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Public Health Rep. 1984 Jan-Feb; 99(1): 31–35.
PMCID: PMC1424528

The underreporting of disease and physicians' knowledge of reporting requirements.


Previous studies of underreporting of disease have mainly addressed the attitudes of physicians toward reporting of communicable disease to public health agencies and have not examined adequately the physicians' knowledge of the reporting system as a cause of underreporting. To investigate, the authors designed a questionnaire and distributed it to 345 physicians at two hospitals. One hundred and sixty-nine questionnaires, which examined knowledge of reporting requirements and reasons for not complying with those requirements during 1978-81, were returned (a 49 percent response rate). Most of the respondents knew that reporting is required, but their knowledge in specific areas, such as which diseases are reportable, varied greatly. The number of physicians who knew which diseases they are required to report ranged from a low of 63 physicians (37 percent) for trachoma to 163 (96 percent) for syphilis. Of the 169 physicians, only 50 believed they knew how to report reportable diseases, and only 40 of them knew the correct procedures. Thirty-six percent of the 169 physicians indicated that they had not reported any cases at all during 1978-81. On the average, physicians recalled reporting 28 percent of their reportable cases. When they indicated why they had not complied with reporting requirements, the physicians chose reasons that reflected a lack of knowledge of the reporting system. The most common reasons were "did not know how to report" and "did not know it was a reportable disease." The results suggest that a major factor in physician underreporting is a lack of knowledge of the morbidity reporting system.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Marier R. The reporting of communicable diseases. Am J Epidemiol. 1977 Jun;105(6):587–590. [PubMed]
  • Kimball AM, Thacker SB, Levy ME. Shigella surveillance in a large metropolitan area: assessment of a passive reporting system. Am J Public Health. 1980 Feb;70(2):164–166. [PubMed]
  • Hume JC. On reports and rapport in VD control. Am J Public Health. 1980 Sep;70(9):946–947. [PubMed]
  • Cleere RL, Dougherty WJ, Fiumara NJ, Jenike C, Lentz JW, Rose NJ. Physicians' attitudes toward venereal disease reporting. A survey by the National Opinion Research Center. JAMA. 1967 Dec 4;202(10):941–946. [PubMed]
  • Rothenberg R, Bross DC, Vernon TM. Reporting of gonorrhea by private physicians: a behavioral study. Am J Public Health. 1980 Sep;70(9):983–986. [PubMed]
  • Fleming WL, Brown WJ, Donohue JF, Branigin PW. National survey of venereal disease treated by physicians in 1968. JAMA. 1970 Mar 16;211(11):1827–1830. [PubMed]
  • Edwards KS. Ohio's communicable diseases: why aren't they being reported? Ohio State Med J. 1980 Dec;76(12):707–710. [PubMed]
  • Tizes R, Pravda D. Proposed toll-free telephone reporting of notifiable diseases. Health Serv Rep. 1972 Aug-Sep;87(7):633–637. [PMC free article] [PubMed]
  • Schaffner W, Scott HD, Rosenstein BJ, Byrne EB. Innovative communicable disease reporting. HSMHA Health Rep. 1971 May;86(5):431–436. [PMC free article] [PubMed]
  • Hall CB, Douglas RG., Jr Respiratory syncytial virus and influenza. Practical community surveillance. Am J Dis Child. 1976 Jun;130(6):615–620. [PubMed]
  • Spencer L, Wren GR. New reporting system aids epidemiologists. Hospitals. 1979 Oct 16;53(20):105–106. [PubMed]

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