Department of Health and Human Services, Augusta, Maine, USA.
Prev Chronic Dis. 2010 Jan;7(1):A17. Epub 2009 Dec 15.
Public health systems have relied on public health surveillance to plan health programs, and extensive surveillance systems exist for health behaviors and chronic disease. Mental health has used a separate data collection system that emphasizes measurement of disease prevalence and health care use. In recent years, efforts to integrate these systems have included adding chronic disease measures to the Collaborative Psychiatric Epidemiology Surveys and depression measures to the Behavioral Risk Factor Surveillance System; other data collection systems have been similarly enhanced. Ongoing challenges to integration include variations in interview protocols, use of different measures of behavior and disease, different interval reference periods, inclusion of substance abuse disorders, dichotomous vs continuous variables, and approaches to data collection. Future directions can address linking surveillance efforts more closely to the needs of state programs, increasing child health measurements in surveys, and improving knowledge dissemination from survey analyses.
公共卫生系统依赖公共卫生监测来规划卫生计划，并且存在广泛的健康行为和慢性病监测系统。精神卫生采用了单独的数据收集系统，强调疾病流行率和卫生保健利用的测量。近年来，将这些系统整合的努力包括将慢性病措施添加到协作性精神流行病学调查中，以及将抑郁措施添加到行为风险因素监测系统中；其他数据收集系统也得到了类似的增强。整合面临的持续挑战包括访谈协议的差异、行为和疾病测量的使用、不同的间隔参考期、包括物质滥用障碍、二分变量与连续变量，以及数据收集方法。未来的方向可以更紧密地将监测工作与州计划的需求联系起来，增加调查中的儿童健康测量，并改进从调查分析中传播知识。
