全球综合疾病监测的概念化和实施:一个范围审查
G M Flodgren1, J E Bezuidenhoudt2, N Alkanhal3
1Norwegian Institute of Public Health, Norway.
Public health
|March 24, 2024
概括
这次审查发现全球综合疾病监测 (IDS) 系统的证据碎片化和质量低下. 未来的研究必须专注于对IDS影响和发展的强有力的评估.
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) 系统对于全球卫生安全至关重要.
- 了解IDS的概念化,操作化和有效性对于公共卫生实践至关重要.
- 关于IDS有效性和发展的现有证据需要进行批判性评估.
研究的目的:
- 检查综合疾病监测 (IDS) 系统的全球概念化和操作化.
- 评估IDS有效性的证据基础.
- 确定现有证据是否支持IDS开发的建议,并为未来的国家级战略提供信息.
主要方法:
- 对1998年至2022年的英语出版物进行了范围审查.
- 在Medline,Embase和Epistemonikos数据库中进行了搜索.
- 一个定制的概念框架指导了包含的研究的叙事分析.
主要成果:
- 该审查包括八项审查和五项主要研究,主要集中在非洲,传染病和人类部门.
- 包括的研究被评为质量不佳,没有关于疾病控制效应或COVID-19大流行期间IDS演变的报告.
- 关键发现表明核心功能不足,融资不可持续,治理不良,IDS证据基础薄弱,尽管已确定数据共享和机构间合作等推动因素.
结论:
- 关于综合疾病监测 (IDS) 的现有证据是分散的,不完整的,质量差,缺乏强大的影响评估研究.
- 需要对IDS有一个共同的定义,并清楚地阐述其组件,以改善未来的研究和实践.
- 未来的努力应优先考虑强有力的影响评估和国家具体审查,以加强IDS发展和有效性的证据基础.
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