Scutchfield F Douglas, Bhandari Michelyn W, Lawhorn Nicole A, Lamberth Cynthia D, Ingram Richard C
College of Public Health, University of Kentucky, Lexington, Kentucky, USA.
Am J Prev Med. 2009 Mar;36(3):266-72. doi: 10.1016/j.amepre.2008.11.007.
This review examines past, current, and future issues in developing and using public health performance data for improving the public health system. Issues are explored relating to public health performance data collection and analysis, and inferences made from those data, largely by examining public health performance data collected since the Year 2000. More research is needed to improve understanding of the context in which public health systems operate and how that context affects performance and its relationship to health outcomes. There are major areas of concern that must be addressed by the public health practice organizations, governmental public health entities, and the public health systems research communities, such as ensuring that data are collected on public health infrastructure, practice, and performance and that data from various sources are collected in a harmonious fashion. At issue also is the examination of the impact of new arrivals to the public health system, such as accreditation and credentialing of the public health workforce, on public health system performance.
本综述探讨了在开发和使用公共卫生绩效数据以改善公共卫生系统方面的过去、当前和未来问题。通过主要审视自2000年以来收集的公共卫生绩效数据，探讨了与公共卫生绩效数据收集和分析以及从这些数据得出的推论相关的问题。需要开展更多研究，以更好地理解公共卫生系统的运作环境，以及该环境如何影响绩效及其与健康结果的关系。公共卫生实践组织、政府公共卫生实体和公共卫生系统研究界必须解决一些主要关切领域，例如确保收集有关公共卫生基础设施、实践和绩效的数据，并以协调一致的方式收集来自各种来源的数据。新进入公共卫生系统的因素（如公共卫生工作人员的认证和资格认定）对公共卫生系统绩效的影响也有待研究。
