Hurtado-Ortiz Alexandra, Moreno-Montoya José, Prieto-Alvarado Franklyn E, Idrovo Álvaro J
Departamento de Salud Pública, Escuela de Medicina, Universidad Industrial de Santander, Bucaramanga, Colombia.
Subdirección de Estudios Clínicos, Fundación Santa Fe de Bogotá, Bogotá D.C., Colombia.
Biomedica. 2020 Oct 30;40(Supl. 2):131-138. doi: 10.7705/biomedica.5812.
Introduction: Public health surveillance together with good sanitary decisions is essential for the proper management of the SARS-CoV-2 pandemic. Objective: To compare the performance of Colombian departments based on the quality of the data and to build the national ranking. Materials and methods: We analyzed the accumulated cases published between March 6 and September 1, 2020, by the Instituto Nacional de Salud. To achieve comparability, the analyses considered the day the first case was diagnosed as the first analysis date for each department. The fulfillment of Benford’s law was assessed with p-values in the log-likelihood ratio or chi-square tests. The analysis was completed with the lethality observed in each department and then the performance ranking was established. Results: Bogotá and Valle del Cauca had optimal public health surveillance performance all along. The data suggest that Antioquia, Nariño, and Tolima had good containment and adequate public health surveillance after the economic opening beginning on June 1, 2020. Conclusion: We obtained the ranking of the departments regarding the quality of public health surveillance data. The best five departments can be case studies to identify the elements associated with good performance.
公共卫生监测与良好的卫生决策对于妥善管理新冠疫情至关重要。目的:根据数据质量比较哥伦比亚各部门的表现,并构建全国排名。材料与方法:我们分析了国家卫生研究所公布的2020年3月6日至9月1日期间的累计病例。为实现可比性,分析将每个部门首例病例确诊之日视为首次分析日期。通过对数似然比或卡方检验中的p值评估本福特定律的符合情况。分析结合各部门观察到的致死率完成,随后确定表现排名。结果:波哥大和考卡山谷一直具有最佳的公共卫生监测表现。数据表明,安蒂奥基亚、纳里尼奥和托利马在2020年6月1日开始经济开放后实施了良好的管控并进行了充分的公共卫生监测。结论:我们得出了各部门在公共卫生监测数据质量方面的排名。排名前五的部门可作为案例研究,以确定与良好表现相关的因素。