The effect of message type on physician compliance with disease reporting requirements
The effect of message type on physician compliance with disease reporting requirements
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DOI：
10.1177/003335490612100610
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发表时间：
2006-11-01
影响因子：
3.3
通讯作者：
Grey, Anthony J.
中科院分区：
文献类型：
--
作者：
Brissette, Ian;Gelberg, Kitty H.;Grey, Anthony J.
目标。尽管存在强制性报告法，但普遍存在向公共卫生当局少报疾病情况的情况。本文描述了使用不同的呼吁来促进完整和及时地报告到纽约州职业肺病登记处（NYS OLDR）的效果的评估。368名没有报告病人的医生被随机分配，接受强调报告的法律义务，报告的公共健康利益，或两者兼而有之的信件。卡方检验用于确定随后报告患者的医生比例是否因信息组而异。使用卡方检验和Kruskall Wallis秩和检验来检验从三个信息组中收到的医生报告的完整性和及时性的差异。收到描述报告法律义务的信件的医生比只收到利益信息的医生更有可能报告病人，而收到描述报告的公共卫生利益的信件的医生比只收到义务信息的医生提交的报告更完整。为了最大化医生报告，公共卫生机构必须强调与医生通信报告条件的法律和公共卫生基础。
Objective. Despite the existence of mandatory reporting laws, the under-reporting of disease conditions to public health authorities is widespread. This article describes an evaluation of the effects of using different appeals to promote complete and timely reporting to the New York State Occupational Lung Disease Registry (NYS OLDR).Methods. Three-hundred sixty-eight physicians who had not reported patients were randomly assigned to receive correspondence emphasizing either the legal obligation to report, the public health benefits of reporting, or both. Chi-square tests were used to determine if the proportion of physicians who subsequently reported patients differed by message group. Chi-square tests and the Kruskall Wallis rank sum test were used to test for differences in the completeness and timeliness of reports received from physicians in the three message groups.Results. Physicians receiving correspondence describing the legal obligation to report were more likely to report patients than those receiving only the benefit message, while those receiving correspondence describing the public health benefits of reporting submitted more complete reports than those receiving only the obligation message.Conclusions. To maximize physician reporting, it is important for public health agencies to emphasize both the legal and public health basis for reporting conditions in correspondence to physicians.