新冠疫情期间安徽省基层医疗卫生机构法定传染病疫情报告质量评价
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1.安徽医科大学;2.合肥市卫生和计划生育综合执法监督所经开区分所;3.安徽省卫生健康委员会综合监督所;4.安徽医科大学卫生管理学院

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基金项目:

2020年国家卫生健康委综合监督局项目“消毒产品生产企业分类监督综合评价和医疗卫生机构传染病防治分类监督数据分析”;2021 年安徽省健康发展战略研究中心招标资政项目(2021szk009);2020年安徽医科大学产学研联合培养“千人培养计划”


Evaluation on the quality of notifiable communicable disease epidemic report of primary medical institutions in Anhui Province during COVID-19
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Affiliation:

1.Economic and Technological Development Zone Substation, Hefei Health Supervision Institute,;2.General Supervision Agency of Health Commission of Anhui Province;3.School of Health Management, Anhui Medical University

Fund Project:

2020 National Health Commission Comprehensive Supervision Bureau project "Comprehensive evaluation of classification supervision of disinfection product manufacturers and analysis of classification supervision data of infectious disease prevention and control of medical and health institutions"; 2021 Anhui Province Health Development Strategy Research Center Bidding and Management Project (2021szk009); 2020 "Thousand Talents Training Plan" for the joint training of industry, university and research institute of Anhui Medical University

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    摘要:

    摘 要:了解新冠疫情期间安徽省基层医疗卫生机构法定传染病疫情报告质量现状,发现疫情报告的薄弱环节、地区和对象,为进一步提高安徽省基层医疗卫生机构法定传染病疫情报告依法管理水平提出合理建议。收集2020年安徽省基层医疗卫生机构法定传染病疫情报告数据,运用TOPSIS法从门诊登记项目是否齐全、传染病疫情登记和报告卡填写是否符合要求等共5个方面对安徽省基层医疗卫生机构法定传染病疫情报告质量进行评价。结果发现,安徽省20.1%的基层医疗卫生机构检验科、放射科未设置阳性检验检测结果登记并记录,10.2%的基层医疗卫生机构门诊项目登记不齐全;TOPSIS分析显示安徽省16个地级市的报告质量存在差异;村卫生室和诊所等基层医疗卫生机构报告质量较低。安徽省基层医疗卫生机构法定传染病疫情报告工作需进一步规范,质量有待提高。应加强监督,重点提升村卫生室和诊所等基层医疗卫生机构的报告质量,促进区域间法定传染病疫情报告工作协同发展。

    Abstract:

    Abstract: To understand the current status of the quality of notifiable communicable disease epidemic report of primary medical institutions in Anhui Province during COVID-19, find the weak links, regions and targets of epidemic report, and make reasonable suggestions for further improving the legal management level of notifiable communicable disease epidemic report of primary medical institutions in Anhui Province. We collect the data of notifiable communicable disease epidemic report of primary medical institutions in Anhui Province in 2020, and use the method of TOPSIS to evaluate the quality of notifiable communicable disease epidemic report of primary medical institutions in Anhui Province from five aspects, including whether the outpatient registration items are complete, whether the infectious disease epidemic registration and the report card meets the requirements and other aspects. Results showed that 20.1% of the primary medical institutions in Anhui Province did not register and record positive test results in the clinical laboratory and radiology departments, and 10.2% of the primary medical institutions’ outpatient projects were not fully registered; TOPSIS analysis showed there existed differences in the quality of report among 16 prefecture-level cities in Anhui Province. Village clinics, clinics and other primary medical institutions had low reporting quality. The reporting of notifiable communicable diseases in primary medical institutions in Anhui Province needs to be further standardized, and the quality needs to be improved. Supervision should be strengthened, focusing on improving the reporting quality of primary medical institutions such as village clinics and clinics, and promoting the coordinated development of reporting on notifiable communicable diseases among regions.

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  • 收稿日期:2021-07-12
  • 最后修改日期:2021-08-06
  • 录用日期:2021-10-22
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