Fife D, McAnaney J, Rahman M A
AIDS Activities Coordinating Office, Philadelphia Department of Health, PA 19107.
Am J Public Health. 1991 Dec;81(12):1648-50. doi: 10.2105/ajph.81.12.1648.
In an effort to improve AIDS case reporting, site visits (meetings with hospital staff to encourage reporting) were made to all Philadelphia hospitals. Comparisons of hospitals visited during a 7-week period with hospitals not visited during that period indicated that the site visits were followed by a marked increase in case reports. No similar increase was observed at the comparison hospitals. The increased reporting was accompanied by an increased lag time from diagnosis to report, suggesting that the additional reports at visited hospitals were the result of the identification of previously missed cases rather than a speedup of reporting. Cases reported after the visits were more likely to have white-collar occupations or private medical insurance than were those reported before the visits.
为了改进艾滋病病例报告工作，我们对费城所有医院进行了实地走访（与医院工作人员会面以鼓励报告病例）。将在为期7周的时间段内走访的医院与该时间段内未走访的医院进行比较，结果表明，实地走访后病例报告显著增加。在对照医院未观察到类似的增加情况。报告增加的同时，从诊断到报告的滞后时间也增加了，这表明走访医院报告增加是因为发现了之前漏报的病例，而不是报告速度加快。走访后报告的病例比走访前报告的病例更有可能从事白领职业或拥有私人医疗保险。
