Physicians' Attitudes Toward Venereal Disease Reporting

Cleere, Roy L.; Dougherty, William J.; Fiumara, Nicholas J.; Jenike, Clarence; Lentz, John W.; Rose, Norman J.

doi:10.1001/jama.1967.03130230067011

Cited by 28 publications

(12 citation statements)

References 2 publications

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“…As has been documented elsewhere," 6 11 the majority of physicians probably see little or no gonorrhea. The system of telephone contact can enlist the small proportion of isolated physicians who do in fact see cases, but have not reported them in the past.…”

Section: Discussionmentioning

confidence: 73%

Reporting of gonorrhea by private physicians: a behavioral study.

Rothenberg¹,

Bross²,

Vernon³

1980

Am J Public Health

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Physicians in the Denver Metropolitan Area were randomly assigned to study groups and exposed to an intervention designed to test current hypotheses concerning the reasons for underreporting of gonorrhea (lack of saliency in the request, patient interference, violation of the physician-patient relationship, insufficient rewards and excessive administrative cost to the reporter). A periodic telephone contact, initiated by the Health Department and requiring only contact between clerical personnel, more than doubled the number of reported cases. striking for those who had not previously reported, and for doctors who practiced alone. An estimate of 42 per cent was obtained for the proportion of cases reported, substantially higher than that produced by retrospective surveys based on recall. The impact of undernotification on total morbidity vill vary with the preexisting mix of public and private reporting. The telephone reporting system appears to be an inexpensive and effective program tool for determining that impact locally. (Am J Public Health 1980; 70:983-986.) porting of gonorrhea by private physicians who currently account for about 12 per cent of reported cases in the area. Our specific aims were to: determine what, if anything, may constitute adequate motivation for reporting; develop an efficient, inexpensive system for monitoring disease in the private sector; and estimate the effect of underreporting on total morbidity. Materials and MethodsThe initial sampling frame consisted of over 3,000 physicians licensed in the Denver metropolitan area in 1975. Exclusions were made on the basis of specialties unlikely to treat sexually transmitted diseases-such as psychiatry, anesthesiology, and opthamology and/or practice in a public setting or large group practices (whose internal system for disease reporting bypassed the individual physician). 18 Each of the five study groups was assigned a specific behavioral intervention aimed at testing one of the five hypotheses for underreporting. In the categorization of groups which follows, reference is made to studies suggesting that a

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Section: Discussionmentioning

confidence: 73%

Reporting of gonorrhea by private physicians: a behavioral study.

Rothenberg¹,

Bross²,

Vernon³

1980

Am J Public Health

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“…Since only about 1 in 10 cases of venereal disease is reported to public health officials (1,2), it is quite likely that 60,000 or more people in Colorado were infected with some type of venereal disease in 1970.…”

Section: Introductionmentioning

confidence: 99%

Venereal Disease Campaign in Colorado: A Model for Community Action

Taylor¹,

Gonring²

1974

Health Services Reports

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“…Factors that influence physician reporting include the perceived importance of the physician-patient privilege, a lack of faith in the confidentiality of health department records, pressure from patients to not report, a lack of awareness of reporting requirements, a lack of awareness of the importance of reporting, and the difficulty and time involved (7,8).…”

mentioning

confidence: 99%

Accuracy of ICD-9-CM Codes in Identifying Reportable Communicable Diseases

Campos‐Outcalt

1990

Quality Assurance and Utilization Review

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Billing records from the outpatient clinics of a university medical center were used to identify reportable communicable diseases. Patient charts were reviewed to check the accuracy of all cases of communicable diseases not reported to the local health department. Thirty-three percent of the cases identified as one of 20 communicable diseases, using the ICD-9-CM system, were found to be incorrectly coded. This study documents a lack of specificity (numerous false positives) when using encounter form data and ICD-9-CM codes to identify communicable diseases in an outpatient setting.

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Physicians' Attitudes Toward Venereal Disease Reporting

Cited by 28 publications

References 2 publications

Reporting of gonorrhea by private physicians: a behavioral study.

Reporting of gonorrhea by private physicians: a behavioral study.

Venereal Disease Campaign in Colorado: A Model for Community Action

Accuracy of ICD-9-CM Codes in Identifying Reportable Communicable Diseases

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