基于非传染性疾病综合协同管理系统的非传染性疾病流行监测研究卡塔尔世界杯8强波胆分析在中国宁波市开展的可行性试点研究%A Li,Sixuan %A Zhang,Liang %A Liu,Shiwei %A Hubbard,Richard %A Li,Hui %+宁波市疾病预防控制中心慢性和非传染性疾病预防控制处，宁波市海曙区永峰路237号，315010，中国，86 0574 87274542,lihui4329@163.com %K监测%K非传染性疾病%K区域卫生信息平台%K电子健康档案。背景:非传染性疾病(NCDs)已成为世界范围内主要的公共卫生问题。随着经济的快速发展和生活方式的改变，中国的非传染性疾病负担每年都在急剧增加。监测是非传染性疾病控制和预防的关键措施。然而，由于缺乏区域代表性，数据质量不理想，数据共享和利用效率低下，中国现有的监测系统和调查无法追踪非传染性疾病的流行状况和转变。目的:为了有效跟踪中国非传染性疾病的流行情况，中国疾病预防控制中心在宁波市开展了一项试点项目，旨在开发一种创新的非传染性疾病监测和管理模式:非传染性疾病综合协同管理系统(NCDCMS)。方法:通过基于区域卫生信息平台的县/区、市、省三级直报系统设计开发宁波市模型。建立统一的数据标准和接口规范，连接不同的平台，进行数据交换。根据美国疾病控制与预防中心推荐的监测系统评估框架的9个属性对该系统的性能进行了评估。 Results: NCDCMS allows automatic NCDs data exchanging and sharing via a 3-level public health data exchange platform in China. It currently covers 201 medical institutions throughout the city. Compared with previous systems, automatic popping up of the report card, automatic patient information extraction, and real-time data exchange process have highly improved the simplicity and timeliness of the system. The data quality meets the requirements to monitor the incidence trend of NCDs accurately, and the comprehensive data types obtained from the database (ie, directly from the 3-level platform on the data warehouse) also provide a useful information to conduct scientific studies. So far, 98.1% (201/205) of medical institutions across Ningbo having been involved in data exchanges with the model. Evaluations of the system performance showed that NCDCMS has high levels of simplicity, data quality, acceptability, representativeness, and timeliness. Conclusions: NCDCMS completely reshaped the process of NCD surveillance reporting and had unique advantages, which include reducing the work burden of different stakeholders by data sharing and exchange, eliminating unnecessary redundancies, reducing the amount of underreporting, and structuring population-based cohorts. The Ningbo model will be gradually promoted elsewhere following this success of the pilot project, and is expected to be a milestone in NCDs surveillance, control, and prevention in China. %M 32706706 %R 10.2196/17340 %U //www.mybigtv.com/2020/7/e17340/ %U https://doi.org/10.2196/17340 %U http://www.ncbi.nlm.nih.gov/pubmed/32706706