Navigation Links
Simple online methods increase physician disease reporting
Date:1/14/2008

With emerging diseases like the West Nile Virus, and re-emerging diseases such as the pandemic flu and drug-resistant tuberculosis, its increasingly important to promptly detect a potential infectious outbreak within a community. But public health officials cant act quickly unless physicians report the diseases.

Quick reporting by several physicians, all acting independently, allows the public health authorities to promptly recognize a pattern and take the necessary action to contain the disease by isolating and treating cases, quarantining affected groups and taking other measures to hopefully prevent a wider outbreak, said Temple University physician Dr. Lawrence Ward, MD, MPH, FACP.

Ward led a study published in the January issue of the Journal of Public Health Management and Practice that found simple and cost efficient methods such as e-mail reminders, an informational web site, and a program for handheld devices significantly increased spontaneous reporting by physicians.

Currently, few physicians report diseases to public health authorities. They either dont know the methods for reporting, or the specific conditions that are required by law to be reported. Public health officials also do not adequately communicate the vitally important role played by practicing physicians, as frontline agents of public health, in the identification of new disease patterns and the importance of prompt reporting, Ward said.

The study involved clinicians associated with all hospitals in Philadelphia County, Pa. The study comprised a 24-week baseline period (Jan. 18, 2004July 3, 2004) and a 24-week intervention period (Jan. 16, 2005July 2, 2005). Researchers selected five hospitals for the intervention group, while the control group consisted of the 23 other hospitals located within Philadelphia County.

The intervention group received e-mails directing readers to a web site* that listed all reportable conditions with instructions on how to report to authorities. The site also allowed doctors to download a program onto their handheld devices that would make this information easily accessible and help facilitate reporting to the Department of Public Health.

During the intervention period, the e-mails were distributed three times, each reaching in excess of 16,500 individuals. There were a total of 886 visits to the web site, 207 downloads of a poster of reportable diseases, 130 downloads of the handheld device reporting program, and 122 downloads of the Philadelphia Department of Public Health case report form. From the baseline to the intervention period, there was a mean increase of 5.6 reports in the intervention group and a mean decrease of 3.0 reports in the control group.

The difference between the two groups was significant and supported the protocol as a way to increase reporting among clinicians, Ward said. Using the internet had not yet been studied. Past studies have examined costly, time-intensive and unsustainable methods to increase reporting such as newsletters and mailed reminders.

In contrast to other methods studied, Ward and his colleagues believe their method is affordable and sustainable, with a format thats easily understood by todays internet-savvy clinician. They estimate that only 26 hours of person-time and $350 were used in developing the internet page, handheld computer program and e-mail memorandums, not including the cost of establishing and maintaining the underlying hospital web site.

Despite the promising results, more works lies ahead for Ward in educating clinicians about the importance of reporting diseases. A review of the disease coding data strongly suggests significant underreporting, even in the intervention hospitals used for this study, he said.

Reasons for physician underreporting are numerous. Some physicians incorrectly believe that if a laboratory reports a disease, they are not required to do so as well. Many physicians also incorrectly believe that reporting would violate HIPAA, or patient privacy regulations, he added.

Ward encourages clinicians to sign up to use an online reporting system, already used by labs, from the state of Pennsylvania called PA-NEDSS (https://www.nedss.state.pa.us/nedss).


'/>"/>

Contact: Eryn Jelesiewicz
dobeck@temple.edu
215-707-0730
Temple University
Source:Eurekalert  

Related medicine news :

1. 10-fold life span extension reported in simple organism
2. Simple test accurately predicts risk of serious jaundice in newborns
3. Ring In 2008 With Simple New Years Resolutions That Will Stick Year-Round
4. Simple strategy could prevent half of deadly tuberculosis infections
5. be(R) is Making Health Simple With Complimentary, Expert Online Diet, Nutrition and Exercise Advice
6. YMCA of the USA Offers Simple Tips to Give the Lifetime Gift of Health and Well-Being to Family and Friends This Holiday Season
7. Simple Tips Keep the Flu at Bay
8. LA BioMed research finds simpler way to assess breast cancer risk
9. Six Simple Steps to Protect Against and Stop the Spread of Superbugs
10. Simpler Anemia Treatment May Help Kidney Patients
11. Simplex Diabetic Supply, Inc. Secures $50 Million in Growth Equity from New Enterprise Associates
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Simple online methods increase physician disease reporting
(Date:1/20/2017)... ... 2017 , ... "TransFlare 4K Mystique comes with 44 colorful mysterious transitions that ... Christina Austin - CEO of Pixel Film Studios. , TransFlare 4K Mystique contains ... lens flare and light leak transitions have a very high-dynamic range for super smooth ...
(Date:1/20/2017)... ... ... a fine examination of how God handles sin, including how to let go of ... who, for over ten long years has been waiting to release this powerful insight about ... has been serving the Lord for over twenty years, and he has been preaching and ...
(Date:1/20/2017)... , ... January 20, 2017 , ... “The Land of ... attention to the issue of world hunger, and shares the simple and achievable answer. ... devoted husband and member of the Fairview Missionary Church in Angola, Indiana where he ...
(Date:1/19/2017)... ... January 19, 2017 , ... ... and facility enhancement of their 503A compounding pharmacy located in Ocala, Florida. ... of physicians and patients throughout the United States for high-quality human anti-aging ...
(Date:1/19/2017)... ... January 19, 2017 , ... ... has recently unveiled impressive transportable capabilities with their iMedHD2™ Portable Teleultrasound ... extension to RMT technology that delivers HD, dynamic, streaming ultrasound images and video ...
Breaking Medicine News(10 mins):
(Date:1/19/2017)... , Jan. 19, 2017 ViewRay, Inc. (Nasdaq: ... federal institution supporting research in Germany ... patient treatments at the University Clinic Heidelberg as part ... The MRIdian Linac program will be headed by Medical ... heads radiation oncology at the German Cancer Research Center ...
(Date:1/19/2017)... ALTO, Calif. , Jan. 19, 2017   ... research, is excited to announce that the first ... Cancer Biology  (RP:CB) have been published in eLife ... this project represents the first practical evaluation of ... result in reproducible studies. Unlike other assessments of ...
(Date:1/19/2017)... January 19, 2017 New ... to Address Motor Symptoms and Motor Complications in ... ...      (Logo: http://photos.prnewswire.com/prnh/20151014/276718LOGO) C ... European Neurological Review,2016;11(Suppl. 2): 2-15, http://www.touchneurology.com/articles/safinamide-new-therapeutic-option-address-motor-symptoms-and-motor-complications-mid-late ...
Breaking Medicine Technology: