Distributed data processing for public health surveillance.

Distributed data processing for public health surveillance. Research Abstract Details 

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Distributed data processing for public health surveillance. Abstract Text:

Ross Lazarus,Katherine Yih,Richard Platt,

BACKGROUND: Many systems for routine public health surveillance rely on centralized collection of potentially identifiable, individual, identifiable personal health information (PHI) records. Although individual, identifiable patient records are essential for conditions for which there is mandated reporting, such as tuberculosis or sexually transmitted diseases, they are not routinely required for effective syndromic surveillance. Public concern about the routine collection of large quantities of PHI to support non-traditional public health functions may make alternative surveillance methods that do not rely on centralized identifiable PHI databases increasingly desirable. METHODS: The National Bioterrorism Syndromic Surveillance Demonstration Program (NDP) is an example of one alternative model. All PHI in this system is initially processed within the secured infrastructure of the health care provider that collects and holds the data, using uniform software distributed and supported by the NDP. Only highly aggregated count data is transferred to the datacenter for statistical processing and display. RESULTS: Detailed, patient level information is readily available to the health care provider to elucidate signals observed in the aggregated data, or for ad hoc queries. We briefly describe the benefits and disadvantages associated with this distributed processing model for routine automated syndromic surveillance. CONCLUSION: For well-defined surveillance requirements, the model can be successfully deployed with very low risk of inadvertent disclosure of PHI--a feature that may make participation in surveillance systems more feasible for organizations and more appealing to the individuals whose PHI they hold. It is possible to design and implement distributed systems to support non-routine public health needs if required.

Distributed data processing for public health surveillance. Publishing Authors By Initials

R Lazarus,K Yih,R Platt,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Distributed data processing for public health surveillance. Journal Published:

PUBLICATION TYPE: Research Support, U.S. Gov't,

Journal: BMC public health

VOLUME: 6

Page Numbers: 235

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ISSN: 1471-2458

DAY: 19

MONTH: 09

YEAR: 2006

Distributed data processing for public health surveillance. Information

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LANGUAGE: eng

NlmUniqueID: 100968562

Distributed data processing for public health surveillance. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: epidemiology

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Grant and Affiliation Information for Distributed data processing for public health surveillance.

AFFILIATION: Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA. ross.lazarus@channing.harvard.edu

Country: England

AGENCY: United States PHS

GRANT: U90/CCU116997

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MEDLINETA: BMC Public Health

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