Fedson D S
Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virgina, USA; and Manitoba Centre for Health Policy and Evaluation, University of Manitoba, Winnipeg, Manitoba.
Can J Infect Dis. 1993 Sep;4(5):257-62. doi: 10.1155/1993/562460.
The organization of Canada's provincial health care systems and the administrative databases that sustain them provide physicians, epidemiologists and public health officials with unique opportunities to improve surveillance of influenza and its prevention. These databases can be used to measure the impact of influenza on excess mortality, hospitalization and costs to the health care system. They can also be used to study the epidemiology of influenza vaccination practices. Studies using the administrative database for the province of Manitoba have established the epidemiological rationale for hospital-based vaccination and have evaluated the clinical effectiveness of influenza vaccination. As pneumococcal vaccination becomes widespread in Canada, provincial databases should also prove useful in assessing the impact of the pneumococcal infections and their prevention with pneumococcal vaccine.
加拿大省级医疗保健系统的组织架构以及维持这些系统的行政数据库，为医生、流行病学家和公共卫生官员提供了独特机遇，以改进流感监测及其预防工作。这些数据库可用于衡量流感对超额死亡率、住院率以及医疗保健系统成本的影响。它们还可用于研究流感疫苗接种实践的流行病学。利用曼尼托巴省行政数据库开展的研究，确立了以医院为基础进行疫苗接种的流行病学依据，并评估了流感疫苗接种的临床效果。随着肺炎球菌疫苗接种在加拿大变得普遍，省级数据库在评估肺炎球菌感染的影响以及使用肺炎球菌疫苗进行预防方面也应会发挥作用。
