Evaluation On Quality Of Internet-based Reporting Of Notifiable Infectious Diseases In Xinjiang From2007to2011

Objectiv:This research aims at understanding and mastering evaluation information on the quality of infectious disease network directly reporting in Xinjiang on basis of information on individual case of infectious disease of real time-online national infectious disease network directly reporting system, and in combination with field supervision and research of missing report rate in Northern Xinjiang in2012, so as to assess the quality of infectious disease network directly reporting in Xinjiang from2007to2011. Methods:1. Collected data of the report quality of infectious diseases in the regions and counties on infectious diseases straight reporting network platform Disease Monitoring Information Report Administrative System of China Information System for Diseases Control and Prevention from January1,2007to December31,2011, then imported into Excel2007for statistical analysis, to calculate direct report rate, rate without prompt report, rate without verification, rate of network report, comprehensive rate and rate of prompt report on all kinds of disease, and compared with the national data.2. According to the relevant contents and methods in Research Schedule for Missing Report on Notifiable Disease by Medical Therapy Institutions in Xinjiang (2012Ed), stratified cluster sampling was taken to sample4Medical Therapy Institutions in Turpan Region, and to investigate the missing report and cards quality of infectious diseases.Results:From2007to2011, the direct report rates in Xinjiang didn’t change obviously and were less than85%. Rates without prompt report and without prompt verification tended to be decrease generally in Xinjiang for the five years. Network report rate increased stably, it was over80%in Xinjiang, and better than that of the national average on the whole. The comprehensive rate, rates of prompt report and verification tended to be increase totally. Five-year prompt report rate was with difference compared with the national level, the quality of prompt verification reached the national average. This study analyzed AIDS, pulmonary tuberculosis, viral hepatitis type B, et al, according the situation in Xinjiang. Average interval time between diagnosis to report, and report to verification for each disease generally tended to be short year by year. It was the longest for AIDS from report to verification. From2009to2011, it was negative value from diagnosis to report for pulmonary tuberculosis. The least interval days appeared to be negative value from report to verification for all the diseases during the five years, mainly because of diagnosis after revision of report cards and modifying report or verification date, and it possibly concerned with indefinite and disunion of standardization for diagnosis and report on chronic disease, then influenced the accuracy of statistical results. Five-year median of interval time from diagnosis to report, except AIDS from2007to2009and pulmonary tuberculosis for2007, the all less than1day. The median of interval time from report to verification was less than1day for all diseases and all years. Therefore, the verification quality of all diseases was stable and improved totally. According to data by average day and in the light of median, the interval days from diagnosis to report and from report to verification for the infectious diseases in Xinjiang were generally more than that of the national average level. In addition, the author carried field research of missing report rate in4medical institutions in Turpan in February,2012, and sampled totally84cases of infectious diseases of category B and C, with report of83cases and1case of missing report, total missing report rate of1.19%. Out of the collected83paper cards, only30cards were filled completely, accurate and coincidential, with the qualified rate of36.14%. The total complete rate of paper cards was94.05%with the concordance rate of40.48%.Conclusions:During the period of2007to2011, the quality of infectious disease network directly reporting in Xinjiang increases gradually in general, but it is imbalance in every prefecture. There is still difference in the quality comparing with that of the nation, although it has been improved greatly for the recent years. Staff in the relevant institutions should make effort to reinforce examination and supervision, reinforce the talented choosing and training, fulfil fund insurance for infectious disease network direct report, in order to prevent the report quality from retrogression and downslide, and to promote the development of disease control and prevention in Xinjiang.