在公共卫生紧急响应仪表板中整合公平的框架:仪表板工具来审查公平 (DIRE)
Paulina Sosa1, Hadi Kharrazi2, Harold Lehmann3
1Johns Hopkins School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Public health
|February 7, 2025
概括
随着COVID-19的爆发,人们更需要公平的决策工具. 这项研究开发了DIRE框架,以指导公共卫生官员快速和公平地应对未来的健康紧急情况.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 健康 公平 研究 健康 公平 研究
背景情况:
- 由于COVID-19大流行给公共卫生系统带来了重大的临床和财务压力,需要采取快速应对策略.
- 在大流行期间做出的决定往往缺乏足够的数据和指导,加剧了社区的不平等.
- 鉴定出的差距强调了加强决策工具的必要性,以解决卫生公平问题.
研究的目的:
- 建立一个研究基金会,整合健康公平,从COVID-19中吸取的经验教训和决策支持机制.
- 制定一个以证据为基础的框架,即DIRE框架 (Dashboard Instrument to Review Equity),以实现公平的应急响应.
- 为决策者提供对未来公共卫生危机的快速和公平指导.
主要方法:
- 使用PRISMA-ScR方法进行了范围审查,在PubMed,Scopus和Paper Piles中进行了文献搜索.
- 在三个层面进行了主题分析,随后使用DIKW Pyramid和Informatics Stack概念模型开发工具.
- 从审查中出现的五个主题被整合到DIRE框架的设计中.
主要成果:
- 该审查涵盖了102篇文章,确定了五个主要主题:COVID-19的影响,健康公平,紧急情况下的决策,仪表板和决策支持以及框架.
- 分析包括对COVID-19仪表板的审查,以告知工具开发.
- DIRE框架由三个层 (上下文,数据流,仪表板用户) 和三个数据流桶 (数据源,DIK支柱,干预) 设计.
结论:
- 该研究成功建立了研究基础,并开发了基于证据的DIRE框架.
- DIRE是第一个3点框架,旨在为决策者提供快速和公平的应对紧急情况的工具.
- 建议进行进一步的研究,但DIRE为改善公共卫生紧急情况的准备和应对提供了至关重要的工具.
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