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An informatics framework for public health information systems: a case study on how an informatics structure for integrated information systems provides benefit in supporting a statewide response to a public health emergency

機(jī)譯：公共衛(wèi)生信息系統(tǒng)的信息學(xué)框架：關(guān)于綜合信息系統(tǒng)的信息學(xué)結(jié)構(gòu)如何在支持全州范圍內(nèi)應(yīng)對(duì)公共衛(wèi)生突發(fā)事件中受益的案例研究

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This chapter illustrates how a well-established public health informatics framework provides an integrated information system infrastructure that assures and enhances the efficacy of public health emergency preparedness (PHEP) actions throughout the phases of the health emergency event life cycle. Key PHEP activities involved in supporting this cycle include planning; surveillance; alerting; resource assessment and management; data-driven decision support; and intervention for prevention and control of disease or injury in populations. Information systems supporting these activities are most effective in assuring optimal response to an emergent health event when they are integrated within an informatics framework that supports routine (day to day) information exchange within the health information exchange community. In late April 2009, New York State (NYS) initiated a statewide PHEP response to the emergence of Novel Influenza A (H1N1), culminating in a statewide vaccination campaign during the last quarter of 2009. The established informatics framework of integrated information systems within NYS conveyed significant advantages and flexibility in supporting the range of PHEP activities required for an effective response to this health event. This chapter describes, and provides, performance metrics to illustrate how a public health informatics framework can enhance the efficacy of all phases of a public health emergency response. It also provides informatics lessons learned from the event.
機(jī)譯：本章說(shuō)明完善的公共衛(wèi)生信息學(xué)框架如何提供集成的信息系統(tǒng)基礎(chǔ)結(jié)構(gòu)，以確保并增強(qiáng)整個(gè)健康緊急事件生命周期各個(gè)階段的公共衛(wèi)生應(yīng)急準(zhǔn)備（PHEP）行動(dòng)的效率。支持該周期的PHEP關(guān)鍵活動(dòng)包括計(jì)劃；監(jiān)視警報(bào)資源評(píng)估和管理；數(shù)據(jù)驅(qū)動(dòng)的決策支持；預(yù)防和控制人群疾病或傷害的干預(yù)措施。當(dāng)將支持這些活動(dòng)的信息系統(tǒng)集成到支持衛(wèi)生信息交換社區(qū)中常規(guī)（日常）信息交換的信息學(xué)框架中時(shí)，它們對(duì)于確保對(duì)突發(fā)健康事件的最佳響應(yīng)最為有效。 2009年4月下旬，紐約州（NYS）對(duì)新甲型流感（H1N1）的出現(xiàn)發(fā)起了全州PHEP響應(yīng)，最終在2009年最后一個(gè)季度進(jìn)行了全州疫苗接種運(yùn)動(dòng)。紐約市內(nèi)部已建立的綜合信息系統(tǒng)信息學(xué)框架在支持有效響應(yīng)此健康事件所需的一系列PHEP活動(dòng)方面，具有明顯的優(yōu)勢(shì)和靈活性。本章描述并提供了績(jī)效指標(biāo)，以說(shuō)明公共衛(wèi)生信息學(xué)框架如何增強(qiáng)公共衛(wèi)生應(yīng)急響應(yīng)各個(gè)階段的有效性。它還提供從事件中學(xué)到的信息學(xué)課程。

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