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Control of the Public Health IT Physical Infrastructure: Findings From the 2015 Informatics Capacity and Needs Assessment Survey

机译:控制公共卫生IT物理基础结构:2015年信息学能力和需求评估调查的结果

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Background: Despite improvements in information technology (IT) infrastructure in public health, there is still much that can be done to improve the adoption of IT in state and local health departments, by better understanding the impact of governance and control structures of physical infrastructure. Objective: To report out the current status of the physical infrastructure control of local health departments (LHDs) and to determine whether there is a significant association between an LHD's governance status and control of the physical infrastructure components. Design: Data came from the 2015 Informatics Capacity and Needs Assessment Survey, conducted by Georgia Southern University in collaboration with the National Association of County and City Health Officials. Participants: A total of 324 LHDs from all 50 states completed the survey (response rate: 50%). Main Outcome Measure(s): Outcome measures included control of LHD physical infrastructure components. Predictors of interest included LHD governance category. Results: The majority of the control of the physical infrastructure components in LHDs resides in external entities. The type of governance structure of the LHD is significantly associated with the control of infrastructure. Conclusions: Additional research is needed to determine best practices in IT governance and control of physical infrastructure for public health.
机译:背景:尽管公共卫生领域的信息技术(IT)基础设施有所改善,但通过更好地了解物理基础设施的治理和控制结构的影响,仍有许多工作可以改善州和地方卫生部门对IT的采用。目的:报告地方卫生部门(LHD)物理基础设施控制的当前状态,并确定LHD的治理状态与物理基础设施组件的控制之间是否存在重大关联。设计:数据来自佐治亚州南方大学与国家县和城市卫生官员协会合作进行的2015年信息学能力和需求评估调查。参加者:来自所有50个州的324个LHD完成了调查(回复率:50%)。主要成果指标:成果指标包括对LHD物理基础架构组件的控制。感兴趣的预测变量包括LHD治理类别。结果:LHD中物理基础结构组件的大部分控制权都位于外部实体。 LHD的治理结构的类型与基础架构的控制显着相关。结论:需要进行其他研究来确定IT治理和公共基础设施物理基础结构控制的最佳实践。

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