Trino R, McAnaney J, Fife D
AIDS Surveillance Unit, Division of Disease Control, Philadelphia Department of Public Health, PA 19146.
J Acquir Immune Defic Syndr (1988). 1993 Sep;6(9):1057-61.
To improve the speed and completeness of AIDS reporting, the Philadelphia Board of Health adopted regulations requiring medical laboratories to report directly to the Department of Public Health all results indicative of AIDS-defining diagnoses. Reports were used to focus active AIDS surveillance on physicians who had requested laboratory reports whose results were likely to have diagnosed AIDS recently. One year after implementation, laboratories provided the first lead to 20% of all AIDS reports. Reports originating with laboratories reach our data base sooner after diagnosis and ascertain a slightly higher proportion of women than do other reports. Laboratory-based reporting offers a practical way to focus the limited resources available for active surveillance on health providers likely to have an AIDS diagnosis to report.
为提高艾滋病报告的速度和完整性，费城卫生局通过了相关规定，要求医学实验室直接向公共卫生部报告所有表明艾滋病确诊诊断的结果。报告被用于将积极的艾滋病监测重点放在那些曾要求进行实验室报告、其结果可能最近已诊断出艾滋病的医生身上。实施一年后，实验室提供了所有艾滋病报告中20%的首例线索。实验室发出的报告在诊断后更快进入我们的数据库，且确诊的女性比例略高于其他报告。基于实验室的报告提供了一种切实可行的方法，可将用于积极监测的有限资源集中在可能有艾滋病诊断要报告的医疗服务提供者身上。
