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目的了解佛山市医疗卫生机构传染病网络直报系统设置和运转情况,探讨其报告质量的影响因素,为制订传染病网络直报管理规范提供科学依据。方法 2010年6—7月,采用横断面调查方法,普查佛山市实施传染病网络直报的各级医疗卫生机构的硬件配置、人员设置、工作负荷和报告质量等现况。应用CHAID(Chi-squared Automatic Interaction Detector)方法建立树型模型,探讨传染病网络直报的影响因素。结果 108家被调查机构中,属于政府管理的88家(占81.48%),其余为股份合作、承包经营和个体。共有网络直报及管理人员272人,专业以预防医学(公共卫生)为主,占49.63%;学历以本科为主,占51.47%;职称以初级职称为主,占63.60%。用于网络直报电脑有164台,每天收集传染病报告卡1.79次,所需时间为1.30 h。影响传染病网络直报的因素有机构等级、网络连接方式、有无退卡、经济状况、人均电脑配置和电脑所在科室6个因素。结论佛山市传染病网络直报系统已基本建立并运作正常;不同级别的医疗卫生机构提高传染病网络直报质量要采取不同措施,有等级的医疗卫生机构应采取改变网络连接方式、把好报告卡质量关和认真执行传染病网络直报制度等措施,无等级的医疗卫生机构应采取增加传染病报告人员和硬件配置和提高使用率等措施。
Objective To understand the setup and operation of network reporting system for communicable diseases in medical and health institutions in Foshan City and explore the influencing factors of its reporting quality so as to provide a scientific basis for formulating management norms of network direct reporting of communicable diseases. Methods From June to July 2010, the cross-sectional survey method was used to survey the current situation of hardware configuration, staffing, workload and quality of reports of medical and health institutions at all levels in Foshan City. A CHAID (Chi-squared Automatic Interaction Detector) method was used to establish a tree model to investigate the influencing factors of direct reporting of infectious diseases. Results Among the 108 surveyed institutions, 88 (81.48%) belonged to the government and the rest were shareholding, contracting and individual management. A total of 272 people directly under the network reporting and management staff, specializing in preventive medicine (public health), accounting for 49.63%; education mainly undergraduate, accounting for 51.47%; job title to primary titles, accounting for 63.60%. There are 164 computers for direct online reporting and 1.79 times of infectious disease report cards collected each day, which takes 1.30 hours. The factors that affect the direct reporting of communicable diseases are the organizational hierarchy, the network connection mode, the availability of the card, economic status, per-capita computer configuration and the computer where the six factors. Conclusions Foshan Direct Network Infectious Diseases Network Reporting System has been basically established and operating normally. Different levels of medical and health institutions should take different measures to improve the quality of direct network reporting of communicable diseases. The medical and health institutions at different levels should adopt the method of changing network connection and put a good report Card quality and serious implementation of infectious diseases network direct reporting system and other measures, non-level medical and health institutions should take to increase the reporting of infectious diseases and hardware configuration and improve the utilization rate and other measures.