Celia Quinn, MD, is a Career Epidemiology Field Officer, Field Services Branch, Division of State and Local Readiness, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention (CDC), Atlanta, GA, and with the Office of Emergency Preparedness and Response, New York City Department of Health and Mental Hygiene, New York, NY. Eugenie Poirot, PhD, is an Epidemic Intelligence Service Officer, Division of Scientific Education and Professional Development, CDC, Atlanta, and with the Division of Epidemiology, New York City Department of Health and Mental Hygiene. Afua Sanders Kim is Executive Director, IT Informatics, Information Technology, and Telecommunications; Aishwarya L. Viswanath, MPH, is Research Scientist, Bureau of Agency Preparedness and Response; and Sneha N. Patel, MSW, MPH, is Director of Evaluation, Bureau of Agency Preparedness and Response, Office of Emergency Preparedness and Response; all in the NYC Department of Health and Mental Hygiene, New York, NY. David M. Abramson, PhD, is Clinical Associate Professor, and Rachael Piltch-Loeb, MSPH, is a doctoral candidate; both in the College of Global Public Health, New York University, New York, NY.
Health Secur. 2018 Jul/Aug;16(4):252-261. doi: 10.1089/hs.2018.0026.
The New York City (NYC) Department of Health and Mental Hygiene (DOHMH) used multiple methods to provide guidance to healthcare providers on the management and prevention of Zika virus disease during 2016. To better understand providers' use of information sources related to emerging disease threats, this article describes reported use of information sources by NYC providers to stay informed about Zika, and patterns observed by provider type and practice setting. We sent an electronic survey to all email addresses in the Provider Data Warehouse, a system used to maintain information from state and local health department sources on all prescribing healthcare providers in NYC. The survey asked providers about their use of information sources, including specific information products offered by the NYC DOHMH, to stay informed about Zika during 2016. Trends by provider type and practice setting were described using summary statistics. The survey was sent to 44,455 unique email addresses; nearly 20% (8,711) of the emails were undeliverable. Ultimately, 1,447 (5.8%) eligible providers completed the survey. Most respondents (79%) were physicians. Overall, the most frequently reported source of information from the NYC DOHMH was the NYC Health Alert Network (73%). Providers in private practice reported that they did not use any NYC DOHMH source of information about Zika more frequently than did those working in hospital settings (29% vs 23%); similarly, private practitioners reported that they did not use any other source of information about Zika more frequently than did those working in hospital settings (16% vs 8%). Maintaining timely and accurate databases of healthcare provider contact information is a challenge for local public health agencies. Effective strategies are needed to identify and engage independently practicing healthcare providers to improve communications with all healthcare providers during public health emergencies.
纽约市（NYC）卫生与心理卫生部（DOHMH）在 2016 年期间使用多种方法为医疗保健提供者提供有关寨卡病毒病管理和预防的指导。为了更好地了解提供者对与新发疾病威胁相关信息源的使用情况，本文描述了纽约市提供者为了解寨卡病毒而报告使用的信息源，并观察了按提供者类型和实践环境观察到的模式。我们向 Provider Data Warehouse 中的所有电子邮件地址发送了一份电子调查，这是一个系统，用于从州和地方卫生部门来源维护有关纽约市所有开处方医疗保健提供者的信息。该调查询问了提供者在 2016 年期间为了解寨卡病毒而使用信息源的情况，包括纽约市 DOHMH 提供的特定信息产品。按提供者类型和实践环境描述了趋势，使用了汇总统计数据。该调查发送给了 44455 个唯一的电子邮件地址；其中近 20%（8711 个）电子邮件无法送达。最终，有 1447 名（5.8%）合格的提供者完成了调查。大多数受访者（79%）是医生。总体而言，来自纽约市 DOHMH 的信息最常被报告的来源是纽约市健康警报网络（73%）。私人诊所的提供者报告说，他们使用的任何来自纽约市 DOHMH 的有关寨卡病毒的信息源都不比医院环境中的提供者更频繁（29%比 23%）；同样，私人医生报告说，他们使用的任何其他有关寨卡病毒的信息源都不比医院环境中的提供者更频繁（16%比 8%）。维护医疗保健提供者联系信息的及时和准确数据库是地方公共卫生机构面临的挑战。需要有效的策略来识别和吸引独立行医的医疗保健提供者，以改善公共卫生紧急情况下与所有医疗保健提供者的沟通。
