AIR Louisville: Addressing Asthma With Technology, Crowdsourcing, Cross-Sector Collaboration, And Policy
AIR Louisville: Addressing Asthma With Technology, Crowdsourcing, Cross-Sector Collaboration, And Policy
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DOI：
10.1377/hlthaff.2017.1315
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发表时间：
2018-04-01
期刊：
影响因子：
9.7
通讯作者：
Tuffli, Michael
中科院分区：
文献类型：
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作者：
Barrett, Meredith;Combs, Veronica;Tuffli, Michael
跨部门伙伴关系通过利用来自广泛合作伙伴的想法、资源和专业知识，使公共卫生受益。在这项研究中，我们记录了AIR Louisville（路易斯维尔地铁政府，非营利机构和技术公司之间的合作）成功应对复杂的公共卫生挑战的过程和影响：哮喘。我们招募了肯塔基州路易斯维尔的哮喘患者，并使用电子吸入器传感器监测他们何时何地使用药物。我们发现，数字健康平台的使用取得了积极的临床效果，包括急救吸入器使用减少了78%，无哮喘天数增加了48%。此外，关于吸入器使用的众包真实世界数据与环境数据相结合，产生了政策建议，包括增强树冠、树木砍伐缓解、空气污染排放缓冲区分区、推荐卡车路线以及开发社区哮喘通知系统。AIR Louisville代表了一种可以复制的模式，通过同时指导个人，临床和政策决策来应对许多公共卫生挑战。
Cross-sector partnerships benefit public health by leveraging ideas, resources, and expertise from a wide range of partners. In this study we documented the process and impact of AIR Louisville (a collaboration forged among the Louisville Metro Government, a nonprofit institute, and a technology company) in successfully tackling a complex public health challenge: asthma. We enrolled residents of Louisville, Kentucky, with asthma and used electronic inhaler sensors to monitor where and when they used medication. We found that the use of the digital health platform achieved positive clinical outcomes, including a 78 percent reduction in rescue inhaler use and a 48 percent improvement in symptom-free days. Moreover, the crowdsourced real-world data on inhaler use, combined with environmental data, led to policy recommendations including enhancing tree canopy, tree removal mitigation, zoning for air pollution emission buffers, recommended truck routes, and developing a community asthma notification system. AIR Louisville represents a model that can be replicated to address many public health challenges by simultaneously guiding individual, clinical, and policy decisions.