The importance of identified cause-of-death information being available for public health surveillance, actions and research
The importance of identified cause-of-death information being available for public health surveillance, actions and research
复制标题
DOI：
10.7196/samjnew.8019
复制
发表时间：
2015-07-01
期刊：
影响因子：
--
通讯作者：
Bradshaw, D
中科院分区：
文献类型：
--
作者：
Groenewald, P;Azevedo, V;Bradshaw, D
《南非出生和死亡登记法》的一项修正案损害了加强地方死亡率监测、为小地区提供统计数据和实现数据联系、为公共卫生行动提供信息的努力。国际上已经认识到，需要在保护病人个人隐私和提供有效的公共卫生情报以指导病人护理和提供服务以及防止有害接触之间保持谨慎的平衡。本文描述了南非西开普省（SA）当地死亡率监测系统的公共卫生效益，以及其与国家民事登记和生命统计系统整合后提高生命统计数据质量的潜力。它还确定了SA中可识别死因数据的其他重要用途，这些用途已受到该立法的损害。
An amendment to the South African Births and Deaths Registration Act has compromised efforts to strengthen local mortality surveillance to provide statistics for small areas and enable data linkage to provide information for public health actions. Internationally it has been recognised that a careful balance needs to be kept between protecting individual patient confidentiality and enabling effective public health intelligence to guide patient care and service delivery and prevent harmful exposures. This article describes the public health benefits of a local mortality surveillance system in the Western Cape Province, South Africa (SA), as well as its potential for improving the quality of vital statistics data with integration into the national civil registration and vital statistics system. It also identifies other important uses for identifiable cause-of-death data in SA that have been compromised by this legislation.