七个国家的综合疾病监测现状:综合报告
A C K Lee1, B G Iversen2, S Lynes3
1UK Health Security Agency, and the University of Sheffield, UK.
Public health
|November 5, 2023
概括
综合疾病监测 (IDS) 在全球范围内尚未完全实施,面临着碎片化和多样化的运营. 解决治理,IT,劳动力和资金方面的挑战对于有效应对公共卫生威胁至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 综合疾病监测 (IDS) 承诺通过更好的数据利用来改善公共卫生威胁的应对.
- 全球范围和IDS的运行情况在很大程度上是未知的.
- 了解实施是优化监控系统的关键.
研究的目的:
- 评估综合疾病监测的全球运行情况.
- 确定阻碍IDS实施的挑战和障碍.
- 为了发现在全球推进IDS的机会.
主要方法:
- 综合了来自七个不同国家的定性研究.
- 参与了34个焦点小组讨论和48个关键信息员采访.
- 主题分析利用了一个涵盖治理,系统,功能和财务的概念框架.
主要成果:
- 没有研究的国家实现了完全集成的监管;系统往往是分散的.
- 主要障碍包括不明确的目的,所有权问题,IT/基础设施不兼容,劳动力需求,数据共享的法律障碍和资源限制.
- 外部资金依赖和单一疾病的重点创造了并行系统,限制了整合.
结论:
- 全球监控系统的成熟度和整合程度各不相同.
- 国际框架和标准是必要的,但必须是特定于环境的.
- 根据国家背景和总体目标量身定制整合努力至关重要.
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