全州范围的临床实验室电子疾病报告系统:比较自动报告与传统方法
P Effler1, M Ching-Lee, A Bogard
1State of Hawaii Department of Health, Honolulu 96813, USA.
JAMA
|November 26, 1999
概括
自动化电子报告系统通过增加报告量和及时性,显著改善了可通报疾病监测. 该系统通过能够更快地应对疾病爆发而提高公共卫生.
科学领域:
- 公共卫生监督 公共卫生监督
- 传染病流行病学 传染病流行病学
- 医疗信息学 医疗信息学
背景情况:
- 有效的可通报疾病监测对于及时发现疫情和预防疾病至关重要.
- 临床实验室自动报告是一种减轻报告不足和延误的方法.
研究的目的:
- 将原型电子报告系统的及时性和完整性与传统实验室报告方法进行比较.
主要方法:
- 对提交给州卫生部门的5种疾病的基于实验室的报告进行了审查.
- 采用捕获-重新捕获方法来估计每个报告系统的完整性.
- 分析了来自夏威夷三个全州私人临床实验室的数据.
主要成果:
- 与传统方法相比,电子报告使单一疾病报告的总数增加了2.3倍.
- 电子报告平均比传统报告早3.8天收到.
- 据估计,电子报告的覆盖率为80%,传统报告为38%.
结论:
- 电子报告系统大大提高了疾病监测数据的数量和及时性.
- 这些系统提供了更完整的数据,可能导致更快,更有效的疾病控制措施.
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