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首页> 外文期刊>Journal of public health management and practice: JPHMP >Design and operation of state and local infectious disease surveillance systems.
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Design and operation of state and local infectious disease surveillance systems.

机译:州和局部传染病监测系统的设计与运作。

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摘要

Since 2001, increased attention has been focused on improving acute infectious disease surveillance systems. This article describes options for their design and operation. Systems designed primarily to detect individual cases of reportable diseases may differ from those designed to detect outbreaks or support design or evaluation of control programs. Timeliness, sensitivity, and predictive value of surveillance systems cannot all be maximized at the same time. Core activities of surveillance systems include collection, analysis, and dissemination of information about health events under surveillance. Doing these well requires attention to the mechanics of surveillance, such as making the health department accessible at all times to receive reports and provide consultation, and maintaining current directories of persons for dissemination of surveillance data, alerts, and recommendations. Rapid access to electronic representations of health events (eg, laboratory reports, patient records, or health care claims) provides great opportunities for more timely and complete surveillance. Some important information (eg, exposures, contacts) will still need to be collected directly from affected persons. One productive strategy is to collect core demographic and onset data on all cases and detailed clinical, exposure, and outcome data on a subset.
机译:自2001年以来,提高关注改善急性传染病监测系统。本文介绍了他们的设计和操作的选项。主要设计用于检测可报告疾病的单个病例的系统可能与旨在检测爆发或支持设计或对控制程序评估的人不同。监控系统的时间性,灵敏度和预测值不能同时最大化。监控系统的核心活动包括收集,分析和传播监视下的健康事件信息。做这些好处需要注意监督的机制,例如让卫生部门始终可以获得报告并提供咨询,并维护传播监测数据,警报和建议的当前目录。快速访问健康事件的电子表演(例如,实验室报告,患者记录或医疗保健索赔)为更及时完整的监督提供了巨大的机会。一些重要信息(例如,曝光,联系人)仍将直接从受影响的人员收集。一个生产策略是收集核心人口统计和发病数据,并详细的临床,曝光和结果上的临床,曝光和结果数据。

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