A Comprehensive COVID-19 Daily News and Medical Literature Briefing to Inform Health Care and Policy in New Mexico: Implementation Study.
A Comprehensive COVID-19 Daily News and Medical Literature Briefing to Inform Health Care and Policy in New Mexico: Implementation Study.
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DOI：
10.2196/23845
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发表时间：
2022-02-23
影响因子：
3.6
通讯作者：
Lambert CG
中科院分区：
文献类型：
--
作者：
Jarratt L;Situ J;King RD;Montanez Ramos E;Groves H;Ormesher R;Cossé M;Raboff A;Mahajan A;Thompson J;Ko RF;Paltrow-Krulwich S;Price A;Hurwitz AM;CampBell T;Epler LT;Nguyen F;Wolinsky E;Edwards-Fligner M;Lobo J;Rivera D;Langsjoen J;Sloane L;Hendrix I;Munde EO;Onyango CO;Olewe PK;Anyona SB;Yingling AV;Lauve NR;Kumar P;Stoicu S;Nestsiarovich A;Bologa CG;Oprea TI;Tollestrup K;Myers OB;Anixter M;Perkins DJ;Lambert CG
2020年3月11日，新墨西哥州州长宣布进入公共卫生紧急状态，以应对COVID-19大流行。新墨西哥州的医疗顾问小组联系了新墨西哥州大学（UNM）的教师，组成一个小组，以整合越来越多的关于严重急性呼吸道综合征冠状病毒2（SARS-CoV-2）及其疾病的信息，以促进新墨西哥州的流行病管理。因此，教师，医生，工作人员，研究生和医学生创建了“UNM全球卫生COVID-19情报简报”。在本文中，我们试图（1）分享如何创建一个信息简报，以指导公共政策和医疗实践，并管理信息过载与快速发展的科学证据;（2）确定简报的质量有用性，以其读者;（3）确定该项目对虚拟医学教育的质量影响。Microsoft Teams用于手动和自动捕获COVID-19文章并撰写简报。多层次分类保存了有影响力的待审查文章，并优先考虑随机对照研究、荟萃分析、系统性评价、实践指南以及关于医疗保健和应对COVID-19政策的信息。简报定稿通过电子邮件、邮件列表服务器传播，并张贴在联合国墨西哥城数字资料库上。向读者发送了一份调查，以确定简报的有用性，以及它是否导致政策或医疗实践的变化。无法直接参与病人护理的医学院学生向医学院提出，参与简报应算作课程学分，并获得批准。医学生参与简报的维护以及这份出版物是由医学生领导的。平均每天评估456篇文章。简报通过电子邮件和邮件列表服务器直接送达约1 000人，转发数量不详。数字存储库跟踪显示，截至2020年7月5日，在116个国家/地区下载了5047次。调查发现，114名参与者中有108人（95%）获得了相关知识，90人（79%）认为这减少了错误信息，27人（24%）将简报作为他们的主要信息来源，90人（79%）将其转发给同事。根据情况通报，作出了具体和有影响力的公共政策决定。医学生报告说，该项目使他们能够改进科学文献评估，了解流行病的最新情况，并为社区服务。COVID-19简报成功地为新墨西哥州的政策和临床实践提供了信息和指导。该项目得到了社区的积极反馈，并表明减少了信息负担和错误信息。虚拟平台使医学教育得以继续。通过培训、标准化的文章选择标准和由教师领导的协作编辑来解决主题专业知识的可变性。
On March 11, 2020, the New Mexico Governor declared a public health emergency in response to the COVID-19 pandemic. The New Mexico medical advisory team contacted University of New Mexico (UNM) faculty to form a team to consolidate growing information on severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and its disease to facilitate New Mexico’s pandemic management. Thus, faculty, physicians, staff, graduate students, and medical students created the “UNM Global Health COVID-19 Intelligence Briefing.” In this paper, we sought to (1) share how to create an informative briefing to guide public policy and medical practice and manage information overload with rapidly evolving scientific evidence; (2) determine the qualitative usefulness of the briefing to its readers; and (3) determine the qualitative effect this project has had on virtual medical education. Microsoft Teams was used for manual and automated capture of COVID-19 articles and composition of briefings. Multilevel triaging saved impactful articles to be reviewed, and priority was placed on randomized controlled studies, meta-analyses, systematic reviews, practice guidelines, and information on health care and policy response to COVID-19. The finalized briefing was disseminated by email, a listserv, and posted on the UNM digital repository. A survey was sent to readers to determine briefing usefulness and whether it led to policy or medical practice changes. Medical students, unable to partake in direct patient care, proposed to the School of Medicine that involvement in the briefing should count as course credit, which was approved. The maintenance of medical student involvement in the briefings as well as this publication was led by medical students. An average of 456 articles were assessed daily. The briefings reached approximately 1000 people by email and listserv directly, with an unknown amount of forwarding. Digital repository tracking showed 5047 downloads across 116 countries as of July 5, 2020. The survey found 108 (95%) of 114 participants gained relevant knowledge, 90 (79%) believed it decreased misinformation, 27 (24%) used the briefing as their primary source of information, and 90 (79%) forwarded it to colleagues. Specific and impactful public policy decisions were informed based on the briefing. Medical students reported that the project allowed them to improve on their scientific literature assessment, stay current on the pandemic, and serve their community. The COVID-19 briefings succeeded in informing and guiding New Mexico policy and clinical practice. The project received positive feedback from the community and was shown to decrease information burden and misinformation. The virtual platforms allowed for the continuation of medical education. Variability in subject matter expertise was addressed with training, standardized article selection criteria, and collaborative editing led by faculty.