Enhancing information for action: A strategic tool for strengthening public health emergency management systems

IF 4.1 2区 医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2025-01-16 DOI:10.1016/j.ijmedinf.2025.105791
Catherine Smallwood , Carlos Matos , Hugo Monteiro , Mark Shapiro , Miranda Tran Ngoc , Mohamed Elamein , Raviv Raz , Samuel Petragallo
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Abstract

Background

This paper addresses the importance of timely and robust information systems that underpin emergency response decision-making, as evidenced during the COVID-19 pandemic in the WHO European Region. Recognizing the relevance of these systems, we propose the strengthening of national emergency response information management systems (ERIMS) within the broader digital health information system (HIS) framework. We aim to develop and present an innovative assessment tool designed to evaluate and assist in the strengthening of ERIMS, contributing to a more resilient and effective emergency response.

Methods

This study presents the development of an ERIMS assessment tool using a systems-based approach and defined standards by the WHO Regional Office for Europe. The tool provides a systematic methodology to evaluate and enhance a country’s ERIMS capacity, and is designed to accommodate different information system architecture, emergency response coordination mechanisms, and digitalisation levels. The development process involved consultations with experts in digital health, emergency management, and public health policy, as well as lessons identified through pilot implementation of the assessment tool in several countries.

Main findings

The application of this tool revealed gaps in existing ERIMS and highlighted the importance of digital transformation in emergency management practices. The tool facilitated the identification of priority areas for improvement and supported the establishment of best practices and international standards for digital health initiatives that relate to emergency management.

Conclusions

This assessment tool represents a contribution to the field of digital health and emergency management. It offers a way for countries to enhance their emergency response capabilities, focusing on information for action. By improving ERIMS, countries can ensure better preparedness, timely response and effective recovery from health emergencies, thereby strengthening global health security in the face of future challenges.
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加强信息促进行动:加强突发公共卫生事件管理系统的战略工具。
背景:本文论述了及时和强大的信息系统对应急决策的重要性,这一点在世卫组织欧洲区域2019冠状病毒病大流行期间得到了证明。认识到这些系统的相关性,我们建议在更广泛的数字卫生信息系统框架内加强国家应急响应信息管理系统(ERIMS)。我们的目标是开发和提出一种创新的评估工具,以评估和协助加强应急管理系统,促进更有复原力和更有效的应急反应。方法:本研究介绍了使用基于系统的方法和世卫组织欧洲区域办事处定义的标准开发ERIMS评估工具。该工具提供了一种系统的方法来评估和提高一个国家的ERIMS能力,旨在适应不同的信息系统架构、应急响应协调机制和数字化水平。开发过程包括与数字卫生、应急管理和公共卫生政策方面的专家进行磋商,以及通过在若干国家试点实施评估工具确定的经验教训。主要发现:该工具的应用揭示了现有应急管理系统的差距,并突出了数字化转型在应急管理实践中的重要性。该工具有助于确定需要改进的优先领域,并支持制定与应急管理有关的数字卫生举措的最佳做法和国际标准。结论:该评估工具对数字卫生和应急管理领域做出了贡献。它为各国提供了一种加强其应急能力的途径,侧重于信息促行动。通过改进ERIMS,各国可以确保在突发卫生事件后更好地做好准备、及时应对和有效恢复,从而在面对未来挑战时加强全球卫生安全。
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来源期刊
International Journal of Medical Informatics
International Journal of Medical Informatics 医学-计算机:信息系统
CiteScore
8.90
自引率
4.10%
发文量
217
审稿时长
42 days
期刊介绍: International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.
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