近年来,随着运输业的逐步发达,河南省乃至全国交通更加便捷,城镇居民医疗保险、农村新型合作医疗制度也逐年完善。导致部分平顶山市户口籍的AFP病例,因各种原因外出至省内外的各级、各类医疗机构就诊,被外地医疗机构按异地AFP病例报告至所在地疾病预防控制部门。而异地AFP病例,由于可能存在的多次转诊、长途跋涉等因素,直接影响到了全市AFP病例监测系统的敏感性和监测质量。自2008年起,根据《全国AFP病例监测方案》及河南省疾病预防控制中心有关要求[1],平顶山市对异地报告的AFP病例进行流行病学和归属地就诊情况调查。五年来,逐步掌 In recent years, with the gradual development of the transportation industry, transportation in Henan Province and the whole country is even more convenient. The medical insurance for urban residents and the new cooperative medical system in rural areas have also been improved year by year. As a result, some AFP cases of Pingdingshan household registrations went out to all levels and all kinds of medical institutions within and outside the province for various reasons, and were reported to the local disease prevention and control departments by the local medical institutions according to the AFP cases off-site. The AFP cases in different places may directly affect the sensitivity and monitoring quality of the AFP case surveillance system in the city due to possible multiple referrals and long distances. Since 2008, according to the “National AFP Case Surveillance Program” and the relevant requirements of Henan Provincial Center for Disease Control and Prevention [1], Pingdingshan conducted a survey of epidemiological and attribution visits to AFP cases reported off-site. Over the past five years, gradually palm