2008年上海市民营医疗机构传染病报告及管理现况
Infectious Disease Reporting and Management Status in Shanghai Private Medical Facilities, 2008
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摘要:
目的 通过对上海市民营医疗机构传染病报告及管理现况的分析,为加强上海市民营医疗机构传染病报告及管理工作提供参考。 方法 2008年1-6月,将上海市一千余家民营医疗机构分为医院、门诊部、私人诊所三类,在剔除不涉及传染病病种诊断的机构后,采用分层按10%比例随机抽样方法,抽取89家民营医疗机构,调查传染病报告及管理现况。 结果 在调查的89家民营医疗机构中仅21家纳入传染病网络直报系统;医院传染病报告专职人员、管理制度设置、落实比例明显高于门诊部及私人诊所;传染病报告人员的年龄分布于22~80岁,私人诊所报告人员的年龄大于门诊部及医院;民营医疗机构传染病报告率为100.00%、信息准确率为99.67%、重卡率1.10%,报告及时率仅为92.60%。 结论 不同类型民营医疗机构在传染病报告及管理制度、人员的设置情况及比例不全相同。需根据不同机构、不同人员有针对性地加强传染病报告与管理工作,注重文件执行力,切实掌握并有效提升传染病报告质量。 Abstract:Objective To analyze infectious disease reporting (IDR) and management status in Shanghai private medical facilities, and to provide reference for better infectious disease control in Shanghai. Methods From January to June of 2008, more than 1 000 private medical facilities in Shanghai were enrolled and divided into 3 groups:hospital, out-patient department, and clinic. After removed the facilities without infection diseases services, 89 private medical facilities were selected by a stratified sampling strategy with 10% sampling portion of each group. Information of IDR and management status were collected and analyzed. Results Of the 89 medical facilities studied, only 21 were recognized by the official infectious disease reporting system. The proportions of full-time employees and regulations of IDR in the hospital group were higher than those in the other groups. The age of full-time IDR employees ranged from 22 to 80 years old, and the median age was significantly older in the clinic group than in the other groups. The total reporting rate of all groups was 100.00%, the accuracy rate was 99.67%, the duplicate report rate was 1.10%, and the timely reporting rate was only 92.60%. Conclusion Private medical facilities of different categories vary in the reporting & management regulations, and full-time IDR employees. Therefore, more efforts should be taken to make appropriate strategies according to specific facilities and personnel, as well as to promote the implementation of policies and official documents, so as to improve IDR quality.
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