监控系统集成:报告全球多国调查结果
E D Carter1, D E Stewart2, E E Rees3
1US Centers for Disease Control and Prevention, USA.
Public health
|April 11, 2024
概括
全球公共卫生监测系统的成熟程度各不相同,但存在共同的挑战. 国家公共卫生机构 (NPHI) 对综合疾病监测 (IDS) 和克服信息技术问题和数据共享限制等障碍至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球卫生安全 全球卫生安全
背景情况:
- 缺乏对全球监控系统的全面了解.
- 国家公共卫生机构 (NPHI) 在公共卫生监测中发挥着关键作用.
- 监控系统的整合是一个关键的,但往往不完整的过程.
研究的目的:
- 检查全球监控系统的现状.
- 评估整合水平,并确定整合的障碍和机会.
- 澄清NPHI在综合疾病监测 (IDS) 中的作用.
主要方法:
- 在95个国家的110个NPHI中进行了跨部门的基于网络的调查.
- 数据是在2022年7月至8月期间收集的.
- 进行了描述性分析,按世卫组织地区,收入组和IDS成熟度分层.
主要成果:
- 65个NPHI回应,显示了可报告疾病和疫苗接种覆盖率的系统,但对私人,制药和食品安全部门的回应较少.
- 大多数国家报告的IDS部分开发,频繁的数据无法访问和有限的整合到国家系统.
- 主要挑战包括IT问题,财务限制,数据共享限制,劳动力能力和数据可用性.
结论:
- 全球公共卫生监测系统的成熟程度各不相同,但面临着类似的发展障碍.
- 有效的监管需要强有力的领导,治理,法律授权和监管执法.
- 在许多国家,NPHI在促进综合疾病监测方面发挥了重要作用.
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