智利疫情监测系统的可报告疾病 (EPIVIGILA) 架构评估:定性研究
Carla Taramasco1,2,3, Carla Rimassa4
1Universidad Andrés Bello, Facultad de Ingeniería, Viña del Mar, Chile.
JMIR formative research
|July 7, 2023
概括
智利的EPIVIGILA系统满足了强制报告疾病监测的高标准,提供与发达国家可比的及时和完整数据. 它的架构确保了有效的公共卫生警和风险识别.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 流行病学监测系统 流行病学监测系统
- 疾病通知技术 疾病通知技术
背景情况:
- 有效的流行病学警需要公共卫生当局及时,准确和可靠的数据.
- 新技术增强了疾病监测系统,使实时数据处理和传播成为可能,正如COVID-19大流行期间所示的那样.
- 自我评估策略对于优化国家警系统的功能和能力至关重要,尽管拉丁美洲的建筑出版物很少.
研究的目的:
- 评估智利疫情监测系统 (EPIVIGILA) 的架构设计.
- 将EPIVIGILA系统的架构与科学文献中记录的国际疾病监测系统进行比较.
主要方法:
- 进行了系统的文献审查,以确定详细介绍疾病通报和警系统架构特征的出版物.
- 将智利EPIVIGILA系统的建筑组件与非洲,美洲,亚洲,欧洲和大洋洲各个国家的系统进行了比较.
主要成果:
- 确定了关键的架构方面:通知来源,最小数据集,数据库用户和数据质量控制.
- 智利的EPIVIGILA系统与其他系统不同,将医生指定为报告代理人. 它包含了一个全面的最低数据集,包括症状学和治疗结果.
- 数据库的用户包括公共卫生,研究和流行病学组织,数据质量控制侧重于完整性,一致性,有效性,及时性和准确性.
结论:
- 一个有效的监测系统必须及时识别疾病风险,发病率和流行率.
- EPIVIGILA展示了高质量的标准和功能,实现了全国覆盖,并提供安全,及时和完整的信息.
- 该系统的性能得到了国家和国际卫生当局的积极评价.
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