Sharing public health data and information across borders: lessons from Southeast Asia.
Sharing public health data and information across borders: lessons from Southeast Asia.
复制标题
共享跨边界的公共卫生数据和信息：东南亚的教训。
DOI：
10.1186/s12992-018-0415-0
复制
发表时间：
2018-09-29
影响因子：
10.8
通讯作者：
Coker R
中科院分区：
文献类型：
--
作者：
Liverani M;Teng S;Le MS;Coker R
数据和信息共享对于预防和控制传染病的重要性早已得到承认。近年来，禽流感、耐药疟疾和埃博拉等突发公共卫生事件使人们重新注意到卫生当局之间需要建立有效的沟通渠道，特别是在邻国面临共同卫生威胁的区域背景下。然而，迄今为止，很少进行实证研究，以探索可能影响公共卫生数据和专业知识跨境转移、交换和使用的各种因素，特别是在发展中国家。为了探讨这些问题，与柬埔寨和越南的国内和国际利益攸关方进行了60次访谈，这些利益攸关方是从参与区域公共卫生规划和网络的利益攸关方中挑选出来的。数据分析围绕三个类别展开：(1)共享数据和信息的性质；(2)传播渠道的性质；(3)信息流如何受到地方、区域和全球规则和安排体系的影响。在东南亚，数据、信息和专门知识的跨境流通已经大大加强。然而，本研究的结果证明，由于不同的标准和做法、语言障碍、管理国内外卫生信息流通的不同国家结构和规则、能力和权力的不平衡以及融资安排的可持续性，数据和信息从生产地点转移到其他地方的方式可能具有挑战性。我们的研究强调了数据和信息共享的复杂社会技术性质，表明最佳实践需要独立的第三方中介组织或办事处的大量参与，这可以纠正数据共享过程中不同层次的国家合作伙伴之间的不平衡，创建有意义的沟通渠道，并充分利用共享的信息和数据集。
The importance of data and information sharing for the prevention and control of infectious diseases has long been recognised. In recent years, public health emergencies such as avian influenza, drug-resistant malaria, and Ebola have brought renewed attention to the need for effective communication channels between health authorities, particularly in regional contexts where neighbouring countries share common health threats. However, little empirical research has been conducted to date to explore the range of factors that may affect the transfer, exchange, and use of public health data and expertise across borders, especially in developing contexts. To explore these issues, 60 interviews were conducted with domestic and international stakeholders in Cambodia and Vietnam, selected amongst those who were involved in regional public health programmes and networks. Data analysis was structured around three categories mapped across the dataset: (1) the nature of shared data and information; (2) the nature of communication channels; and (3) how information flow may be affected by the local, regional, and global system of rules and arrangements. There has been a great intensification in the circulation of data, information, and expertise across borders in Southeast Asia. However, findings from this study document ways in which the movement of data and information from production sites to other places can be challenging due to different standards and practices, language barriers, different national structures and rules that govern the circulation of health information inside and outside countries, imbalances in capacities and power, and sustainability of financing arrangements. Our study highlights the complex socio-technical nature of data and information sharing, suggesting that best practices require significant involvement of an independent third-party brokering organisation or office, which can redress imbalances between country partners at different levels in the data sharing process, create meaningful communication channels and make the most of shared information and data sets.
登录
查看更多内容
影响因子：
3
作者：
Gueye, Cara Smith;Newby, Gretchen;Feachem, Richard G. A.
通讯作者：
Feachem, Richard G. A.
影响因子：
5.4
作者：
Collins-Dogrul, Julie
通讯作者：
Collins-Dogrul, Julie
影响因子：
10.8
作者：
Gustavsen, Kenneth;Sodahlon, Yao;Bush, Simon
通讯作者：
Bush, Simon
影响因子：
4.5
作者：
Gibbons, Cheryl L.;Mangen, Marie-Josee J.;Kretzschmar, Mirjam E. E.
通讯作者：
Kretzschmar, Mirjam E. E.
影响因子：
3.7
作者：
Bwire, Godfrey;Mwesawina, Maurice;Orach, Christopher Garimoi
通讯作者：
Orach, Christopher Garimoi