School of Public Health, State University of New York at Albany, New York 12144, USA.
J Public Health Manag Pract. 2013 May-Jun;19(3):231-9. doi: 10.1097/PHH.0b013e318262906e.
Rapid changes to the United States public health system challenge the current strategic approach to surveillance. During 2011, the Council of State and Territorial Epidemiologists convened national experts to reassess public health surveillance in the United States and update surveillance strategies that were published in a 1996 report and endorsed by the Council of State and Territorial Epidemiologists. Although surveillance goals, historical influences, and most methods have not changed, surveillance is being transformed by 3 influences: public health information and preparedness as national security issues; new information technologies; and health care reform. Each offers opportunities for surveillance, but each also presents challenges that public health epidemiologists can best meet by rigorously applying surveillance evaluation concepts, engaging in national standardization activities driven by electronic technologies and health care reform, and ensuring an adequately trained epidemiology workforce.
美国公共卫生系统的快速变化对当前的监测战略提出了挑战。2011 年，州和地区流行病学家委员会召集全国专家重新评估美国的公共卫生监测，并更新 1996 年报告中提出并得到州和地区流行病学家委员会认可的监测战略。尽管监测目标、历史影响和大多数方法没有改变，但监测正在受到 3 个因素的影响：公共卫生信息和准备工作作为国家安全问题；新的信息技术；以及医疗改革。每一个因素都为监测提供了机会，但也带来了挑战，公共卫生流行病学家可以通过严格应用监测评估概念、参与由电子技术和医疗改革驱动的国家标准化活动以及确保有足够数量接受过培训的流行病学工作人员来最好地应对这些挑战。
