非名义性艾滋病毒监测：在追踪疫情的同时保护隐私。
Non-nominal HIV surveillance: preserving privacy while tracking an epidemic.
作者信息
Patrick D M, Rekart M L, Cook D, Strathdee S A, Spencer D, Rees A D
机构信息
British Columbia Centre for Disease Control Society, Vancouver.
出版信息
Can J Public Health. 1999 May-Jun;90(3):164-7. doi: 10.1007/BF03404499.
OBJECTIVE
To enhance HIV surveillance within a non-nominal provincial testing system.
METHODS
Confirmatory HIV tests from a provincial laboratory were analyzed during 1995 and 1996. Enhancements included elimination of repeat positive tests for the same individual using automated matching of non-nominal identifiers and nurse call-back of health care providers, completion of missing information through call-back and connection of providers with resources for patient care.
RESULTS
Forty-seven percent of 2,683 reactive HIV tests were identified as duplicates for the same individual, meaning that 1,401 people tested positive for the first time. From laboratory test data to enhanced unduplicated data after call-back, the proportion of tests for which risk and ethnic information was unknown dropped from 37% to 11% and from 64% to 18% respectively (p < 0.0001).
CONCLUSIONS
Enhanced non-nominal surveillance for HIV is a practical means of marrying the needs of public health for epidemiological information and the rights of patients to privacy.
目的
加强省级非实名制检测系统内的艾滋病毒监测。
方法
对1995年和1996年省级实验室的艾滋病毒确证检测进行分析。改进措施包括通过非实名制标识符的自动匹配消除同一人的重复阳性检测，并由护士回访医疗服务提供者，通过回访补充缺失信息，并为医疗服务提供者提供患者护理资源。
结果
2683份艾滋病毒反应性检测中，47%被确定为同一人的重复检测，这意味着1401人首次检测呈阳性。从实验室检测数据到回访后增强的无重复数据，风险和种族信息未知的检测比例分别从37%降至11%，从64%降至18%（p<0.0001）。
结论
加强艾滋病毒非实名制监测是满足公共卫生对流行病学信息的需求与患者隐私权的切实可行方法。
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