Direct Reporting Of Notifiable Infectious Diseases Network And Its Quality Influence Factors Of In Binzhou City

BackgroundEarly reports of infectious diseases and found to be timely, efficient control of key infectious disease outbreak. China in the early 50s of last century to establish a national reporting system for infectious diseases, the initial reports of 18 infectious diseases, the report system to report late to workhand-statistical management. Binzhou City, Shandong Province, the official 1956 data has the statutory registration of infectious diseases in order to fill in various medical institutions district report cards to the grass-roots anti-infectious protection agency audit report for the operation mode step by step to achieve Binzhou City in 1996 and the provincial and county levels E-mail computer network, and has gone through DOS version, WINDOWS95 version, but did not change in medical management.2003, "SARS" outbreak, the original information on the epidemic reporting system revealed a serious lag, and poor accuracy of shortcomings, do not reflect the true disease status, disease prevention and control have been unable to meet the needs of rapid-reaction positive response. Ministry of Health in 2003 began the trial of infectious diseases network report, January 1,2004 report of the national legal system of infectious diseases[1]＜Report of disease surveillance information management system> was completed and officially launched, marking the surveillance of infectious diseases on the legal work has entered a new phase[2] so far has been running seven years, reports the management of infectious diseases has undergone a qualitative leap in[3],infectious diseases found-report shorten the time for a quick, efficient disposal of infectious disease outbreaks and lay a solid foundation.And reporting system for infectious diseases established to solve the hardware problem, but the quality of reporting of infectious diseases affect the level of effectiveness of the system of direct reporting of infectious diseases. Grasp and understanding of the quality of reporting of infectious diseases, the report can be found in the problems of infectious diseases, a clear direction of quality management to analyze the factors that affect the quality of reporting, quality control and reporting system for the efficient operation to provide guarantee.Object1. For the statutory 2004-2009 Binzhou evaluate the quality of reporting of infectious diseases, infectious diseases control the health of our city, more clearly focused on the future of quality management.2. On the factors that may affect the quality of the analysis report, probing their weaknesses in quality management, provide the basis for taking effective measures.Methodology1. "Disease surveillance information reporting system " export 2004-2009 Binzhou City medical institutions at all levels, all reported cases of legal infectious diseases report card, remove the deleted cards, card carriers of pathogens, diagnosis date and date of a logic error in the card entry.2. Statistical analysis of data using Excel, SPSS 17.0.Results1. Reporting system operating conditions:Launched in 2004 and reporting system, network report, Binzhou City, only 85.26% coverage (133/156), with the deepening of the work, coverage increased year by year to 2006 to reach 100%(156/156).2004-2009 Type of network report to General Hospital as the main reporting units, the proportion changed little 7 years (62.53%-70.27%), but the township health centers increased significantly, from 5.17% up to 9.24%; CDC is also increased by the 0.50% to 3.63%. In 2004 the county has more than 31 medical institutions, infectious diseases,113 township hospitals (Community Centre) is only 40 reports; to 2009, more than 43 county, township home network of 95 direct reporting units Have infectious diseases, and lack of reporting standards to achieve non-zero; (i.e., infectious diseases were reported every month), eight short report (less than a month a report card), two zero reported. Utilization of direct reporting units of the network operations 45.51% increase from 2004 to 2009,92.62%. Infectious diseases reporting system has been building the first phase of the development phase of system operation to maintain high-quality operation stage to the system.2. Infectious diseases Evaluation 2004-2009 Official infectious diseases were reported in Binzhou City,38,358 cards, not to report card 7208; not timely audit card 435, a total of 238 heavy trucks, a total of zero was reported missing counties 0; not to report was 18.79%,1.14% was not timely review of infectious diseases was 0.05%, the report card is repeated, the county reported zero missing was 0; Composite Index was 4.98%. Diagnostic----report---review, diagnostic review---were the mean of three time intervals 0.21d, 0.05d,0.25d, we can see that diagnosis-report stage of the main stage of the process of infectious diseases The stage determines whether the report in time the level of timeliness。3. Report in Time FactorsBinzhou different regions and different levels of reporting units, there is imbalance in different diseases. Wudi County, Zouping report in a timely manner is good, provincial, county and township-level health care institutions to report better-class medical institutions, is better than B Class C infectious diseases infectious diseases. CDC supervision of medical institutions to change behavior patterns by attitude-knowledge-behavior of report timeliness.Research findings and recommendations1. Binzhou City, the network has gradually increased the quality of direct reporting operation, but still need to strengthen the utilization management, direct reporting unit to play all the monitoring functions. And reporting system to establish monitoring should play its biggest role in stabilizing the network should continue to direct reporting unit of staff, increased training efforts, and improve the supervision of direct reporting units, medical institutions, infectious diseases and improve rules and regulations, to protect their sensitive and efficient operation.2. Infectious diseases depends critically on the quality of the report in time rate, Binzhou City, there is imbalance in infectious diseases. Poor response to the report focus on supervision of the county and medical institutions, and increase management efforts. Accordance with the "disease control institutions in Shandong Province on the health care management standard "requirement, to gradually regulate the medical management of internal reporting mechanism, to prevent a timely report.