通过健康信息交换组织进行公共卫生数据交换:国家调查研究
Sarah Rosenthal1, Julia Adler-Milstein1, Vaishali Patel2
1Division of Clinical Informatics and Digital Transformation, University of California, San Francisco, San Francisco, CA, United States.
卫生信息组织 (HIO) 越来越多地通过共享数据来解决信息差距来支持公共卫生机构 (PHA). 这项研究调查了HIO,以评估其在加强公共卫生监测方面的连接性和能力.
科学领域:
- 公共卫生信息学 公共卫生信息学
- 健康数据交换健康数据交换
- 卫生信息组织 卫生信息组织
背景情况:
- COVID-19大流行凸显了公共卫生机构 (PHAs) 数据基础设施的严重缺陷,阻碍了疾病监测,特别是在少数群体中.
- 卫生信息组织 (HIO) 通过促进跨组织的健康数据共享,提供了一个潜在的解决方案.
研究的目的:
- 调查美国各地的运营健康信息组织 (HIO).
- 评估HIO与PHA的连接性及其在公共卫生数据交换方面的能力.
主要方法:
- 确定了从2022年3月1日起运营的135个潜在HIO的普查.
- 对90名HIO进行了调查,其中77人 (86%的响应率) 完成了调查,以收集有关人口统计,PHA连接和服务的数据.
主要成果:
- 86%的受访HIO与至少一个PHA连接,支持免疫登记,电子实验室结果和综合征监测等功能.
- 66%的连接HIO提供了COVID-19应对数据,其中住院和人口统计数据是最常见的.
- 障碍包括有限的PHA资金和竞争的优先事项.
结论:
- 公共卫生报告员在公共卫生报告和数据交换方面发挥着至关重要的和日益增长的作用.
- 医疗卫生数据机构 (HIO) 处于战略地位,可以弥合信息差距并支持PHA,与国家现代化卫生数据基础设施的努力保持一致.
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