丹麦强制性匿名艾滋病毒监测：新系统的首批结果
Mandatory anonymous HIV surveillance in Denmark: the first results of a new system.
作者信息
Smith E, Rix B A, Melbye M
机构信息
Department of Epidemiology, Danish Epidemiology Science Centre, Statens Seruminstitut, Copenhagen.
出版信息
Am J Public Health. 1994 Dec;84(12):1929-32.
OBJECTIVES
This paper describes the principles and first results of the newly implemented anonymous mandatory human immunodeficiency virus (HIV) reporting system in Denmark.
METHODS
The system is based on a serially numbered form that is circulated among the laboratories, the physicians, and the national surveillance unit. All laboratories doing confirmatory tests for HIV antibodies must send a report form along with any positive test results. Before forwarding the form, the laboratory is to fill in the top part with the name and address of the requesting physician and send the back copy to the surveillance unit. The physicians are mandated by law to fill in the form with data on the patient and to keep two copies for their own files before sending the original to the surveillance unit.
RESULTS
After a revision of the system, a response rate of 95% was obtained.
CONCLUSIONS
We have established an anonymous mandatory HIV surveillance system in Denmark that enables routine evaluation of the completeness of reporting and nonresponding physicians to be reminded of their duty to report. Also, the physicians can act as mediators between patients and researchers; therefore, nested studies can be done without breaking the anonymity of the patient.
目的
本文描述了丹麦新实施的匿名强制性人类免疫缺陷病毒（HIV）报告系统的原则和初步结果。
方法
该系统基于一种编号形式，在实验室、医生和国家监测单位之间流转。所有进行HIV抗体确证试验的实验室必须随任何阳性检测结果一并发送报告表。在转发表格之前，实验室要在顶部填写请求医生的姓名和地址，并将副本发送给监测单位。法律规定医生要在表格中填写患者数据，并在将原件发送给监测单位之前为自己的档案保留两份副本。
结果
系统修订后，获得了95%的回复率。
结论
我们在丹麦建立了一个匿名强制性HIV监测系统，该系统能够对报告的完整性进行常规评估，并能提醒未报告的医生履行报告职责。此外，医生可以充当患者和研究人员之间的调解人；因此，可以进行嵌套研究而不破坏患者的匿名性。
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