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Implementation Science and the Pregnancy Risk Assessment Monitoring System

机译:实施科学和妊娠风险评估监测系统

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This paper describes the restructuring of the Pregnancy Risk Assessment Monitoring System (PRAMS), a surveillance system of the Centers for Disease Control and Prevention (CDC)'s Division of Reproductive Health conducted for 25 years in collaboration with state and city health departments. With the ultimate goal to better inform health care providers, public health programs, and policy, changes were made to various aspects of PRAMS to enhance its capacity on assessing and monitoring public health interventions and clinical practices in addition to risk behaviors, disease prevalence, comorbidities, and service utilization. Specifically, the three key PRAMS changes identified as necessary and described in this paper are questionnaire revision, launching the web-based centralized PRAMS Integrated Data Collection System, and enhancing the access to PRAMS data through the web query system known as Centers for Disease Control and Prevention's PRAMS Online Data for Epidemiologic Research/PRAMStat. The seven action steps of Knowledge To Action cycle, an illustration of the implementation science process, that reflect the milestones necessary in bridging the knowledge-to-action gap were used as framework for each of these key changes.
机译:本文介绍了妊娠风险评估监控系统(PRAMS)的重组,该系统是疾病控制与预防中心(CDC)生殖健康部的监控系统,与州和城市卫生部门合作进行了25年。为了更好地向医疗保健提供者,公共卫生计划和政策提供信息,最终对PRAMS的各个方面进行了更改,以增强其在评估和监测公共卫生干预措施和临床实践方面的能力,以及风险行为,疾病患病率和合并症,以及服务利用率。具体而言,本文确定了三个必要的关键PRAMS更改,包括问卷调查表修订,启动基于Web的集中式PRAMS集成数据收集系统,以及通过称为疾病控制和预防中心的Web查询系统增强对PRAMS数据的访问。预防流行病学研究的PRAMS在线数据/ PRAMStat。知识到行动周期的七个行动步骤,作为实施科学过程的一个例证,反映了弥合知识与行动之间的差距所必需的里程碑,被用作这些关键变化的框架。

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