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首页> 外文期刊>Journal of public health management and practice: JPHMP >Workforce Competencies in Syndromic Surveillance Practice at Local Health Departments
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Workforce Competencies in Syndromic Surveillance Practice at Local Health Departments

机译：地方卫生部门在综合监视实践中的劳动力能力

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Context: As the science and practice of syndromic surveillance (SyS) evolve, it has increasing utility for public health surveillance at the local level. Local health departments (LHDs) require specific organizational and workforce capabilities to use SyS data. In 2013, more than half of the LHDs reported using SyS, although little has been reported about LHD workforce capabilities in SyS. Objective: To conduct an assessment of self-reported knowledge and skills in SyS tasks to effectively target technical assistance to different levels of LHD need. Design, Setting, and Participants: A stratified sampling design based on LHD jurisdiction population and SyS status was employed. Data were drawn from the 2015 Biosurveillance Needs Assessment Survey, which captured variables related to LHD use of SyS, management of systems, and self-reported proficiencies in a typology of SyS functionalities developed by a workgroup of subject matter experts in SyS. Respondents were US-based LHD public health practitioners. Estimation weights were applied during analysis to determine the national representation of the responses. Main Outcome Measures: Respondents self-reported proficiency in 26 SyS tasks within 5 categories, analyzed by LHD jurisdiction size and respondents' years of SyS experience. Results: SyS expertise varied widely across LHDs. Less than 50% of workers who have access to SyS demonstrated overall proficiency within any of the task areas: communication, data use, data analysis, quality monitoring and assurance, and system design and development. SyS users were strongest in data use tasks. Proficiency in SyS practice corresponded directly with respondents' years of SyS experience and the LHD jurisdiction size. Conclusion: SyS practitioners display a wide range of proficiencies both within and across SyS tasks. Considerable gaps in proficiencies of all areas of SyS practice indicate a need for technical assistance and knowledge dissemination to improve SyS practice as an important component of an LHD surveillance strategy.
机译：背景：随着综合征监测（SyS）科学和实践的发展，它在地方一级对公共卫生监测的效用越来越高。地方卫生部门（LHD）需要特定的组织和员工能力才能使用SyS数据。 2013年，超过一半的LHD报告使用SyS，尽管关于SyS中的LHD劳动力功能的报道很少。目的：评估自我报告的SyS任务中的知识和技能，以有效地针对LHD的不同需求提供技术援助。设计，设置和参与者：基于LHD辖区人口和SyS身份的分层抽样设计被采用。数据来自2015年生物监视需求评估调查，该调查收集了与SyS主题专家工作组开发的SyS功能类型学开发的SyS的LHD使用，系统管理和自我报告的能力有关的变量。受访者是美国的LHD公共卫生从业人员。在分析过程中使用估计权重来确定响应的国家代表性。主要结果指标：受访者自我报告了5类26个SyS任务的熟练程度，并通过LHD辖区规模和受访者的SyS工作年限进行了分析。结果：SyS的专业知识在各个LHD中差异很大。能够使用SyS的员工中，只有不到50％的员工表现出在以下任何任务领域的整体熟练程度：沟通，数据使用，数据分析，质量监控和保证以及系统设计和开发。 SyS用户在数据使用任务中最强。 SyS实践的熟练程度直接与受访者的SyS经验年数和LHD管辖范围直接相关。结论：SyS从业者在SyS任务之内和之间都显示出广泛的能力。 SyS实践各个领域的熟练度差距都很大，这表明需要技术援助和知识传播以改善SyS实践，这是LHD监测策略的重要组成部分。

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