Improving disease reporting in Los Angeles County: trial and results.
Improving disease reporting in Los Angeles County: trial and results.
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改善洛杉矶县的疾病报告：试验和结果。
DOI：
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发表时间：
1988
期刊：
影响因子：
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通讯作者：
S. Fannin
中科院分区：
文献类型：
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作者：
Weiss Bp;M. Strassburg;S. Fannin
一项对洛杉矶县医生的电话调查显示，在405名联系人中，有50%的人不知道报告传染病的法律的机制--保密死亡报告（CMR）卡。在这次调查之后，采取了三项措施，以努力改进报告和监督：（a）使用一张贴有邮票的自写地址的CMR明信片，（B）出版每月通讯“公共卫生信函”，免费分发给洛杉矶县的23 000名卫生专业人员，以及（c）启动一个积极的疾病监测系统，包括每周联系的171个报告地点（76名医生、36所学校、33所幼儿园、22所医院和4个大学生保健中心）。根据使用修订的CMR卡和《公共卫生信函》4年的经验，没有观察到疾病报告水平的增加。然而，主动疾病监测系统提供了疾病发生的轶事报告以及可报告和不可报告疾病爆发的通知。此外，作者认为这改善了县卫生部门和医疗界之间的关系。
A telephone survey of physicians in Los Angeles County revealed that 50 percent of 405 contacted were unaware of the legal mechanism for reporting communicable diseases--the Confidential Morbidity Report (CMR) card. After that survey, three measures were taken in an effort to improve reporting and surveillance: (a) use of a stamped self-addressed CMR postcard, (b) publication of the monthly newsletter "Public Health Letter," which was distributed to 23,000 health professionals in Los Angeles County free of charge, and (c) initiation of an active disease surveillance system that included 171 reporting sites contacted weekly (76 physicians, 36 schools, 33 preschools, 22 hospitals, and 4 university student health centers). No increase in the levels of disease reporting was observed, based on 4 years' experience with the revised CMR card and the Public Health Letter. The active disease surveillance system, however, has provided anecdotal reports of disease occurrence and notification of outbreaks of both reportable and nonreportable diseases. Moreover, the authors believe it has improved rapport between the county health department and the medical community.