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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