Sosin Daniel M, DeThomasis J
Office of Terrorism Preparedness and Emergency Response, CDC, 1600 Clifton Road, Mailstop D-44, Atlanta, GA 30333, USA.
MMWR Suppl. 2004 Sep 24;53:125-9.
The 2003 National Syndromic Surveillance Conference provided an opportunity to examine challenges and progress in evaluating syndromic surveillance systems.
Using the conference abstracts as a focus, this paper describes the status of performance measurement of syndromic surveillance systems and ongoing challenges in system evaluation.
Ninety-nine original abstracts were reviewed and classified descriptively and according to their presentation of evaluation attributes.
System evaluation was the primary focus of 35% of the abstracts submitted. Of those abstracts, 63% referenced prospective evaluation methods and 57% reported on outbreak detection. However, no data were provided in 34% of the evaluation abstracts, and only 37% referred to system signals, 20% to investigation of system signals, and 20% to timeliness.
Although this abstract review is not representative of all current syndromic surveillance efforts, it highlights recent attention to evaluation and the need for a basic set of system performance measures. It also proposes questions to be answered of all public health systems used for outbreak detection.
2003年全国综合征监测会议提供了一个审视评估综合征监测系统所面临挑战及取得进展的机会。
以会议摘要为重点，本文描述了综合征监测系统性能测量的现状以及系统评估中存在的持续挑战。
对99篇原始摘要进行了综述，并根据其评估属性的呈现进行了描述性分类。
系统评估是提交的摘要中35%的主要关注点。在这些摘要中，63%提及前瞻性评估方法，57%报告了疫情检测情况。然而，34%的评估摘要未提供数据，只有37%提及系统信号，20%提及系统信号调查，20%提及及时性。
尽管本次摘要综述并不代表当前所有的综合征监测工作，但它突出了近期对评估的关注以及对一套基本系统性能指标的需求。它还提出了所有用于疫情检测的公共卫生系统都需回答的问题。
