Full
Outline
To understand the quality of notifiable infectious diseases reporting in Sichuan Province from 2023 to 2024 and its influencing factors, and to provide reference basis for improving the reporting quality.
A total of 263 medical institutions were randomly selected by stratified sampling. Through on-site data review, case screening and spot checks, and verification of the reporting system, an investigation was conducted on the implementation of the management of notifiable infectious disease reporting in medical institutions, as well as the reporting rate of notifiable infectious diseases, the timely reporting rate, the completeness rate of filling, the accuracy rate of filling, and the consistency rate of online reporting information. Statistical analysis was conducted using R software 4.4.1. Logistic regression was used to analyze the influencing factors of report quality, and the TOPSIS method was adopted to evaluate the comprehensive filling quality of infectious disease reporting cards.
From 2023 to 2024, a total of 263 medical institutions were investigated, and the reporting rate of notifiable infectious diseases was 98.69%. The reporting rate in public medical institutions was higher than that in private ones (χ2=4.49, P< 0.05). The reporting rates of public medical institutions at or above the prefectural-level, county-level, and township-level showed a decreasing trend (Z=-5.68, P<0.01). The reporting rate of admission and discharge registration was the highest, followed by the outpatient department, and the reporting rate of radiological imaging registration was the lowest. The central region had the highest reporting rate (99.73%), while the three-state region had the lowest (94.00%). The timely reporting rate of the infectious disease report card was 95.40%, the complete filling rate was 97.15%, the filling accuracy rate was 86.78%, and the consistency rate of online report information was 94.49%. The comprehensive filling quality of infectious disease report cards in public township-level medical institutions is the best, followed by public county-level, public prefectural-level and public provincial-level medical institutions in sequence. The comprehensive filling quality of private medical institutions is the worst. Setting and filling norms for outpatient logs and admission and discharge logs, as well as conducting self-inspection notifications and rewards and punishments in a standardized manner, could improve the quality of infectious disease reporting.
The quality of notifiable infectious diseases reporting in medical institutions in Sichuan Provincewas generally good, but there are still weak areas and links in the reporting management work. Attention should be paid to the underreporting of public low-level medical institutions and the quality problems of the reporting cards of private and public high-level medical institutions. The quality of filling in basic information such as outpatient and admission and discharge registration, self-examination and feedback of abnormal information in radiological imaging registration should be strengthened.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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