rate of network direct reporting has reached 100%, the rate of network direct reporting by the disease prevention and control institution is 100%, the rate of network direct reporting of hospitals and township hospitals at the county level and above is 95.65%, and 96.24%. special computer ownership rate is 85.95%. The rate of network unimpeded rate is 100% for the system of 87.60%. disease prevention and control system, and the hospital at the county level or above is 100%. And township hospitals directly reporting system management rate is 93.18% and 91.06%.
2. network direct report personnel status
Full-time staff accounted for 32.08%, part-time personnel accounted for 67.92%, only 1 network direct reporting personnel accounted for 73.14%, secondary school education accounted for 66.21%, clinical medicine accounted for 52.90%, preventive medicine accounted for 17.06%, senior titles accounted for 2.05%, intermediate titles accounted for 8.19%, junior and below accounted for 60.75%, and the distribution of staff in various institutions working hours network was poor. The difference was statistically significant (P < 0.05).
3. report of infectious disease
The incidence of infectious diseases in 2004 was 174.57/10 million and 321.63/10 million in 2008. There were significant differences in the annual report number of 2004~2008 years and non statutory infectious diseases (P < 0.05) the zero deficiency rate of hospital infectious diseases was 4.13%, the rate of reporting was 4.41%, the rate of legal communicable disease was 1.80%, the rate of late trial was 2.25%, the rate of heavy card was 0.18%, and the rate of missing report was 4.19%. There was a significant difference in the distribution of delaying cards and late trial cards in counties (P < 0.05), with a composite index of 4.95% and a minimum of 0.18%.
4. report of public health emergencies
4 counties have reported, 6 counties have no report. The rate of delay is 90.63%, the incomplete information report accounts for 90.63%, the non process report accounts for 40.62%, the average settlement time is 28.99 days.
5. analysis and notification of monitoring information
The analysis and notification system is sound, the notification period is 1 months, and the quality evaluation cycle is mostly 1 quarters.
6. network direct report supervision and technical training
All the diseases prevention and control institutions have carried out supervision and technical training, and the number of annual supervision and training is 2 times. 100% of the hospitals at the county level and above are trained for the knowledge of infectious diseases, and the township hospitals are 74.73%..
7. influencing factors
In 232 hospitals, 81.47% of the doctors' awareness of infectious diseases reported, the responsibility of doctors and Internet direct reports accounted for 95.56% and 80%. survey 4 centers for disease prevention and control respectively. The timeliness of information collection and feedback for public health emergencies, integrity and the nature of sudden public health events were all 100%.
Summary
1. the coverage rate of network direct reporting in Zhumadian has reached 100%, and the construction of network direct reporting has been gradually improved. The direct reporting rate of network direct reports in hospitals and township hospitals at the county level and above is 95.65% and 96.24%. network direct reports are insufficient, most of which are part-time and low professional education.
The application of 2. network direct reporting system makes the enthusiasm of the infectious disease report more active and the lack of leakage is relatively reduced. It is one of the reasons for the increase of the incidence of infectious diseases in the report. The timely improvement of the report of infectious diseases and the expansion of the monitoring range. The difference of the comprehensive index shows that the direct report work of the infectious disease network in some counties still needs to be strengthened. Public health emergency is still needed. There are few events reported in the county. In addition to the non event factors, we should also consider the problem of missing reports in actual work. The timely and complete rate of the report on public health emergencies is low, and the quality of the report needs to be improved.
3. the main factors affecting the direct reporting of infectious diseases are doctors' awareness of infectious diseases and doctors, and the responsibility of the network directly. The main factors that affect the network direct reporting of public health emergencies are the nature of public health emergencies and the collection and feedback of investigation information.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2009
【分類號(hào)】：R184
【引證文獻(xiàn)】
相關(guān)期刊論文 前1條
1 祝捷;譚書香;;基層疾病預(yù)防控制機(jī)構(gòu)計(jì)算機(jī)信息化建設(shè)探討[J];信息通信;2012年04期
，本文編號(hào)：2136709
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