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利用数据可视化和全州范围的健康信息交换来支持 COVID-19 监测和应对:公共卫生信息学的应用。

Leveraging data visualization and a statewide health information exchange to support COVID-19 surveillance and response: Application of public health informatics.

机构信息

Department of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, Indiana, USA.

Center for Biomedical Informatics, Regenstrief Institute, Indianapolis, Indiana, USA.

出版信息

J Am Med Inform Assoc. 2021 Jul 14;28(7):1363-1373. doi: 10.1093/jamia/ocab004.

Abstract

OBJECTIVE

We sought to support public health surveillance and response to coronavirus disease 2019 (COVID-19) through rapid development and implementation of novel visualization applications for data amalgamated across sectors.

MATERIALS AND METHODS

We developed and implemented population-level dashboards that collate information on individuals tested for and infected with COVID-19, in partnership with state and local public health agencies as well as health systems. The dashboards are deployed on top of a statewide health information exchange. One dashboard enables authorized users working in public health agencies to surveil populations in detail, and a public version provides higher-level situational awareness to inform ongoing pandemic response efforts in communities.

RESULTS

Both dashboards have proved useful informatics resources. For example, the private dashboard enabled detection of a local community outbreak associated with a meat packing plant. The public dashboard provides recent trend analysis to track disease spread and community-level hospitalizations. Combined, the tools were utilized 133 637 times by 74 317 distinct users between June 21 and August 22, 2020. The tools are frequently cited by journalists and featured on social media.

DISCUSSION

Capitalizing on a statewide health information exchange, in partnership with health system and public health leaders, Regenstrief biomedical informatics experts rapidly developed and deployed informatics tools to support surveillance and response to COVID-19.

CONCLUSIONS

The application of public health informatics methods and tools in Indiana holds promise for other states and nations. Yet, development of infrastructure and partnerships will require effort and investment after the current pandemic in preparation for the next public health emergency.

摘要

目的

通过快速开发和实施针对跨部门汇总数据的新型可视化应用程序,为 2019 年冠状病毒病(COVID-19)的公共卫生监测和应对提供支持。

材料和方法

我们与州和地方公共卫生机构以及卫生系统合作,开发并实施了人群水平的仪表板,以汇总有关 COVID-19 检测和感染个体的信息。该仪表板部署在全州卫生信息交换之上。一个仪表板使公共卫生机构的授权用户能够详细监测人群,而公共版本则提供更高水平的态势感知,以告知社区正在进行的大流行应对工作。

结果

两个仪表板都被证明是有用的信息资源。例如,私人仪表板能够检测到与肉类包装厂有关的局部社区暴发。公共仪表板提供了最新的趋势分析,以跟踪疾病传播和社区级别的住院情况。在 2020 年 6 月 21 日至 8 月 22 日期间,这两个工具被 74317 位不同用户使用了 133637 次。这些工具经常被记者引用,并在社交媒体上展示。

讨论

利用全州卫生信息交换,与卫生系统和公共卫生领导人合作,Regenstrief 生物医学信息学专家迅速开发并部署了信息学工具,以支持 COVID-19 的监测和应对。

结论

印第安纳州公共卫生信息学方法和工具的应用为其他州和国家提供了希望。然而,基础设施和伙伴关系的发展需要在当前大流行之后进行努力和投资,为下一次公共卫生紧急情况做好准备。

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