公共卫生监测的建议方法:加拿大国家艾滋病毒监测计划的文献综述。

Anita Robert, Wes Martin, Leigh Jonah, Dana Paquette, Joseph Cox, Laura H Thompson
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摘要

背景:由加拿大公共卫生机构管理的国家艾滋病毒监测计划是一个被动监测系统,收集加拿大艾滋病毒病例的去识别数据。面对不断变化的艾滋病毒流行病,需要对这一监测系统进行定期审查,以保持其准确性、有效性和相关性。国家艾滋病毒监测规划正在进行全面审查和更新过程,目的是确定和实施可能的改进,以更有效地满足社区、服务提供者、研究人员、各省和地区以及联邦政府的信息需求。方法:于2023年6 - 7月进行非系统文献综述,共纳入文献3521篇,纳入文献105篇。目的:本文献综述旨在确定公共卫生监测的建议方法,重点是艾滋病毒监测,并确定与以下主题相关的关键发现:监测系统基础设施、数据收集、道德考虑和利益相关者关系。结果:文献综述的主要发现与数据收集的标准化和集中化有关;收集人口统计、疾病分期、健康的社会决定因素和其他数据要素;并将监控系统与其他数据源或其他监控系统连接起来。其他调查结果涉及立法和政策审查、隐私策略、知情同意、道德监督系统设计、各阶段的利益相关者咨询、知识转化和确保充足的资源。结论:在未来的工作中,从文献综述中得到的经验教训将与加拿大艾滋病毒监测系统总体综述的其他组成部分的证据相结合。在与数据提供者和社区协商后,将对这些信息进行进一步评估并确定可能实施的优先次序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Proposed approaches for public health surveillance: A literature review for the Canadian National HIV Surveillance Program.

Proposed approaches for public health surveillance: A literature review for the Canadian National HIV Surveillance Program.

Background: The National HIV Surveillance Program, managed by the Public Health Agency of Canada, is a passive surveillance system that collects de-identified data on HIV cases in Canada. Regular review of this surveillance system is required to maintain its accuracy, effectiveness and relevance in the face of a changing HIV epidemic. The National HIV Surveillance Program is undergoing a comprehensive review and renewal process with the aim of identifying and implementing potential improvements to meet the information needs of communities, service providers, researchers, provinces and territories and the federal government more effectively.

Methods: A non-systematic literature review was conducted in June to July 2023, with 3,521 articles found and 105 included.

Objective: This literature review aimed to identify proposed approaches for public health surveillance, with an emphasis on HIV surveillance and identify key findings relating to the following themes: surveillance system infrastructure, data collection, ethical considerations and stakeholder relationships.

Results: Key findings from the literature review pertained to standardization and centralization of data collection; collection of demographics, disease staging, social determinants of health and other data elements; and linking surveillance systems to other data sources or other surveillance systems. Additional findings concerned legislative and policy review, privacy strategies, informed consent, ethical surveillance system design, stakeholder consultation at all stages, knowledge translation and ensuring adequate resourcing.

Conclusion: In future work, lessons resulting from the literature review will be combined with evidence from other components of the overall review of Canada's HIV surveillance system. Together, this information will be further assessed and prioritized for possible implementation after consultation with data providers and communities.

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