Circulation. 2020 Mar 3;141(9):e104-e119. doi: 10.1161/CIR.0000000000000756. Epub 2020 Jan 29.
The release of the American Heart Association's 2030 Impact Goal and associated metrics for success underscores the importance of cardiovascular health and cardiovascular disease surveillance systems for the acquisition of information sufficient to support implementation and evaluation. The aim of this policy statement is to review and comment on existing recommendations for and current approaches to cardiovascular surveillance, identify gaps, and formulate policy implications and pragmatic recommendations for transforming surveillance of cardiovascular disease and cardiovascular health in the United States. The development of community platforms coupled with widespread use of digital technologies, electronic health records, and mobile health has created new opportunities that could greatly modernize surveillance if coordinated in a pragmatic matter. However, technology and public health and scientific mandates must be merged into action. We describe the action and components necessary to create the cardiovascular health and cardiovascular disease surveillance system of the future, steps in development, and challenges that federal, state, and local governments will need to address. Development of robust policies and commitment to collaboration among professional organizations, community partners, and policy makers are critical to ultimately reduce the burden of cardiovascular disease and improve cardiovascular health and to evaluate whether national health goals are achieved.
美国心脏协会发布的 2030 年目标和相关成功指标凸显了心血管健康和心血管疾病监测系统的重要性，这些系统能够获取足够的信息，为实施和评估提供支持。本政策声明的目的是审查和评论现有的心血管监测建议和当前方法，确定差距，并为美国心血管疾病和心血管健康监测的转型制定政策影响和切实可行的建议。社区平台的发展以及数字技术、电子健康记录和移动健康的广泛使用创造了新的机会，如果以务实的方式协调，这些机会可能会极大地推动监测的现代化。然而，技术和公共卫生以及科学任务必须合并为行动。我们描述了创建未来心血管健康和心血管疾病监测系统所需的行动和组成部分、发展步骤以及联邦、州和地方政府需要解决的挑战。制定强有力的政策并致力于专业组织、社区合作伙伴和决策者之间的合作，对于最终减轻心血管疾病负担、改善心血管健康以及评估国家健康目标是否实现至关重要。
