Abstract:

Objective To understand the underreporting of reportable infectious diseases in medical institutions in Nanyang. Methods According to stratified random sampling requirements, 13 counties were selected, over and above the county level 1 general hospitals, specialist 1 hospitals, 1 township hospitals and 2 village clinics. Refer to 2013 annual outpatient log, out of hospital registration, laboratory and department of radiology registration, and spot checks of reportable diseases. Results In the survey of medical institutions at all levels of 66, the county level and above, 13 general hospitals, 13 township hospitals, 26 village clinics, special hospital 14. It was found that among 755 cases of legal infectious diseases, 16 were not reported, the underreporting rate was 2.12%; the B, C Class infectious diseases and the rates were 1.51%, 3.57%, no significant difference (χ²=2.319, P=0.128); the county, township, village and specialist the medical institution of infectious diseases and the rates were 1.76%, 1.92%, 5.56%, 2.72%, no significant difference (χ²=1.614, P=0.656). Conclusion There are underreporting of reportable infectious diseases in medical institutions in Nanyang.

Key words: Notifiable communicable diseases, Underreporting, Medical institution

摘要：

目的 了解河南省南阳市医疗机构法定传染病漏报情况。方法 按照分层随机抽样要求, 对市辖13个县(市、区)分别抽取县级及以上综合医院1家, 专科医院1家, 乡镇卫生院1家以及所辖村卫生所2家共5个单位, 查阅2013年度的门诊日志、出入院登记、化验室和放射科登记簿中诊断为法定传染病的病例。其中县级及以上医院随机抽查≥30例、专科医院和乡镇卫生院分别抽查≥12例(病例不足者, 全部抽取), 村卫生所登记诊断的所有法定传染病, 核查传染病漏报情况。结果 共调查各级医疗机构66家, 其中县级及以上综合医院13家、乡镇卫生院13家、村卫生所26家、专科医院14家。查出应报法定传染病病例755例, 实报739例, 漏报16例, 漏报率为2.12%;其中乙、丙类传染病漏报率分别为1.51%(8/531)和3.57%(8/224), 二者差异无统计学意义(χ²=2.319, P=0.128);县、乡、村和专科医疗机构传染病漏报率分别为1.76%(7/397)、1.92%(3/156)、5.56%(1/18)和2.72%(5/184), 差异亦无统计学意义(χ²=1.614, P=0.656)。结论 南阳市医疗机构法定传染病报告存在漏报现象。

关键词: 法定传染病, 漏报, 医疗机构