美国公共卫生监测,重新想象
1Department of Health Administration and Policy College of Public Health, George Mason University Fairfax VA USA.
Learning health systems
|October 24, 2024
概括
这项研究建议重新利用现有的工具和数据平台,用于基于电子健康记录 (EHR) 的公共卫生监测. 新的概念旨在标准化EHR数据,以改善慢性疾病监测和公共卫生倡议.
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
- 流行病学 流行病学
背景情况:
- 目前的公共卫生监测系统面临着资源限制和基础设施挑战.
- 电子健康记录 (EHR) 为公共卫生倡议提供了丰富的数据来源.
- 现有的信息技术方法和大数据平台可以用于公共卫生监测.
研究的目的:
- 提出新的概念,以标准化基于电子健康记录的公共卫生监测.
- 探索用于公共卫生监测的现有信息工具和数据平台的重新用途.
- 重新构想学习健康系统框架,以纳入公共卫生监测.
主要方法:
- 使用可计算的表型,先前对慢性疾病进行了验证.
- 利用大数据平台和协作 (例如,我们所有人,N3C).
- 讨论基于EHR的监控和数据再利用的机遇和挑战.
主要成果:
- 确定可计算的表型和大数据平台作为基于EHR的监控的关键资源.
- 强调需要安全,具有全国代表性的数据和标准化指标.
- 提出了一个重新设计的学习健康系统框架,整合公共卫生.
结论:
- 重新利用现有的资源和方法为公共卫生监测提供了另一种方法.
- 可计算表型的标准化对于有效的基于EHR的监测至关重要.
- 拟议的框架通过整合公共卫生监测来增强医疗保健生态系统.
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