一个全州范围的母婴连接纵向监测系统:印第安纳州改善母婴健康的模式
Jill Inderstrodt1,2, Daniel P Riggins3, Acatia Greenwell4
1Department of Health Policy and Management, Indiana University Richard M. Fairbanks School of Public Health, 1050 Wishard Blvd, Indianapolis, IN 46202, United States of America.
International journal of population data science
|May 15, 2025
概括
印第安纳州正在通过将母亲和婴儿联系起来来改善母婴健康监测. 这一倡议旨在更好地追踪死胎,新生儿禁欲综合征 (NAS) 和先天性梅毒 (CS),以改善健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 印第安纳州面临着重大的母婴健康 (MCH) 挑战,包括高死亡出生率,新生儿戒断综合征 (NAS) 和先天性梅毒 (CS).
- 现有的电子健康记录 (EHR) 缺乏常规的母婴链接,阻碍了对这些关键疾病的纵向跟踪.
- 这些往往致命的疾病的不充分报告使准确的评估和干预变得复杂.
研究的目的:
- 描述印第安纳州对死产,NAS和CS的协作监测计划的开发和实施.
- 建立一个基础设施来链接母婴数据,并创建一个纵向监测的注册表.
- 将监测结果转化为脆弱社区可行的预防策略.
主要方法:
- 开发和部署确定性和概率算法,在多个数据源中将母亲和婴儿联系起来.
- 创建和维护一个母婴双的注册表.
- 在与公共卫生当局合作下,对死产,NAS和CS进行纵向监测.
- 与公共卫生和社区组织合作,实施预防活动.
主要成果:
- 正在建立一个协作基础设施,以链接母亲和婴儿数据.
- 正在部署新的方法来对死产,NAS和CS进行纵向监测.
- 该计划旨在将监控数据转化为社区预防工作.
结论:
- 印第安纳州的孕妇婴儿连接纵向监测 (PILLARS) 计划正在建立一个强大的MCH监测系统.
- 这个倡议促进了纵向跟踪,旨在改善死产,NAS和CS的预防和结果.
- 长期目标是通过将监督框架扩展到其他优先领域来提高MCH结果.
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