Kimball A M, Thacker S B, Levy M E
Am J Public Health. 1980 Feb;70(2):164-6. doi: 10.2105/ajph.70.2.164.
A passive disease report card (DRC) surveillance system failed to detect an epidemic of diarrheal disease caused by a newly identified drug-resistant strain of Shigella sonnei. The DRC system inaccurately described both the population at risk and the geographic location of cases. Specific limitations of the DRC system, including problems of underreporting and ascertainment bias, were complicated by the absence of timely data analysis and feedback to providers.
一个被动疾病报告卡(DRC)监测系统未能检测到由一种新发现的耐药性宋内志贺氏菌菌株引起的腹泻病疫情。DRC系统对高危人群和病例的地理位置描述均不准确。DRC系统的具体局限性,包括漏报问题和确诊偏倚,因缺乏及时的数据分析以及向医疗服务提供者的反馈而变得更加复杂。