环境灾害对健康不利影响的监测系统设计——以伊朗乌尔米亚湖为例。

IF 1.5 Q3 HEALTH POLICY & SERVICES
Health Services Research and Managerial Epidemiology Pub Date : 2022-09-07 eCollection Date: 2022-01-01 DOI:10.1177/23333928221121306
Hojatolah Gharaee, Rebecca Susan Dewey, Ramin Rezapour, Naser Derakhshani, Saber Azami-Aghdash
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引用次数: 0

摘要

背景:通过设计监测系统,可以采取政策制定步骤和设计减少环境灾害对人类健康的潜在风险所需的措施。因此,本研究旨在建立环境灾害疾病监测系统(EDDS)模型,以监测环境灾害的不良健康效应(AHEEDs)。方法:首先进行文献复习,对aheed进行鉴别。然后,利用第一步的结果,在分析现有文献的基础上,识别出aheed,并根据专家意见,将高优先级效应纳入EDDS。然后,采用半结构化访谈法,对20位专家对EDDS合适模型的看法进行了调查。为了设计最初的模型,成立了一个由六名参与者组成的专家小组。最后,采用德尔菲法进行专家意见和模型定稿。结果:通过文献回顾和文献分析,确定了41种危害/疾病。最后,建议10种疾病进入EDDS。专家们认为,最好积极而紧急地报告传染病,积极而不紧急地报告非传染性疾病。从参与者的角度来看,EDDS最重要的成就可能是组织和管理、健康促进和经济成就。结论:开发一套专门用于急性脑梗死的EDDS系统,有助于更好地管理这些影响。为此,本研究提出的模型可以作为国家和地方决策者实施aheas监测系统的指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Designing a Surveillance System to Monitor the Adverse Health Effect of Environmental Disasters: A Case Study of Drying Lake Urmia-Iran.

Designing a Surveillance System to Monitor the Adverse Health Effect of Environmental Disasters: A Case Study of Drying Lake Urmia-Iran.

Designing a Surveillance System to Monitor the Adverse Health Effect of Environmental Disasters: A Case Study of Drying Lake Urmia-Iran.

Designing a Surveillance System to Monitor the Adverse Health Effect of Environmental Disasters: A Case Study of Drying Lake Urmia-Iran.

Background: Through designing a surveillance system, steps to policy making and designing measures needed to reduce the potential risks of environmental disasters on human health could be taken. Therefore, this study aimed to develop a model for Environmental Disasters Diseases Surveillance System (EDDS) to monitor Adverse Health Effects (AHEs) of Environmental Disasters (AHEEDs).

Methods: As the first step, the literature review was conducted to identify the AHEEDs. Then, using the results of the first step and analyzing the existing documents, the AHEEDs were identified, and, based on the experts' opinions, high-priority effects were included in the EDDS. Then, using semi-structured interviews, 20 experts' views on the appropriate model of EDDS were investigated. To design the initial model, a panel of experts was formed with six participants. Finally, the Delphi technique was used for expert opinion and model finalization.

Results: As a result of the literature review and document analysis, 41 hazards/diseases were identified. Finally, ten diseases were suggested to enter the EDDS. In the experts' view, it is better that communicable diseases be reported actively and urgently and Non-Communicable Diseases (NCD) actively and non-urgently. From the participants' point of view, the most significant achievements of the EDDS can be organizational and managerial, health promotion, and economic achievements.

Conclusion: Developing a dedicated EDDS for AHEEDs can be very helpful for better management of these effects. To this end, the model proposed in this study can serve as a guide for national and local policymakers to implement surveillance systems for AHEEDs.

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来源期刊
CiteScore
1.60
自引率
6.20%
发文量
32
审稿时长
12 weeks
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