Massoudi B L, Chester K G
Yearb Med Inform. 2017 Aug;26(1):241-247. doi: 10.15265/IY-2017-035. Epub 2017 Sep 11.
To survey advances in public and population health and epidemiology informatics over the past 18 months. We conducted a review of English-language research works conducted in the domain of public and population health informatics and published in MEDLINE or Web of Science between January 2015 and June 2016 where information technology or informatics was a primary subject or main component of the study methodology. Selected articles were presented using a thematic analysis based on the 2011 American Medical Informatics Association (AMIA) Public Health Informatics Agenda tracks as a typology. Results are given within the context developed by Dixon et al., (2015) and key themes from the 2011 AMIA Public Health Informatics Agenda. Advances are presented within a socio-technical infrastructure undergirded by a trained, competent public health workforce, systems development to meet the business needs of the practice field, and research that evaluates whether those needs are adequately met. The ability to support and grow the infrastructure depends on financial sustainability. The fields of public health and population health informatics continue to grow, with the most notable developments focused on surveillance, workforce development, and linking to or providing clinical services, which encompassed population health informatics advances. Very few advances addressed the need to improve communication, coordination, and consistency with the field of informatics itself, as identified in the AMIA agenda. This will likely result in the persistence of the silos of public health information systems that currently exist. Future research activities need to aim toward a holistic approach of informatics across the enterprise.
调查过去18个月里公共卫生与人群健康以及流行病学信息学领域的进展。我们对2015年1月至2016年6月期间发表在MEDLINE或科学网、以信息技术或信息学作为主要主题或研究方法主要组成部分的公共卫生与人群健康信息学领域的英文研究著作进行了综述。所选文章采用基于2011年美国医学信息学会(AMIA)公共卫生信息学议程轨迹作为类型学的主题分析方法进行呈现。结果在迪克森等人(2015年)所构建的背景以及2011年AMIA公共卫生信息学议程的关键主题范围内给出。进展是在一个社会技术基础设施内呈现的,该基础设施由训练有素、能力胜任的公共卫生工作队伍支撑,有满足实践领域业务需求的系统开发,以及评估这些需求是否得到充分满足的研究。支持和发展该基础设施的能力取决于财务可持续性。公共卫生与人群健康信息学领域持续发展,最显著的进展集中在监测、劳动力发展以及与临床服务的关联或提供临床服务方面,其中涵盖了人群健康信息学的进展。如AMIA议程中所指出的,极少有进展涉及改善与信息学领域本身的沟通、协调和一致性的需求。这可能会导致目前存在的公共卫生信息系统孤岛现象持续存在。未来的研究活动需要朝着企业范围内信息学的整体方法发展。