提高公共卫生指导的质量:采用商业规则方法
David Lyalin1, Ronald G Ross1, Stuart Myerburg1
1Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Immunization Services Division, Immunization Information Systems Support Branch (Drs D Lyalin and S Myerburg), Atlanta, GA; and Business Rule Solutions, LLC and Business Rules Journal (Mr. RG Ross), Houston, TX.
概括
商业规则方法论增强了公共卫生指导,提高了免疫信息系统 (IIS) 的数据质量和效率. 这种系统的方法减少了模糊性和人员时间,以改善公共卫生操作.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 卫生系统管理管理卫生系统管理
- 决策科学 决策科学 决策科学
背景情况:
- 公共卫生运营指导往往存在模两可和不一致.
- 提高公共卫生文件的质量和效率对于有效的项目交付至关重要.
- 疾病控制和预防中心 (CDC) 的免疫信息系统 (IIS) 计划旨在加强其操作指导.
研究的目的:
- 探索商业规则方法论的优势,以改善公共卫生的操作指导.
- 评估应用业务规则和系统分析对 IIS 操作的影响.
- 展示商业规则在提高公共卫生文件的清晰度和实用性方面的潜力.
主要方法:
- 在两次为IIS指导制定多年努力中,采用了业务分析和业务规则的系统方法.
- 对实施的最佳实践进行独立评估.
- 进行了对艾萨克·阿西莫夫著作的案例研究分析,以说明系统分析的挑战.
主要成果:
- 商业规则的应用导致了数据质量的提高,减少了员工的工作时间,提高了免疫计划的效率.
- 在临床决策支持中提高统一性和减少模糊性.
- 通过案例研究,确定了指导制定中的不一致性和改进领域.
结论:
- 商业规则方法论为严格记录公共卫生操作指导,减少模两可,提高信息质量提供了巨大的潜力.
- 在IIS中展示的系统方法可以用于更广泛的公共卫生应用.
- 采用商业规则技术是公共卫生改善其指导分析和改进能力的契机.
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