首页> 外文期刊>Journal of public health management and practice: JPHMP >Envisioning futures for state Web-based data query systems.
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Envisioning futures for state Web-based data query systems.

机译:预想基于状态Web的数据查询系统的未来。

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In his 1932 dissenting opinion in New State Ice Co vs Liebmann, Justice Louis D. Brandeis wrote that "it is one of happy incidents of the federal system that a single courageous State may, if its citizens choose, serve as a laboratory; and try novel social and economic experiments without risk to the rest of the country." States serving as "laboratories of innovation" became a mantra of late 20th-century American political discourse, repeated by such diverse politicians as former Secretary of Health and Human Services Donna Shalala and former Senator Bob Dole, as well as in the 2004 Republican Party Platform. State Web-based data query systems (WDQSs), as discussed in this issue, amply illustrate the characterization of states serving as laboratories of innovation. For example, state WDQSs feature innovations such as Missouri's Missouri Information for Community Assessment Priority Setting Model (Priority MICA), which enables users to determine public health priorities after they set various parameters, and Florida's Community Health Assessment Resource Tool Set (Florida CHARTS) and South Carolina's South Carolina Access Network (SCAN), with interactive geographic information systems functionalities. But an additional aspect of states serving as laboratories of innovation may be costly and potentially unnecessary investments in the development of once innovative but now second-generation functionalities, rather than fully reaping the benefits of innovations already implemented in other states. For example, at least 27 states now have WDQSs, some of which have been developed by the individual states themselves, some of which have been adapted from other states, and some of which have been partially based upon commercial off-the-shelf software.This commentary speculates on two hypothetical future scenarios for state WDQSs. One scenario is intended to illustrate the status of state WDQSs in 2010,based loosely upon the continuation of present patterns of WDQS investment, innovation, and diffusion. A second scenario for 2010 is also presented, based upon a reformulation of current patterns of WDQS innovation with more tightly controlled and coordinated investment, innovation, and coordinated diffusion. Utilizing the two 2010 scenarios as contrasts, this commentary then proposes a series of questions for future consideration by federal and state officials responsible for funding state WDQSs, state policy makers and managers responsible for budgetary and programmatic decisions about WDQS development, and state professionals responsible for developing, implementing, and maintaining WDQSs. Finally, this commentary proposes several federal-state voluntary compacts intended to yield judicious answers to the posed questions and to strike a balance between the two 2010 scenarios.
机译:路易斯·布兰代斯大法官在1932年在New State Ice Co对Liebmann的反对意见中写道:“这是联邦制度的喜事之一,如果一个勇敢的州政府可以由其公民选择,可以充当实验室;并尝试新颖的社会和经济实验,不会对全国其他地区构成威胁。”充当“创新实验室”的国家成为20世纪晚期美国政治言论的口头禅,前卫生与公共服务大臣唐娜·沙拉拉和前参议员鲍勃·多尔等多元政治人物在2004年共和党平台上都反复出现。如本期中所述,基于状态Web的数据查询系统(WDQS)充分说明了作为创新实验室的状态的特征。例如,州WDQS具有一些创新功能,例如密苏里州的密苏里州社区评估信息优先级设置模型(Priority MICA),它使用户能够在设置各种参数后确定公共卫生优先级;佛罗里达州的社区健康评估资源工具集(Florida CHARTS)和南卡罗来纳州的南卡罗来纳州访问网络(SCAN),具有交互式地理信息系统功能。但是,作为创新实验室的州的另一个方面可能是对曾经具有创新能力但现在已经具有第二代功能的开发进行昂贵且可能不必要的投资,而不是充分利用已经在其他州实施的创新的利益。例如,现在至少有27个州拥有WDQS,其中一些是由各个州自己开发的,其中一些已从其他州改编而来,其中一些已部分基于商业现货供应的软件。该评论推测了州WDQS的两个假设的未来方案。一种情况是宽松地基于WDQS投资,创新和扩散的现有模式,来说明2010年国家WDQS的状况。还提出了2010年的第二个方案,该方案基于对WDQS创新的当前模式进行了重新表述,并更加严格地控制和协调了投资,创新和协调的扩散。该评论利用2010年的两种情况进行对比,然后提出了一系列问题,供负责为州WDQS资助的联邦和州官员,负责WDQS开发的预算和计划决策的州政策制定者和管理人员以及负责开发,实施和维护WDQS。最后,该评论提出了几个联邦州自愿协议,旨在对所提出的问题做出明智的回答,并在2010年的两种情况之间取得平衡。

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