All Wales Injury Surveillance System revised: development of a population-based system to evaluate single-level and multilevel interventions
All Wales Injury Surveillance System revised: development of a population-based system to evaluate single-level and multilevel interventions
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DOI：
10.1136/injuryprev-2015-041814
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发表时间：
2016-04-01
影响因子：
3.7
通讯作者：
Jones, Sarah J.
中科院分区：
文献类型：
--
作者：
Lyons, Ronan A.;Turner, Samantha;Jones, Sarah J.
自20世纪90年代以来，已经建立了伤害监测，但仍然主要基于哨点的单一来源数据。电子健康记录的增长和隐私保护联动技术的发展为更复杂的监视系统提供了机会。目的描述损伤监测系统的演变，以支持干预措施的评估，包括简单的和复杂的组织。方法描述了该系统从仅依赖急诊科数据到包含多源数据并嵌入到总人口隐私保护数据链接系统中的演变过程。伤害发生率估计通过来源和数据链接进行比较，以帮助理解数据质量问题。介绍了应用程序、挑战和解决方案的示例。结果全科、急诊科和住院记录的年龄分布和估计的伤害发生率差异较大。数据联系使得能够评估复杂的干预措施和衡量各种暴露的长期影响。结论将伤害监测嵌入到隐私保护数据联动环境中，可以将传统的单源监测系统向多源监测系统转变。它还有助于更多地参与对简单和复杂的保健和非保健干预措施的评价，并有助于为伤害预防和控制科学奠定越来越多的证据基础。
Background Injury surveillance has been established since the 1990s, but is still largely based upon single-source data from sentinel sites. The growth of electronic health records and developments in privacy protecting linkage technologies provide an opportunity for more sophisticated surveillance systems.Objective To describe the evolution of an injury surveillance system to support the evaluation of interventions, both simple and complex in terms of organisation.Methods The paper describes the evolution of the system from one that relied upon data only from emergency departments to one that include multisource data and are now embedded in a total population privacy protecting data linkage system. Injury incidence estimates are compared by source and data linkage used to aid understanding of data quality issues. Examples of applications, challenges and solutions are described.Results The age profile and estimated incidence of injuries recorded in general practice, emergency departments and hospital admissions differ considerably. Data linkage has enabled the evaluation of complex interventions and measurement of longer-term impact of a wide range of exposures.Conclusions Embedding injury surveillance within privacy protecting data linkage environment can transform the utility of a traditional single-source surveillance system to a multisource system. It also facilitates greater involvement in the evaluation of simple and complex healthcare and non-healthcare interventions and contributes to the growing evidence basis underlying the science of injury prevention and control.