We Can Have It All: Improved Surveillance Outcomes and Decreased Personnel Costs Associated With Electronic Reportable Disease Surveillance, North Carolina, 2010.
Objectives. We assessed the timeliness, accuracy, and cost of a new electronic disease surveillance system at the local health department level. We describe practices associated with lower cost and better surveillance timeliness and accuracy. Methods. Interviews conducted May through August 2010 wit...
| Publicado en: | American Journal of Public Health Vol. 103; no. 12; pp. 2292 - 2298 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
American Public Health Association
Dec2013
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=91821060&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 91821060 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00900036 APH jtl: American Journal of Public Health issn: 00900036 maglogo: N pubinfo: dt: Dec2013 vid: 103 iid: 12 pid: 44 pub: American Public Health Association artinfo: ui: 91821060 10.2105/AJPH.2013.301353 ppf: 2292 ppct: 6 formats: tig: atl: We Can Have It All: Improved Surveillance Outcomes and Decreased Personnel Costs Associated With Electronic Reportable Disease Surveillance, North Carolina, 2010. aug: au: Samoff, Erika DiBiase, Lauren Fangman, Mary T. Fleischauer, Aaron T. Waller, Anna E. MacDonald, Pia D. M. affil: Institute for Public Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill Centers for Disease Control and Prevention and North Carolina Division of Public Health, Raleigh Carolina Center for Health Informatics, Department of Emergency Medicine, University of North Carolina, Chapel Hill su: North Carolina Public health surveillance Interviewing Local government Organizational effectiveness Comparative studies Confidence intervals Cost control Database evaluation Electronic data interchange Management information systems Research methodology Public health administration Public health laws Quality assurance Research funding Statistical sampling Time Control groups Descriptive statistics sug: subj: Public health surveillance Interviewing Local government Organizational effectiveness North Carolina Administration of Public Health Programs Marketing Research and Public Opinion Polling Comparative studies Confidence intervals Cost control Database evaluation Electronic data interchange Management information systems Research methodology Public health administration Public health laws Quality assurance Research funding Statistical sampling Time Control groups Descriptive statistics ab: Objectives. We assessed the timeliness, accuracy, and cost of a new electronic disease surveillance system at the local health department level. We describe practices associated with lower cost and better surveillance timeliness and accuracy. Methods. Interviews conducted May through August 2010 with local health department (LHD) staff at a simple random sample of 30 of 100 North Carolina counties provided information on surveillance practices and costs; we used surveillance system data to calculate timeliness and accuracy. We identified LHDs with best timeliness and accuracy and used these categories to compare surveillance practices and costs. Results. Local health departments in the top tertiles for surveillance timeliness and accuracy had a lower cost per case reported than LHDs with lower timeliness and accuracy ($71 and $124 per case reported, respectively; P = .03). Best surveillance practices fell into 2 domains: efficient use of the electronic surveillance system and use of surveillance data for local evaluation and program management. Conclusions. Timely and accurate surveillance can be achieved in the setting of restricted funding experienced by many LHDs. Adopting best surveillance practices may improve both efficiency and public health outcomes. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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