一个全州紧急部门数据的新应用来对行为健康进行分类
Bradford S Wheeler1, Allison R Arellano, Jennifer Bowman
1Author Affiliations: North Carolina Department of Health and Human Services, Raleigh, North Carolina (Mr Wheeler, Ms Arellano, Ms Young, and Dr Tenenbaum); North Carolina Division of Mental Health, Developmental Disabilities and Substance Use Services, Raleigh, North Carolina (Ms Bowman, Dr Brown, Mr Krause, Dr McCoy); Department of Psychiatry, University of North Carolina School of Medicine, Chapel Hill, North Carolina (Dr Brown); North Carolina Division of Public Health, Raleigh, North Carolina (Dr Deyneka); and Department of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina (Dr Tenenbaum).
通过新的实时数据仪表板, 可以更好地了解急诊室的行为健康状况. 这一系统有助于决策者对危机护理资源做出明智的决定.
科学领域:
- 公共卫生监测
- 医疗服务研究
- 医疗信息学
背景情况:
- 对于行为健康患者的急诊室 (ED),称为行为健康 (BHH),缺乏全面的量化和人口统计数据.
- 现有的数据收集方法往往是手动的,无法实时了解BHH的范围.
研究的目的:
- 在北卡罗来纳州急救中心开发和实施一种新的实时数据收集和行为健康分析系统.
- 创建一个集中式的仪表板来为行为健康服务提供政策决策和资源配置.
主要方法:
- 利用现有的全州综合征监测系统 (NC DETECT) 来从131家医院收集ED数据.
- 根据ICD-10代码和主要投诉关键词开发了定制的数据提取和实施BHH的特定案例定义.
- 利用美国人口普查局的数据来计算人口率,并在公平的背景下分析人口特征.
主要成果:
- 开发的仪表板提供了北卡罗来纳州BHH负担的实时情报.
- 启用数据驱动的决策资金和与危机稳定资源相关的政策,如基于设施的危机 (FBC) 和移动响应和稳定服务.
- 证明了整合现有监测系统以解决关键公共卫生需求的实用性.
结论:
- 一个跨部门的合作成功地调整了综合症监测系统,以解决显著的行为健康政策缺口.
- 通过BHH仪表板,决策者可以获得可操作的情报来改善危机护理基础设施.
- 这种创新方法突显了数据驱动的解决方案在公共心理健康方面的潜力.
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