From habits of attrition to modes of inclusion: enhancing the role of private practitioners in routine disease surveillance.
From habits of attrition to modes of inclusion: enhancing the role of private practitioners in routine disease surveillance.
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从消耗习惯到包容方式：增强私人从业者在常规疾病监测中的作用。
DOI：
10.1186/s12913-017-2476-9
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发表时间：
2017-08-25
影响因子：
2.8
通讯作者：
Kraas F
中科院分区：
文献类型：
--
作者：
Phalkey RK;Butsch C;Belesova K;Kroll M;Kraas F
在大多数低收入和中等收入国家，私人执业医生是首选的第一看护点，在这一位置上，最适合监测疾病。然而，它们对常规监测数据的贡献微乎其微。这项系统的回顾旨在探索关于私人执业医生在常规疾病数据通知中的作用、贡献和参与的证据。我们调查了决定将私人执业医生纳入疾病监测活动以及私人医生参与疾病监测活动的因素。使用PubMed、Web of Knowledge、WHOLIS和WHO-IRIS数据库进行文献搜索，以确定同行评议的英文全文和灰色全文文件，不受发表年份或研究设计的限制。共审阅了40篇稿件。目前私人执业医生参与疾病监测工作的情况令人震惊。他们参与的主要障碍是知识不足，导致不令人满意的态度和影响他们做法的误解。复杂的报告机制和不明确的指导方针，加上代表政府和监测项目经理的不令人满意的态度，也是导致病例报告不足的原因之一。基础设施障碍，特别是计算机和熟练人力资源的可获得性，对于加强私营部门参与常规疾病监测至关重要。发现的问题类似于综合传染病监测和应对系统(IDSR)内报告不足的问题，该系统主要从公共医疗机构收集数据。我们建议监测项目官员提供定期培训、支持性监督，并定期向公共和私营部门的从业者提供反馈，以改善病例通知。各国政府需要发挥领导作用，促进公共和私营部门之间的合作伙伴关系，最重要的是，在必要时行使监管权力。本文的在线版本(doi：10.1186/s12913-0172476-9)包含补充材料，授权用户可以使用。
Private practitioners are the preferred first point of care in a majority of low and middle-income countries and in this position, best placed for the surveillance of diseases. However their contribution to routine surveillance data is marginal. This systematic review aims to explore evidence with regards to the role, contribution, and involvement of private practitioners in routine disease data notification. We examined the factors that determine the inclusion of, and the participation thereof of private practitioners in disease surveillance activities. Literature search was conducted using the PubMed, Web of Knowledge, WHOLIS, and WHO-IRIS databases to identify peer-reviewed and gray full-text documents in English with no limits for year of publication or study design. Forty manuscripts were reviewed. The current participation of private practitioners in disease surveillance efforts is appalling. The main barriers to their participation are inadequate knowledge leading to unsatisfactory attitudes and misperceptions that influence their practices. Complicated reporting mechanisms with unclear guidelines, along with unsatisfactory attitudes on behalf of the government and surveillance program managers also contribute to the underreporting of cases. Infrastructural barriers especially the availability of computers and skilled human resources are critical to improving private sector participation in routine disease surveillance. The issues identified are similar to those for underreporting within the Integrated infectious Disease Surveillance and Response systems (IDSR) which collects data mainly from public healthcare facilities. We recommend that surveillance program officers should provide periodic training, supportive supervision and offer regular feedback to the practitioners from both public as well as private sectors in order to improve case notification. Governments need to take leadership and foster collaborative partnerships between the public and private sectors and most importantly exercise regulatory authority where needed. The online version of this article (doi:10.1186/s12913-017-2476-9) contains supplementary material, which is available to authorized users.
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影响因子：
3.7
作者：
Barakat A;Ihazmad H;Benkaroum S;Cherkaoui I;Benmamoun A;Youbi M;El Aouad R
通讯作者：
El Aouad R
影响因子：
2.3
作者：
Chitkara, A. J.;Thacker, N.;Gupta, S. G.
通讯作者：
Gupta, S. G.
影响因子：
2.1
作者：
Chughtai, A. A.;Qadeer, E.;Memon, I. A.
通讯作者：
Memon, I. A.
DOI：
10.5588/ijtld.14.0228
发表时间：
2014-12-01
影响因子：
4
作者：
Chadha, V. K.;Praseeja, P.;Kumar, P.
通讯作者：
Kumar, P.
影响因子：
3.3
作者：
Brissette, Ian;Gelberg, Kitty H.;Grey, Anthony J.
通讯作者：
Grey, Anthony J.