目的了解四川省通江县乡镇及以上医疗机构法定传染病报告质量及其影响因素,为主管部门制定并落实行之有效的报告管理策略与措施提供科学、可靠的依据。方法采用法定传染病报告率、漏报率、及时报告率、完整率、准确率和录入信息一致率评价法定传染病报告质量,并分析各项指标的影响因素。结果 2012-10-01/2013-09-30通江县乡镇及以上医疗机构法定传染病报告率、漏报率和及时报告率分别为100.00%、0和100.00%。纸质卡、网络卡总的完整率分别为75.29%和79.92%,两者之间差异无统计学意义(χ2=1.60,P>0.05);总的准确率分别为70.27%和78.38%,两者之间差异有统计学意义(χ2=4.46,P<0.05);纸质卡与网络卡信息一致率为42.47%。纸质卡完整性、准确性主要影响因素均为现住地址不详、病人属于未勾选和病例分类未勾选;网络卡完整性和准确性主要影响因素均为现住地址不详;纸质卡和网络卡信息一致性主要影响因素为现住地址、病例分类、疾病名称和出生日期(或年龄)不一致。结论通江县乡镇及以上医疗机构无法定传染病漏报和不及时报告情况,其他报告质量指标尚处于较低水平,应当进一步建立一支高素质、稳定的疫情报告队伍,切实加强疫情报告组织领导、规范化管理、业务培训和技术指导,并加大疫情报告工作监督检查和考核力度。 Objective To understand the quality and influential factors of notifiable infectious diseases reported by township and above medical institutions in Tongjiang County, Sichuan Province and to provide scientific and reliable basis for the competent departments to formulate and implement effective reporting management strategies and measures. Methods The reporting rate of legal notifiable infectious diseases, the omission of false negative rate, the timely reporting rate, the complete rate, the accurate rate and the consistent rate of input information were used to evaluate the quality of notifiable infectious disease reporting and the influencing factors of each index were analyzed. Results 2012-10-01 / 2013-09-30 The reported rate, omission rate and timely reporting rate of notifiable infectious diseases in township and above medical institutions in Tongjiang County were 100.00%, 0% and 100.00% respectively. The total complete rates of paper card and network card were 75.29% and 79.92% respectively, with no significant difference between the two (χχ = 1.60, P> 0.05); the overall accuracy rates were 70.27% and 78.38%. There was significant difference between the two (χ2 = 4.46, P <0.05). The consistent rate of paper card and network card information was 42.47%. Paper card integrity, accuracy of the main influencing factors are current address is unknown, the patient is unchecked and the case classification is not checked; network card integrity and accuracy of the main influencing factors are present address unknown; paper card The main factors affecting the consistency of the information on the network card are the current residence address, the case classification, the name of the disease and the date of birth (or age). Conclusion The omission and inaccurate reporting of communicable diseases in villages and towns and above medical facilities in Tongjiang County and other reporting quality indicators are still at a low level. A contingent of high-quality and stable epidemic reporting units should be further established to effectively strengthen the reporting of epidemic situation Leadership, standardized management, business training and technical guidance, and increase the supervision and inspection of epidemic reporting and assessment efforts.