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首页> 外文期刊>Journal of public health management and practice: JPHMP >Using Information Systems to Improve a Mid-Sized Local Health Department's Effectiveness in a Time of Rapid Change
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Using Information Systems to Improve a Mid-Sized Local Health Department's Effectiveness in a Time of Rapid Change

机译：在快速变化的时代，使用信息系统提高中级地方卫生部门的效率

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Background: Informatics capacity building is resource and personnel intensive. Many local health departments (LHDs) face tradeoffs between using their resources to carry out existing mandates and using resources to build their capacity, for example, through informatics, to deliver essential services in a more effective and efficient manner. Objective: The purpose of this case study is to describe how a mid-sized LHD built and used information systems to support its strategic objectives, clinical services, and surveillance. Methods: The mid-sized LHD described here was chosen for its "best practices" in informatics capacity building and use by NACCHO's study advisory committee. To conduct the case study, authors reviewed departmental documents and conducted semistructured interviews with key informants in the agency. Interviews were recorded, transcribed, thematically coded, and analyzed. Results and Conclusions: Findings from the case study suggest that including capacity building in informatics as a strategic priority is one of the most effective ways to ensure that informatics are assessed, updated, and included in resource decisions. Leadership at all levels is critical to the successful implementation of informatics as is proactive partnership with community partners who have overlapping goals. The efficiency and effectiveness of LHDs rely on informatics capacity, especially when resources are challenged.
机译：背景：信息学能力建设需要大量资源和人员。许多地方卫生部门（LHD）在利用其资源来执行现有任务与利用资源来建立其能力（例如通过信息学）以更有效和高效的方式提供基本服务之间面临权衡。目的：本案例研究的目的是描述中型LHD如何构建和使用信息系统来支持其战略目标，临床服务和监视。方法：NACCHO的研究咨询委员会选择此处描述的中型LHD是因为其在信息学能力建设和使用方面的“最佳实践”。为了进行案例研究，作者审查了部门文件，并与该机构的主要信息提供者进行了半结构化访谈。采访记录，转录，主题编码和分析。结果和结论：案例研究的结果表明，将信息学能力建设作为战略重点是确保评估，更新信息学并将其纳入资源决策的最有效方法之一。各级领导对于成功实施信息学至关重要，与具有共同目标的社区伙伴之间的积极合作也至关重要。 LHD的效率和有效性取决于信息学的能力，尤其是在资源面临挑战时。

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