Document Detail


Incompleteness of reporting of laboratory-confirmed chlamydial infection by providers affiliated with a managed care organization, 1997-1999.
MedLine Citation:
PMID:  15076924     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Surveillance for sexually transmitted diseases (STDs) depends on the receipt of positive STD test results from laboratories or reports of STD diagnoses from clinicians to local or state health departments. GOAL: The goal of this study was to evaluate incompleteness of reporting of chlamydial infection in a large staff-model managed care organization (MCO) using laboratory data and provider-based reports. METHODS: All cases of chlamydial infection in 2 databases, one from the MCO during January 1997 through June 1999 and the other from the state STD registry, were compared by using a standard algorithm alone that included patient's name, sex, and date of specimen collection, and by using the standard algorithm together with the patient's medical record number. RESULTS: Of 833 cases of chlamydial infection in the MCO case database, 597 were matched to the cases in the state registry using the standard algorithm alone and 671 were matched using the standard algorithm together with the patient's medical record number. In addition, 89 cases of chlamydial infection in the state registry had been reported from the MCO during the same timeframe but were not matched to cases in the MCO case database by these algorithms. The estimated incompleteness of reporting ranged from 9% to 28% depending on matching algorithms used and the criteria used to define completeness. CONCLUSION: Based on this comparison of MCO data with the state STD registry data, the estimated incompleteness of reporting in a MCO depended on matching algorithms used and the criteria used to define completeness. Incompleteness of STD case reporting could be reduced if confidential electronic reporting methods and more complete case characteristic variables were used.
Authors:
Guoyu Tao; Peter Carr; Michael Stiffman; Terese A DeFor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Sexually transmitted diseases     Volume:  31     ISSN:  0148-5717     ISO Abbreviation:  Sex Transm Dis     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-04-12     Completed Date:  2004-05-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7705941     Medline TA:  Sex Transm Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  139-42     Citation Subset:  IM    
Affiliation:
Division of STD Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia 30333, USA. gat3@cdc.gov
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Chlamydia Infections / epidemiology,  prevention & control*
Disease Notification / statistics & numerical data*
Humans
Managed Care Programs
Minnesota / epidemiology
Registries / statistics & numerical data*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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