Completeness of communicable disease reporting, North Carolina, USA, 1995-1997 and 2000-2006.

Completeness of communicable disease reporting, North Carolina, USA, 1995-1997 and 2000-2006.
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DOI:
10.3201/eid1701.100660
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发表时间:
2011-01
影响因子:
11.8
通讯作者:
Maillard JM
Maillard JM
中科院分区:
医学2区
文献类型:
--
作者:
Sickbert-Bennett EE;Weber DJ;Poole C;MacDonald PD;Maillard JM

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在被评估的53种疾病中,49种的报告比例为50%。尽管广泛使用传染病监测数据为公共卫生干预和控制措施提供信息,但应报告疾病监测系统的报告完整性仍未得到完全评估。因此,我们进行了一项全面的报告完整性研究,分析了美国北卡罗来纳州8个医疗保健系统在1995-1997年和2000-2006年间报告的53种疾病。所有被分配有国家要求的可报告传染病的国际疾病分类,第9版,临床修改,诊断代码的患者与监测记录相匹配。我们使用Logistic回归技术根据疾病、年份和医疗保健系统来评估报告的完整性。不同卫生保健系统的报告完整性从2%到30%不等,并随着时间的推移而提高。疾病报告的完成率从0%到82%不等,但即使对于具有重大公共卫生重要性和干预机会的疾病,报告完成率通常也很低。
Reporting proportions were <50% for 49 of the 53 diseases evaluated. Despite widespread use of communicable disease surveillance data to inform public health intervention and control measures, the reporting completeness of the notifiable disease surveillance system remains incompletely assessed. Therefore, we conducted a comprehensive study of reporting completeness with an analysis of 53 diseases reported by 8 health care systems across North Carolina, USA, during 1995–1997 and 2000–2006. All patients who were assigned an International Classification of Diseases, 9th Revision, Clinical Modification, diagnosis code for a state-required reportable communicable disease were matched to surveillance records. We used logistic regression techniques to estimate reporting completeness by disease, year, and health care system. The completeness of reporting varied among the health care systems from 2% to 30% and improved over time. Disease-specific reporting completeness proportions ranged from 0% to 82%, but were generally low even for diseases with great public health importance and opportunity for interventions.
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