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要充分发挥健康情报的潜力,需要达成更多共识:一项关键的阐释性综合研究。

Greater agreement is required to harness the potential of health intelligence: a critical interpretive synthesis.

机构信息

Evidence and Intelligence for Action in Health, Pan American Health Organization, Washington, DC, USA; Department of Chemical and Biological Sciences, University of Sonora, Hermosillo, Sonora, Mexico; Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria 3010, Australia.

Fiocruz Brasília, Oswaldo Cruz Foundation, Avenida L3 Norte, s/n, Campus Universitário Darcy Ribeiro, Gleba A, Brasília, DF 70904-130, Brazil.

出版信息

J Clin Epidemiol. 2023 Nov;163:37-50. doi: 10.1016/j.jclinepi.2023.09.007. Epub 2023 Sep 22.

Abstract

OBJECTIVES

To synthesize existing knowledge on the features of, and approaches to, health intelligence, including definitions, key concepts, frameworks, methods and tools, types of evidence used, and research gaps.

STUDY DESIGN AND SETTING

We applied a critical interpretive synthesis methodology, combining systematic searching, purposive sampling, and inductive analysis to explore the topic. We conducted electronic and supplementary searches to identify records (papers, books, websites) based on their potential relevance to health intelligence. The key themes identified in the literature were combined under each of the compass subquestions and circulated among the research team for discussion and interpretation.

RESULTS

Of the 290 records screened, 40 were included in the synthesis. There is no clear definition of health intelligence in the literature. Some records describe it in similar terms as public health surveillance. Some focus on the use of artificial intelligence, while others refer to health intelligence in a military or security sense. And some authors have suggested a broader definition of health intelligence that explicitly includes the concepts of synthesis of research evidence for informed decision making.

CONCLUSION

Rather than developing a new or all-encompassing definition, we suggest incorporating the concept and scope of health intelligence within the evidence ecosystem.

摘要

目的

综合现有关于健康情报的特征和方法的知识,包括定义、关键概念、框架、方法和工具、使用的证据类型以及研究空白。

研究设计和设置

我们应用了批判解释综合方法,结合系统搜索、有目的抽样和归纳分析来探讨这个主题。我们进行了电子和补充搜索,根据其与健康情报的潜在相关性来识别记录(论文、书籍、网站)。文献中确定的主要主题在每个指南针子问题下进行了组合,并在研究小组中进行了讨论和解释。

结果

在筛选出的 290 条记录中,有 40 条被纳入综合分析。文献中没有明确的健康情报定义。有些记录用类似公共卫生监测的术语来描述它。有些侧重于人工智能的使用,而另一些则指的是军事或安全意义上的健康情报。一些作者提出了一个更广泛的健康情报定义,明确包括综合研究证据以做出明智决策的概念。

结论

我们建议在证据生态系统中纳入健康情报的概念和范围,而不是制定一个新的或包罗万象的定义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f28d/10735235/57145e3f9238/gr1.jpg

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