澳大利亚公共卫生活动的多维分类。

Louisa Jorm, Su Gruszin, Tim Churches
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引用次数: 3

摘要

背景:目前,我们比较不同司法管辖区和国家的公共卫生活动,甚至确定公共卫生活动差异的能力非常有限。现有的标准化健康分类没有涵盖公共卫生的重要方面,包括公共卫生的功能、实现这些功能所用的方法和干预措施、公共卫生活动所涉及的健康问题和健康决定因素、它们使用的资源和基础设施,以及它们发生的环境。描述这些维度的分类将促进收集和报告有关公共卫生计划、支出、劳动力和绩效的信息的一致性。本文描述了这种分类的初始版本的发展。方法:我们使用开源的Protégé软件和发布的程序来构建公共卫生本体,这构成了分类的基础。我们回顾了现有的公共卫生定义、公共卫生功能描述和分类,以开发本体的范围、领域和多维类结构。然后,通过与澳大利亚各地的公共卫生专家进行一系列磋商,对这些分类进行了完善,最终形成了初步的分类框架。结果:公共卫生分类由六个顶级类别组成:公共卫生“功能”健康问题';'健康的决定因素设置“;”干预方法;以及“资源和基础设施”。现有的分类(如疾病、残疾和功能以及外部伤害原因的国际分类)可用于进一步对“健康问题”、“环境”和“资源和基础设施”类别的大部分进行分类,而对公共卫生“功能”类别提出了新的子类结构,“健康的决定因素”和“干预措施”。结论:公共卫生分类涵盖了公共卫生活动的重要方面。它将促进信息的组织,从而可以单独或组合地用于解决与这些维度中的任何一个相关的问题。作者鼓励读者使用该分类,并提出改进建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A multidimensional classification of public health activity in Australia.

A multidimensional classification of public health activity in Australia.

A multidimensional classification of public health activity in Australia.

A multidimensional classification of public health activity in Australia.

Background: At present, we have very limited ability to compare public health activity across jurisdictions and countries, or even to ascertain differences in what is considered to be a public health activity. Existing standardised health classifications do not capture important dimensions of public health, which include its functions, the methods and interventions used to achieve these, the health issues and determinants of health that public health activities address, the resources and infrastructure they use, and the settings in which they occur. A classification that describes these dimensions will promote consistency in collecting and reporting information about public health programs, expenditure, workforce and performance. This paper describes the development of an initial version of such a classification.

Methods: We used open-source Protégé software and published procedures to construct an ontology of public health, which forms the basis of the classification. We reviewed existing definitions of public health, descriptions of public health functions and classifications to develop the scope, domain, and multidimensional class structure of the ontology. These were then refined through a series of consultations with public health experts from across Australia, culminating in an initial classification framework.

Results: The public health classification consists of six top-level classes: public health 'Functions'; 'Health Issues'; 'Determinants of Health'; 'Settings'; 'Methods' of intervention; and 'Resources and Infrastructure'. Existing classifications (such as the international classifications of diseases, disability and functioning and external causes of injuries) can be used to further classify large parts of the classes 'Health Issues', 'Settings' and 'Resources and Infrastructure', while new subclass structures are proposed for the classes of public health 'Functions', 'Determinants of Health' and 'Interventions'.

Conclusion: The public health classification captures the important dimensions of public health activity. It will facilitate the organisation of information so that it can be used to address questions relating to any of these dimensions, either singly or in combination. The authors encourage readers to use the classification, and to suggest improvements.

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