Canadian forces evaluation of the EPINATO Health Surveillance System in Bosnia-Herzegovina.

The Canadian Forces (CF) adopted the EPINATO surveillance system in 1996 to monitor disease and injury morbidity in deployed settings. The Directorate of Force Health Protection, CF Health Services Group initiated an evaluation of EPINATO in Task Force Bosnia-Herzegovina in August 2003. Two methods...

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Publicado en:Military Medicine Vol. 171; no. 10; pp. 955 - 962
Autores principales: Carew MT, Wilson JL, Strauss BA, Wilson, Jean L, Carew, Maureen T, Strauss, Barbara A
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Canadian forces evaluation of the EPINATO Health Surveillance System in Bosnia-Herzegovina.
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          Carew MT
          Wilson JL
          Strauss BA
          Wilson, Jean L
          Carew, Maureen T
          Strauss, Barbara A
        affil: Canadian Forces Health Services Group Headquarters-Directorate of Force Health Protection, Ottawa, Ontario, K1A 0K6, Canada
      sug:
        subj:
          Coding Standards
          Military Medicine Standards
          Military Personnel
          Program Evaluation
          Public Health
          War
          Audit
          Bosnia-Herzegovina
          Canada
          Confidence Intervals
          Convenience Sample
          Data Analysis Software
          Databases
          Disease Surveillance
          Disease Classification
          Email
          Epidemiological Research
          Hawthorne Effect
          Interviews
          kappa Statistic
          Questionnaires
          Record Review
          Retrospective Design
          Sample Size
          Telephone
          Human
      ab: The Canadian Forces (CF) adopted the EPINATO surveillance system in 1996 to monitor disease and injury morbidity in deployed settings. The Directorate of Force Health Protection, CF Health Services Group initiated an evaluation of EPINATO in Task Force Bosnia-Herzegovina in August 2003. Two methods were used to assess coding reliability: a chart audit and Sick Parade Register review. Stakeholder interviews were conducted evaluating data flow, reporting structure, and key system attributes. Reliability (K, 95% confidence interval) was good in 4 of 24 categories--sexually transmitted diseases, K = 0.75 (0.50, 1.00); eye disorders, K = 0.51 (0.15, 0.88); ears/nose/ throat, K = 0.51 (0.33, 0.69); lower respiratory infections, K = 0.49 (95% confidence interval 0.34, 0.65)-but otherwise was poor. EPINATO is not an effective, reliable tool for CF deployment health surveillance. An improved health surveillance system is required to ensure disease and injury aberrations are detected and optimal preventive programs and policies are in place for deployed CF military members.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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