Pathirannehelage Sameera, Kumarapeli Pushpa, Byford Rachel, Yonova Ivelina, Ferreira Filipa, de Lusignan Simon
Department of Clinical & Experimental Medicine, University of Surrey, UK.
Department of Computer Science, Kingston University, UK.
Stud Health Technol Inform. 2018;247:161-165.
Dashboards are technologies that bringing together a range of data sources for observational or analytical purposes. We have created a customised dashboard that includes all the key data elements required for monitoring flu vaccine effectiveness (FVE). This delivers a unique dashboard for each primary care provider (general practice) providing data to the Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC), one of the oldest European surveillance systems. These FVE studies use a test negative case control (TNCC) design. TNCC requires knowledge of practice denominator; vaccine exposure, and results of influenza virology swabs carried out to identify in an influenza-like-illness (ILI), a clinical diagnosis, really is influenza. The dashboard displays the denominator uploaded each week into the surveillance system, compared with the nationally known practice size (providing face-validity for the denominator); it identifies those exposed to the vaccine (by age group and risk category) and virology specimens taken and missed opportunities for surveillance (again by category). All sentinel practices can access in near real time (4 working days in areas) their rates of vaccine exposure and swabs conducted. Initial feedback is positive; 80% (32/40) practices responded positively.
仪表板是一种技术，它将一系列数据源整合在一起用于观察或分析目的。我们创建了一个定制的仪表板，其中包含监测流感疫苗效力（FVE）所需的所有关键数据元素。这为向皇家全科医师学院（RCGP）研究与监测中心（RSC）提供数据的每个基层医疗服务提供者（全科诊所）提供了一个独特的仪表板，RSC是欧洲最古老的监测系统之一。这些FVE研究采用检测阴性病例对照（TNCC）设计。TNCC需要了解诊所的分母数据；疫苗接种情况，以及为确定在流感样疾病（ILI）中进行的流感病毒学拭子检测结果，即临床诊断是否真的是流感。该仪表板显示每周上传到监测系统中的分母数据，并与全国已知的诊所规模进行比较（为分母数据提供表面效度）；它识别出接种疫苗的人群（按年龄组和风险类别）以及采集的病毒学标本和监测的错失机会（同样按类别）。所有哨点诊所几乎可以实时（在某些地区为4个工作日）获取其疫苗接种率和进行的拭子检测率。初步反馈是积极的；80%（32/40）的诊所给出了积极回应。
