在联邦主题层面管理卫生流行病状况的任务中的数字技术

Q4 Medicine
D. V. Goryaev, I. Tikhonova
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引用次数: 0

摘要

区域一级的卫生和流行病学管理任务与大型数据阵列的存储、传输和分析之间的关系决定了其数字化与数据转换和计算操作的相关性。目的:利用数字技术处理动态空间分布信息,优化有关提供人口卫生流行病学福利的管理决策。方法:系统与数学分析、地理信息分析、预测、在线咨询、计算技术。后果以克拉斯诺亚尔斯克地区为例,分析和优化地区和市两级的卫生流行病学状况(55个市镇,290万人口,4万个生产设施,19类疾病和死因,约10年的观察,5万项健康研究等,总计15亿单位的信息)。对人口健康造成潜在危害的总风险的领土分布已通过具有地理信息约束力的方式进行了量化,并显示出优先事项向经济实体活动地点的转变。对空气技术对人群的影响区域进行了数字化,估计了与暴露人群健康危害风险相关的疾病传播的最大值。获得了由各种活动类型的受试者形成的人群发病率对人群健康危害总风险的依赖性模型的数字参数。随着数字技术的使用,在区域一级,在与风险导向的控制和监督活动相结合的基础上,建立了一个有效的社会卫生监测系统模式。它们与卫生流行病学状况的最佳互动是通过一个周期性的相互关联的规划过程来确保的,该过程消除了观测强度过高或低得令人无法接受的区域。局限性关于使用数字技术处理动态空间分布信息以评估、分析和优化卫生流行病学状况的研究结果仅适用于俄罗斯联邦联邦区、地区和市一级的领土。结论在区域和市一级优化卫生流行病状况的潜力相当大。数字化提供了高效、高准确性和场景管理决策的选择,以最大限度地降低对公共健康的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital technologies in the tasks of managing the sanitary-epidemiological situation at the level of the subject of the Federation
The relation of tasks of managing the sanitary and epidemiological situation at the regional level to the storage, transmission and analysis of large data arrays determines the relevance of their digitization for data transformation and computational operations. Purpose: to use digital technologies for processing dynamic spatially distributed information to optimize management decisions regarding the provision of sanitary-epidemiological welfare of the population. Methods: system and mathematical analysis, geoinformation analysis, forecasting, online consulting, computing technologies. Results. Using the example of the Krasnoyarsk Territory, digital technologies were used to assess, analyze and optimize the sanitary-epidemiological situation at the regional and municipal levels (55 municipalities, 2.9 million people, 40 thousand production facilities, 19 classes of diseases and causes of death, about 10 years of observations, 50.0 thousand health studies, etc, a total of 1.5 billion units of information). The territorial distribution of the total risk of causing potential harm to the health of the population has been quantified with geoinformation binding, and a shift in priorities towards the location of the activities of economic entities has been revealed. The zones of aerotechnogenic impacts on the population were digitized, the maxima of the spread of diseases associated with the risk of harm to the health of the exposed population were estimated. There are obtained digital parameters of models of dependence of morbidity of the population on the total risk of harm to the health of the population formed by subjects of various types of aactivity. With the use of digital technologies, at the regional level there is substantiated an effective model of the system of socio-hygienic monitoring, based on the combination with risk-oriented control and supervisory activities. Their optimal interaction in relation to the sanitary-epidemiological situation is ensured by a cyclical interconnected planning process that eliminates zones of excessively high or unacceptably low intensity of observations. Limitations. The results of the conducted research on the use of digital technologies for processing dynamic spatially distributed information for the assessment, analysis and optimization of the sanitary-epidemiological situation are applicable only in the territories of federal districts, regional and municipal levels of the Russian Federation. Conclusion. The potential for optimizing the sanitary-epidemiological situation at the regional and municipal levels is quite high. Digitalization provides efficiency, high accuracy, and selection of scenario management decisions to minimize risks to public health.
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