Improving disease reporting by clinicians: the effect of an internet-based intervention.
OBJECTIVE
Disease surveillance by clinicians is critical to public health activities, yet studies have demonstrated significant underreporting of reportable diseases by clinicians. We sought to determine whether an intervention utilizing electronic media increases public health reporting by clinicians.


METHODS
A nonrandomized, controlled design with 24-week baseline and intervention outcome periods was used. Five intervention hospitals in the county of Philadelphia received a three-component intervention that included e-mail memoranda, a Web site, and a handheld computer program. Intervention components provided education and information to assist with reporting. Control hospitals comprised all remaining hospitals in the county.


RESULTS
E-mails were sent to more than 16500 clinicians and administrative personnel at five hospitals on each of three occasions. The Web site received 866 visits, and the handheld computer program was downloaded 130 times. Intervention hospitals had a mean increase of 5.6 reports, whereas control hospitals had a mean decrease of 3.0 reports (P = .02).


CONCLUSIONS
The electronic information-based intervention led to a significant increase in clinician reporting of reportable diseases. Considering the ease and low cost of implementing such programs, they are an attractive method for increasing clinician reporting of public health conditions.
Ward
Lawrence D
LD
Section of General Internal Medicine, Department of Medicine, Temple University, Philadelphia, Pennsylvania 19140, USA. Lawrence.ward@tuhs.temple.edu
Spain
C Victor
CV
Perilla
Mindy J
MJ
Morales
Knashawn H
KH
Linkin
Darren R
DR
D034201:Computers, Handheld / Q000706:statistics & numerical data; D018563:Disease Notification / Q000592:standards* / Q000706:statistics & numerical data; D034742:Electronic Mail / Q000706:statistics & numerical data; D019983:Guideline Adherence; D006740:Hospital Administrators / Q000193:education*; D006801:Humans; D020407:Internet / Q000706:statistics & numerical data*; D009111:Local Government; D008505:Medical Staff, Hospital / Q000193:education*; D015143:Philadelphia; D011159:Population Surveillance / Q000379:methods*; D015397:Program Evaluation; D040442:Public Health Informatics; D012984:Software