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Evaluation and Continuous Improvement of Foodborne Disease Surveillance.

机译：食源性疾病监测的评估和持续改进。

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摘要

The purpose of this thesis is to contribute to the evidence base of public health performance evaluation by applying innovative measurement and improvement methods to a foodborne disease outbreak detection and investigation process. This thesis is the results of investigation into the three following research questions: 1) can foodborne disease outbreak responder training and work experience be measured in an electronic survey, 2) what is the performance of the Minnesota Department of Health in detecting and investigating foodborne disease outbreaks, and 3) can quality improvement and evaluation tools be used to evaluate MDH process stability and capability? Three research studies were developed to address these research questions. In Chapter 1, the development and analysis of an online survey to ascertain foodborne disease outbreak responder training and work experience is described. In Chapter 2, a bacterial foodborne disease surveillance program in a state health department is described and its performance is evaluated. In Chapter 3, four processes that are conducted by a bacterial foodborne disease surveillance program are evaluated for stability and capability over three years using statistical process control charts. I conclude that methods for evaluating predictive factors of public health performance need to be improved, and that quantitative performance evaluation, within context, has great potential for improving evidenced-based public health preparedness, demonstrating changes in departmental performance, and enabling internal public health practice quality improvement.
机译：本文的目的是通过将创新的测量和改进方法应用于食源性疾病暴发的检测和调查过程，为公共卫生绩效评估的证据基础做出贡献。本论文是对以下三个研究问题进行调查的结果：1）可以通过电子调查测量食源性疾病暴发应对者的培训和工作经验吗？2）明尼苏达州卫生部在检测和调查食源性疾病中的表现3）是否可以使用质量改进和评估工具来评估MDH过程的稳定性和能力？为了解决这些研究问题，进行了三项研究。在第一章中，描述了确定食源性疾病暴发应对人员培训和工作经验的在线调查的开发和分析。在第二章中，描述了州卫生部门的细菌性食源性疾病监测计划，并对其性能进行了评估。在第3章中，使用统计过程控制图评估了由细菌性食源性疾病监视程序执行的四个过程在三年内的稳定性和功能。我的结论是，需要改进用于评估公共卫生绩效预测因素的方法，并且在上下文中进行定量绩效评估具有巨大的潜力，可以改善基于证据的公共卫生准备，展示部门绩效的变化并支持内部公共卫生实践质量改善。

著录项

  • 作者

    Henke, Evan Elliot.;

  • 作者单位

    University of Minnesota.;

  • 授予单位 University of Minnesota.;
  • 学科 Environmental Health.;Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 91 p.
  • 总页数 91
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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