在日本一个偏远的农村地区开发,实施和评估一个基于当地社区的眼科哨兵监测系统
Kimiko Mizuma1, Marie Amitani2, Rie Ibusuki3
1Education Center for Doctors in Remote Islands and Rural Areas, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima City, Kagoshima 890-8544, Japan macchi0625@gmail.com.
Rural and remote health
|October 1, 2023
概括
在日本农村地区,一个新的基于社区的眼科哨兵监测系统 (OSSS-Isa) 能够有效地检测传染性眼病爆发. 这个自愿的系统表现出高度的简单性,及时性和稳定性,有助于早期干预,并补充了国家监督工作.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 眼科医生 眼科 眼科
背景情况:
- 国家传染病监测系统在及时性,代表性和敏感性方面经常面临局限性,特别是在小社区捕获当地疫情时.
- 开发资源有限,基于社区的监控系统对于偏远和农村地区至关重要.
研究的目的:
- 开发,实施和评估一个自愿的,以社区为基础的眼科哨兵监测系统 (OSSS-Isa) 在日本偏远农村地区的伊萨市.
主要方法:
- 建立了一个由20个当地医疗机构组成的网络,每周通过纸质表格和传真收集数据.
- 监控数据被汇总,并在同一天迅速报告.
- 评估遵循CDC的指导方针,使用分发给参与医生的问卷.
主要成果:
- 在OSSS-Isa系统发布了两次警报,指出传染性眼病患病率增加,随后病例减少.
- 医生对该系统的简单性,数据质量,可接受性,及时性和稳定性进行了高度评价 (平均得分>3.67).
- 该系统表现出高医生参与度,评估问卷的回答率为90%.
结论:
- 在一个小,偏远的农村社区,OSSS-Isa在早期和准确检测传染性眼病爆发方面证明了其有效性.
- 成功因素包括简单的实施,有利的外部条件和适合当地环境的活跃的人类因素.
- 该倡议强调了当地自愿监测系统的价值,以补充国家努力,并可能避免更广泛的疫情爆发.
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