一种基于GIS软件的方法,用于识别属于地址定义社区的公共卫生数据
Amanda M Lam1, Mariana C Singletary1, Theresa Cullen2
1Epidemiology Division, Pima County Health Department, Tucson, AZ 85714, United States.
Journal of the American Medical Informatics Association : JAMIA
|August 26, 2024
概括
通过使用部落归属和患者地址来定义部落健康管辖区,可以显著改善公共卫生数据的识别. 这种方法提高了部落人口的数据准确性,支持公平的卫生准入.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 地理信息系统 (GIS) 是指地理信息系统.
- 流行病学 流行病学
背景情况:
- 准确定义部落卫生管辖区对于公平获得公共卫生数据至关重要.
- 仅依赖部落隶属 (TA) 的传统方法可能会低估部落社区内的病例和疫苗接种记录.
研究的目的:
- 通过结合部落归属和患者地址数据,提出定义部落卫生管辖区的新方法.
- 评估这种综合方法在公共卫生数据集中识别部落人口的有效性.
主要方法:
- 在县-部落伙伴关系中利用地理信息系统 (GIS) 软件和定制代码.
- 通过识别保留地址,从县的COVID-19病例和疫苗接种记录中提取部落数据.
- 分析了COVID-19病例记录 (2019年12月至2022年12月) 和疫苗接种记录 (2020年12月至2023年4月).
主要成果:
- 结合方法确定了1.91倍的COVID-19病例记录,与仅使用部落隶属相比.
- 该方法确定了3.76倍的COVID-19疫苗接种记录,而不是单独的部落隶属.
- 对部落人口的识别记录显著增加.
结论:
- 将患者地址数据与部落隶属和入学数据相结合,可以增强部落卫生管辖区的定义.
- 这种方法通过数据共享协议,为部落卫生组织提供公平获取公共卫生数据.
- 该方法有可能改善对其他代表性不足的人群在研究中的数据表示.
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