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支持公共卫生信息需求的分布式数据网络。

Distributed Data Networks That Support Public Health Information Needs.

作者信息

Tabano David C, Cole Elizabeth, Holve Erin, Davidson Arthur J

机构信息

Institute for Health Research, Kaiser Permanente Colorado, Denver, Colorado (Mr Tabano); University of Colorado's Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, Colorado (Mr Tabano); AcademyHealth, Washington, District of Columbia (Ms Cole); Department of Health Care Finance, Washington, District of Columbia (Dr Holve); Denver Public Health, Denver Health, Denver, Colorado (Dr Davidson); and University of Colorado Schools of Public Health and Medicine, Aurora, Colorado (Dr Davidson).

出版信息

J Public Health Manag Pract. 2017 Nov/Dec;23(6):674-683. doi: 10.1097/PHH.0000000000000614.

Abstract

INTRODUCTION

Data networks, consisting of pooled electronic health data assets from health care providers serving different patient populations, promote data sharing, population and disease monitoring, and methods to assess interventions. Better understanding of data networks, and their capacity to support public health objectives, will help foster partnerships, expand resources, and grow learning health systems.

METHODS

We conducted semistructured interviews with 16 key informants across the United States, identified as network stakeholders based on their respective experience in advancing health information technology and network functionality. Key informants were asked about their experience with and infrastructure used to develop data networks, including each network's utility to identify and characterize populations, usage, and sustainability.

RESULTS

Among 11 identified data networks representing hundreds of thousands of patients, key informants described aggregated health care clinical data contributing to population health measures. Key informant interview responses were thematically grouped to illustrate how networks support public health, including (1) infrastructure and information sharing; (2) population health measures; and (3) network sustainability.

CONCLUSION

Collaboration between clinical data networks and public health entities presents an opportunity to leverage infrastructure investments to support public health. Data networks can provide resources to enhance population health information and infrastructure.

摘要

引言

数据网络由服务于不同患者群体的医疗保健提供者的汇总电子健康数据资产组成,可促进数据共享、人群和疾病监测以及评估干预措施的方法。更好地理解数据网络及其支持公共卫生目标的能力,将有助于促进合作关系、扩大资源并发展学习型卫生系统。

方法

我们对美国各地的16名关键信息提供者进行了半结构化访谈,根据他们在推进卫生信息技术和网络功能方面的各自经验,将他们确定为网络利益相关者。向关键信息提供者询问了他们开发数据网络的经验和使用的基础设施,包括每个网络在识别和描述人群、使用情况及可持续性方面的效用。

结果

在代表数十万患者的11个已识别数据网络中,关键信息提供者描述了有助于人群健康措施的汇总医疗保健临床数据。关键信息提供者的访谈回复按主题分组,以说明网络如何支持公共卫生,包括(1)基础设施和信息共享;(2)人群健康措施;以及(3)网络可持续性。

结论

临床数据网络与公共卫生实体之间的合作提供了一个利用基础设施投资来支持公共卫生的机会。数据网络可以提供资源,以增强人群健康信息和基础设施。

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