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对基层医疗医生进行甲型肝炎主动监测的效益成本分析。

Benefit-cost analysis of active surveillance of primary care physicians for hepatitis A.

作者信息

Hinds M W, Skaggs J W, Bergeisen G H

出版信息

Am J Public Health. 1985 Feb;75(2):176-7. doi: 10.2105/ajph.75.2.176.

DOI:10.2105/ajph.75.2.176
PMID:3917619
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1645977/
Abstract

We identified two random samples of 216 primary care physicians each. In one sample, we made weekly telephone contact for active hepatitis A (HA) surveillance; in the other, we made no such contact (passive surveillance). Appropriate county health departments were notified whenever we identified a HA case by active surveillance. Active surveillance was associated with a 2.8-fold increase in reported HA cases compared to passive surveillance. The estimated benefit: cost ratio active/passive surveillance was 2.5:1.

摘要

我们识别出了两个各有216名初级保健医生的随机样本。在其中一个样本中,我们每周进行电话联系以开展甲型肝炎(HA)主动监测;在另一个样本中,我们不进行此类联系(被动监测)。每当我们通过主动监测识别出HA病例时,都会通知相应的县卫生部门。与被动监测相比,主动监测使报告的HA病例增加了2.8倍。主动监测与被动监测的估计效益成本比为2.5:1。

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本文引用的文献

1
Assessment of immunoglobulin use for hepatitis A control in New Mexico.新墨西哥州甲型肝炎防控中免疫球蛋白使用情况评估。
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Surveillance and control of infectious diseases: progress toward the 1990 objectives.传染病的监测与控制:朝着1990年目标迈进的进展
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Comparison of an active and passive surveillance system of primary care providers for hepatitis, measles, rubella, and salmonellosis in Vermont.佛蒙特州初级医疗服务提供者针对肝炎、麻疹、风疹和沙门氏菌病的主动监测系统与被动监测系统的比较。
Am J Public Health. 1983 Jul;73(7):795-7. doi: 10.2105/ajph.73.7.795.
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The protective efficacy of immune serum globulin in hepatitis A: a statistical approach.
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Viral hepatitis in Israel: the effect of canvassing physicians on notifications and the apparent epidemiological pattern.以色列的病毒性肝炎:走访医生对病例报告的影响及明显的流行病学模式
Bull World Health Organ. 1972;46(4):457-64.
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The reporting of communicable diseases.传染病报告
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8
Male urethritis in King County, Washington, 1974-75: I. Incidence.1974 - 1975年华盛顿州金县男性尿道炎:I. 发病率
Am J Public Health. 1978 Jan;68(1):20-5. doi: 10.2105/ajph.68.1.20.
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The economic impact of viral hepatitis in the United States.美国病毒性肝炎的经济影响。
Public Health Rep. 1976 Jul-Aug;91(4):349-53.