Surveillance and health promotion informatics at work

描述（由申请人提供）：需要新的战略来加速将公共卫生研究和监测数据转化为实践。在实施以证据为基础的健康促进建议方面存在着有据可查的障碍，而且根据区域监测信息确定的当前情况调整这些建议或使其适合公民个人需求的能力有限。我们建议采用新成熟的信息技术，利用新兴的国家卫生信息基础设施（NHII）来改变健康警报和健康促进的范式。目标是在交互式、安全的电子环境中，将这些活动牢固地建立在从员工那里收集并传递给员工的实时信息的基础上。我们将研究流感预防和控制，这是一种需要监测、沟通和及时影响与健康相关行为的公共卫生实践的原型。具体来说，我们的目标是开发一个系统，通过个人控制的健康记录，向员工提供量身定制的、有针对性的健康信息。这些信息的内容和速度将通过对综合征和实验室数据的实时监测来调整。从监测中收集的复杂信息将在公民、公共卫生从业人员和卫生保健提供系统之间进行处理、翻译和交换。目标是向公民和雇员提供及时、个性化的健康促进信息，以提高他们对流感免疫的知识、态度和信念，并提高他们的季节性流感免疫接种率。我们将主要衡量干预措施对研究参与者中流感疫苗接种率的影响。次要结果将是对自我报告疾病的比率以及对流感的知识、态度和信念的影响。形成性评估将在两个试验台进行，一个主要的美国公司和一个加拿大省。

DESCRIPTION (provided by applicant): New strategies are needed to accelerate the translation of data from public health research and surveillance to practice. There are well-documented barriers to the implementation of evidence based health promotion recommendations, and limited ability to adjust those recommendations to the current conditions as defined by information from regional surveillance, or to tailor them to the individual needs of citizens. We propose to adapt newly mature informatics technology, leveraging the emerging National Health Information Infrastructure (NHII) to shift the paradigm for health alerting and health promotion. The goal is to firmly ground these activities on real time information collected from and delivered to employees, in an interactive, secure, electronic environment. We will study influenza prevention and control, an archetype of public health practice requiring surveillance, communication, and timely influence of health-related behaviors. Specifically, we aim to develop a system for delivering tailored, targeted health messages to the workforce, through a personally controlled health record. The content and tempo of these messages will be modulated by real time surveillance of syndromes and laboratory data. Complex information gleaned from surveillance will be processed, translated and exchanged among citizens, public health practitioners and health care delivery systems. The goal is to provide citizens and employees with timely, individualized health promotion messages to improve their knowledge, attitudes and beliefs regarding influenza immunization, and to increase their rate of seasonal influenza immunization. We will measure the impact of the intervention primarily on the influenza vaccination rate among study participants. Secondary outcomes will be impact on rates of self-reported illness, and on knowledge, attitudes and beliefs about influenza. The formative evaluation will occur in two test beds, a major US corporation and a Canadian Province.