European primary care surveillance networks: their structure and operation
European primary care surveillance networks: their structure and operation
复制标题
DOI：
10.1093/fampra/cmi118
复制
发表时间：
2006-04-01
期刊：
影响因子：
2.2
通讯作者：
Fleming, DM
中科院分区：
文献类型：
--
作者：
Deckers, JGM;Paget, WJ;Fleming, DM
背景在许多欧洲国家，初级保健监测网络在公共卫生监测中发挥作用。更新监测网络清单，以标准化方式对其进行描述并报告其组织和运作情况。调查是否以及在什么条件下，他们的信息可以有助于监测在欧洲水平。监测网络被定义为“一个网络的做法或社区为基础的初级保健医生谁监测一个或多个特定的疾病问题定期和持续的基础上”。对于库存调查问卷发出，然后现场访问了七个网络使用标准化的审计清单。我们发出了75份问卷，收到了57份回复（回复率为73%），其中33份（回复者的58%）符合我们的选择标准。在11个国家确定了国家监测网络。许多国家设有传染病监测部门，特别是流感监测部门。其中大部分由卫生部资助，有些由研究基金资助。全科医生的中位数为120人，构成了一个稳定的全科医生群体，涵盖了一般人口的代表性样本。报告的频率从每天到每年不等，取决于网络的目的。欧洲有大量的初级保健监测网络。它们的价值已在流感监测中得到证明，但现在的挑战是将其应用扩展到其他疾病。当满足相同的最低标准时，它们可以提供可比的发病率估计值，最终改善国家和欧洲的监测。
Background. In many European countries, primary care surveillance networks play a role in public health surveillance.Objectives. To update an inventory of surveillance networks, to describe them and to report on their organization and function in a standardized way. To investigate whether and under what conditions their information can contribute to surveillance at a European level.Methods. Surveillance networks were defined as 'A network of practices or community based primary care physicians who monitor one or more specific illness problems on a regular and continuing basis'. For the inventory questionnaires were sent out, followed by site visits to seven networks using a standardized audit checklist.Results. We sent out 75 questionnaires and received 57 back (73% response rate), with 33 (58% of responders) fitting our selection criteria. National surveillance networks were identified in 11 countries. Many had an infectious disease surveillance component, particularly for influenza. Most were funded by the Ministry of Health, some by research funds. The median number of general practitioners was 120, comprising a stable group of general practitioners and covering a representative sample of the general population. The frequency of reporting varied from daily to annually, depending on the purpose of the network.Conclusions. A large number of primary care surveillance networks exist in Europe. Their value has been shown with the surveillance of influenza, but the challenge is now to extend their use to other diseases. When fulfilling identical minimal criteria they can provide comparable estimates of morbidity, ultimately leading to improved national and European surveillance.