States' Use of Local Population Health Data: Comparing the Behavioral Risk Factor Surveillance System and Independent State Health Surveys
States' Use of Local Population Health Data: Comparing the Behavioral Risk Factor Surveillance System and Independent State Health Surveys
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DOI：
10.1097/phh.0b013e3182751cfb
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发表时间：
2013-09-01
影响因子：
3.3
通讯作者：
Lee, Simon J. Craddock
中科院分区：
文献类型：
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作者：
Brown, E. Richard;Kincheloe, Jennifer;Lee, Simon J. Craddock
目的：确定并比较独立的综合州健康调查（SHS）与行为风险因素监测系统（BRFSS）的关键特征，以满足全州和地方人口健康数据的需求。方法：我们制定了纳入标准，系统地收集了符合这些标准的联邦和SHS的信息，并从SHS领导那里获得了补充信息。结果：我们确定了11个州的综合独立SHS和所有50个州的BRFSS调查。独立的SHS满足了全州和地方的重要数据需求，填补了BRFSS的3个关键健康数据缺口：缺乏关于儿童等特殊人群的充分数据，缺乏关于特定地区的数据，以及在健康保险覆盖率等关键问题上调查的健康主题的深度和范围有限。与BRFSS不同，独立SHS之间的可比性有限。结论：BRFSS和独立SHS各自满足了一些关键的州和地方数据需求，但导致数据缺口和资源利用效率低下。如果在各州之间以及在国家、州和地方各级进行协调，调查可以更有效和高效地满足未来对监测医疗改革和解决健康差距的可比数据的需求。
Objectives: To identify and compare key features of independent comprehensive state health surveys (SHS) with those of the Behavioral Risk Factor Surveillance System (BRFSS) for addressing the need for statewide and local population health data. Methods: We developed inclusion criteria, systematically collected information about federal and SHS that met these criteria, and obtained supplemental information from SHS leaders. Results: We identified comprehensive independent SHS in 11 states and BRFSS surveys in all 50 states. The independent SHS meet important statewide and local data needs, filling 3 key health data gaps in the BRFSS: lack of adequate data on special populations such as children, lack of data on specific localities, and limited depth and scope of health topics surveyed on key issues such as health insurance coverage. Unlike BRFSS, independent SHS have limited comparability with each other. Conclusions: The BRFSS and independent SHS each meet some key state and local data needs but result in data gaps and inefficient use of resources. Surveys could more effectively and efficiently meet future needs for comparable data to monitor health care reform and address health disparities if they were coordinated across states and at the national, state, and local levels.