全国健康检查调查;关键数据的来源。

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bulletin of the World Health Organization Pub Date : 2024-08-01 Epub Date: 2024-06-04 DOI:10.2471/BLT.24.291783
Paula Margozzini, Hanna Tolonen, Antonio Bernabe-Ortiz, Sarah Cuschieri, Chiara Donfrancesco, Luigi Palmieri, Luz Maria Sanchez-Romero, Jennifer S Mindell, Oyinlola Oyebode
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引用次数: 0

摘要

本文旨在就健康体检调查的重要性及其在大流行病后卫生筹资危机期间的继续使用问题,以及在提供收集和分析个人健康数据新方法(如人工智能)的技术创新热潮背景下的使用问题,提出技术论据。技术方面的考虑表明,健康检查调查为当地提供初级卫生数据做出了不可替代的贡献,这些数据可用于一系列进一步的研究(如规范性研究、疾病负担研究、护理连带研究、成本和政策影响研究),这些研究对于为卫生规划周期的几个阶段(如监测、确定优先次序、资源调动和政策制定)提供信息至关重要。介绍了在世界卫生组织(世卫组织)欧洲区域(即芬兰、意大利、马耳他和大不列颠及北爱尔兰联合王国)和世卫组织美洲区域(即智利、墨西哥、秘鲁和美利坚合众国)使用健康检查调查数据的实例,并讨论了卫生服务提供者主导的数据不能取代健康检查调查数据的原因(如低估发病率和容易出现偏差)。此外,我们还强调了在全国范围内随机抽取具有代表性的普通人群样本的重要性,并认为健康体检调查通过提高卫生支出的透明度和问责制,为国家卫生系统的外部质量控制做出了重要贡献。最后,我们考虑了未来可改善实地调查工作的技术进步,并提出了确保健康检查调查在低资源环境下可持续进行的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
National health examination surveys; a source of critical data.

The aim of this paper is to contribute technical arguments to the debate about the importance of health examination surveys and their continued use during the post-pandemic health financing crisis, and in the context of a technological innovation boom that offers new ways of collecting and analysing individual health data (e.g. artificial intelligence). Technical considerations demonstrate that health examination surveys make an irreplaceable contribution to the local availability of primary health data that can be used in a range of further studies (e.g. normative, burden-of-disease, care cascade, cost and policy impact studies) essential for informing several phases of the health planning cycle (e.g. surveillance, prioritization, resource mobilization and policy development). Examples of the use of health examination survey data in the World Health Organization (WHO) European Region (i.e. Finland, Italy, Malta and the United Kingdom of Great Britain and Northern Ireland) and the WHO Region of the Americas (i.e. Chile, Mexico, Peru and the United States of America) are presented, and reasons why health provider-led data cannot replace health examination survey data are discussed (e.g. underestimation of morbidity and susceptibility to bias). In addition, the importance of having nationally representative random samples of the general population is highlighted and we argue that health examination surveys make a critical contribution to external quality control for a country's health system by increasing the transparency and accountability of health spending. Finally, we consider future technological advances that can improve survey fieldwork and suggest ways of ensuring health examination surveys are sustainable in low-resource settings.

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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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