COVID-19期间公共卫生报告和数据交换的挑战和动态:来自美国医院的见解
John Xuefeng Jiang1, Peter Cram2,3, Kangkang Qi4
1Eli Broad College of Business, Michigan State University, East Lansing, MI 48824, United States.
Health affairs scholar
|May 17, 2024
概括
美国医院在早期COVID-19期间面临公共卫生报告和数据交换挑战. 不一致的要求和手工流程阻碍了对公共卫生反应至关重要的及时,可靠的数据.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生监督 公共卫生监督
- 卫生信息交换健康信息交换
背景情况:
- COVID-19大流行暴露了美国公共卫生报告和电子临床数据交换的重大弱点.
- 有效的数据共享对于及时的公共卫生干预和患者护理至关重要.
研究的目的:
- 检查美国医院在疫情期间对公共卫生报告的经验.
- 评估获得COVID-19患者护理外部临床数据的挑战.
- 评估与疫苗有关的不良事件报告情况.
主要方法:
- 2020年和2022年美国医院协会 (AHA) 信息技术补充调查数据的分析.
- 检查公共卫生报告和电子数据交换中的医院实践.
- 疫苗不良事件报告成功的评估.
主要成果:
- 由于要求不一致,政府各级报告实践存在显著差异.
- 虽然更喜欢自动化,但许多医院依赖于手动数据传输.
- 外部临床数据交换不一致,一些实体比其他实体慢.
- 一小部分医院报告说,在记录疫苗不良事件方面存在困难.
结论:
- 标准化报告协议和明确的指令对于提高数据质量和及时性至关重要.
- 从手动数据流程过渡到自动化数据流程对于有效的公共卫生监测至关重要.
- 应对这些数据挑战对于加强未来的公共卫生反应和重建公众信任至关重要.
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