Choi Bernard C K, Barengo Noël C, Diaz Paula A
Division of Clinical Public Health Dalla Lana School of Public Health University of Toronto Toronto Canada Division of Clinical Public Health, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Department of Medical Education Herbert Wertheim College of Medicine Florida International University Miami United States of America Department of Medical Education, Herbert Wertheim College of Medicine, Florida International University, Miami, United States of America.
Rev Panam Salud Publica. 2024 Mar 8;48:e9. doi: 10.26633/RPSP.2024.9. eCollection 2024.
This article points out deficiencies in present-day definitions of public health surveillance, which include data collection, analysis, interpretation and dissemination, but not public health action. Controlling a public health problem of concern requires a public health response that goes beyond information dissemination. It is undesirable to have public health divided into data generation processes (public health surveillance) and data use processes (public health response), managed by two separate groups (surveillance experts and policy-makers). It is time to rethink the need to modernize the definition of public health surveillance, inspired by the authors' enhanced Data, Information, Knowledge, Intelligence and Wisdom model. Our recommendations include expanding the scope of public health surveillance beyond information dissemination to comprise actionable knowledge (intelligence); mandating surveillance experts to assist policy-makers in making evidence-informed decisions; encouraging surveillance experts to become policy-makers; and incorporating public health literacy training - from data to knowledge to wisdom - into the curricula for all public health professionals. Work on modernizing the scope and definition of public health surveillance will be a good starting point.
本文指出了当今公共卫生监测定义中的不足之处，这些定义包括数据收集、分析、解释和传播，但不包括公共卫生行动。控制一个令人担忧的公共卫生问题需要超出信息传播范畴的公共卫生应对措施。将公共卫生划分为由两个不同群体（监测专家和政策制定者）管理的数据生成过程（公共卫生监测）和数据使用过程（公共卫生应对）是不可取的。受作者改进后的“数据、信息、知识、情报与智慧”模型启发，是时候重新思考对公共卫生监测定义进行现代化的必要性了。我们的建议包括：将公共卫生监测的范围从信息传播扩展到涵盖可采取行动的知识（情报）；要求监测专家协助政策制定者做出基于证据的决策；鼓励监测专家成为政策制定者；并将从数据到知识再到智慧的公共卫生素养培训纳入所有公共卫生专业人员的课程。致力于公共卫生监测范围和定义的现代化将是一个良好的开端。
