报告假象影响监测敏感性和特异性主要因素.pptVIP

* This diagram of shigellosis illustrates how at each step of the case detection and reporting process, cases are lost. In the end only 6% of total shigella infections are reported to the county health department. If this is a consistant percentage between all counties and over time then we really do not have an important problem. Even small “random” differneces will not affect our interpretation or analysis. The other issue is timliness. Each step of the process introduces an error in time. In general the tendency will be to make abrubt changes appear more gradual. * Now let’s get