Evaluating Oregon's occupational public health surveillance system based on the CDC updated guidelines.

Evaluating Oregon's occupational public health surveillance system based on the CDC updated guidelines.
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根据疾病预防控制中心更新的指南评估俄勒冈州的职业公共卫生监测系统。

DOI:
10.1002/ajim.23139
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发表时间:
2020
影响因子:
3.5
通讯作者:
Kincl,Laurel
Kincl,Laurel
中科院分区:
医学4区
文献类型:
--
作者:
Yang,Liu;Weston,Crystal;Cude,Curtis;Kincl,Laurel

文献摘要

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背景俄勒冈州职业公共卫生项目(OOHP)监测职业健康指标(OHIs),为职业安全和健康(奥什)监测提供信息。2018年,OOPHP评估了奥什监测系统的性能,并确定了未来改进的领域。MethodsFollowing美国疾病控制和预防中心(CDC)更新的公共卫生监测系统评估指南,OOPHP评估小组采用混合方法与内部和外部利益相关者进行了接触。制定了10个监测属性的业务措施。多种数据收集方法为评价结论提供了可信的证据。分析包括简要统计和定性分析的访谈,一个焦点小组,和网上surveys.ResultsTwenty利益相关者参加了这次评估,平均参与率为55%。结果表明,俄勒冈州奥什的职业安全健康监测系统是简单,灵活,并高度接受其利益相关者。资金保障对稳定构成挑战。职业安全和健康机构缺乏及时性、职业安全和健康机构与当地奥什问题的相关性低以及该系统的数据传播无效,所有这些都限制了奥什监督系统的有效性。该系统的关键数据源的审查表明,良好的数据质量和预测值的积极,但相对较差的灵敏度和representations.ConclusionsThe评估小组成功地适应属性和例子,在疾病预防控制中心的指导方针,这俄勒冈州奥什监测评价。评价结果为制定关于改进OOPHP的奥什监督的建议提供了信息。需要进一步的研究来制定专门针对奥什监督评估的指南。
BackgroundThe Oregon Occupational Public Health Program (OOPHP) monitors occupational health indicators (OHIs) to inform occupational safety and health (OSH) surveillance. In 2018, OOPHP evaluated the performance of the OSH surveillance system and identified areas for future improvement.MethodsFollowing the Centers for Disease Control and Prevention (CDC) updated guidelines for evaluating public health surveillance systems, the OOPHP evaluation team engaged internal and external stakeholders using a mixed‐methods approach. Operational measures for ten surveillance attributes were developed. Multiple data collection methods resulted in credible evidence for evaluation conclusions. Analyses included summary statistics and qualitative analysis of interviews, a focus group, and online surveys.ResultsTwenty stakeholders took part in this evaluation, with an average participation rate of 55%. Results showed the Oregon OSH surveillance system was simple, flexible, and highly accepted by its stakeholders. Funding security presents challenges for stability. A lack of timeliness of OHIs, low relevance of OHIs to local OSH issues, and the system's ineffectual data dissemination all limit the usefulness of the OSH surveillance system. A review of key data sources for the system showed good data quality and predictive value positive, but relatively poor sensitivity and representativeness.ConclusionsThe evaluation team successfully adapted attributes and examples in the CDC guidelines to this Oregon OSH surveillance evaluation. The evaluation findings have informed the development of recommendations for improvements to OOPHP's OSH surveillance. Future research is needed to develop guidance specific to OSH surveillance evaluation.