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Related Experiment Videos

Improved disease reporting: a randomized trial of physicians

S G Squires1, K J Aronson, R S Remis

  • 1Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|April 3, 1998
PubMed
Summary

A new surveillance system significantly boosted physician reporting of notifiable diseases. This intervention improved communication, leading to a 5.9 times higher likelihood of physicians reporting cases.

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Communication

Background:

  • Physician reporting of notifiable diseases is crucial for public health surveillance.
  • Traditional passive surveillance systems may have limitations in capturing disease incidence.
  • Effective communication between healthcare providers and health units is essential for timely reporting.

Purpose of the Study:

  • To evaluate the impact of a heightened, passive surveillance system on physician reporting of notifiable diseases.
  • To determine if an intervention aimed at improving physician-health unit communication increases disease reporting rates.

Main Methods:

  • A randomized trial involving 145 primary care physicians in Eastern Ontario was conducted.
  • The intervention group received a communication enhancement program, while the control group followed the usual reporting system.

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  • The primary outcome was the relative risk of physicians reporting at least one case of notifiable disease.

    • Main Results:

    • The intervention group (70 physicians) showed a significantly higher reporting rate compared to the control group (75 physicians).
    • The relative risk for physicians reporting at least one case was 5.9 (95% CI 2.6-13.2).

    Conclusions:

    • The implemented intervention effectively increased the number of physicians reporting notifiable diseases.
    • Enhanced communication strategies within a passive surveillance system can improve public health monitoring.