Physician Survey Assessing Pelvic Inflammatory Disease Knowledge and Attitudes to Identify Diagnosing and Reporting Barriers.
BACKGROUND
Pelvic inflammatory disease (PID) is a notifiable disease in Hawaii with legal implications for noncompliance. A previous study comparing PID diagnoses in Hawaii's hospitals and state surveillance data confirmed underreporting in Hawaii. Reasons for noncompliance and underreporting are not well understood.


METHODS
All licensed primary care physicians in Hawaii were mailed a survey addressing PID diagnosis and reporting attitudes and practices. Hierarchical logistic regression was used to determine if physician characteristics, PID knowledge, or attitudes related to the diagnosis or reporting of PID, increased the odds of diagnosing and reporting PID.


RESULTS
Among survey respondents (486 of 1,062; response rate of 45.8%), 104 (21.4%) had diagnosed PID. The PID reporting rate was 55.8% (58 of 104). The majority of physicians who diagnosed PID reported that PID reporting was time consuming. In hierarchical regression, obstetrician/gynecologists and family practitioners had the highest odds of diagnosing PID and internists had the lowest odds of reporting PID, those 15 years or longer since residency were less likely to report PID than those fewer than 15 years since residency, and increased PID diagnosing and reporting knowledge increased the odds of PID reporting by 1.63 times.


CONCLUSIONS
Our findings suggest the need for training of all physicians on reportable diagnoses on a regular basis. There is a need to simplify the reporting process, because the time burden of reporting may present a modifiable barrier to reporting. Increased PID-related communication between local health departments and physicians is essential, and physicians should be provided technical assistance with reporting.
Office of Public Health Studies, Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, Hawaii. Electronic address: mistyp@hawaii.edu.
Misty
M
Pacheco
Office of Public Health Studies, Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, Hawaii.
Alan R
AR
Katz
Family Health Services Division, Hawaii Department of Health, Honolulu, Hawaii.
Donald
D
Hayes
Office of Public Health Studies, Department of Public Health Sciences, University of Hawaii at Manoa, Honolulu, Hawaii.
Jay E
JE
Maddock
D000328:Adult; D001290:Attitude; D001291:Attitude of Health Personnel; D018563:Disease Notification / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D006254:Hawaii / Q000453:epidemiology; D007722:Health Knowledge, Attitudes, Practice; D006761:Hospitals; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D000292:Pelvic Inflammatory Disease / Q000175:diagnosis / Q000453:epidemiology*; D010820:Physicians; D011361:Professional Competence; D011795:Surveys and Questionnaires