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Legislative Health Notes: Preliminary Learnings From Piloting a New Policy Analysis Tool. 立法健康笔记:新政策分析工具试点的初步经验。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001866
Stefanie Carignan, Ruth Lindberg, Gregory J Tung, Jennifer Sullivan, Cynthia Stone, Keshia M. Pollack Porter
CONTEXTIn 2018, the Health Impact Project (the Project) developed and tested a new health in all policies (HiAP) tool called "legislative health notes" to provide state and local legislators with peer-reviewed evidence, public health data, and local data that illustrate potential positive and negative health and equity effects of proposed bills.OBJECTIVESThe Project sought to refine the health note methodology while piloting the tool in the Colorado and Indiana General Assemblies, and with the Council of the District of Columbia, and worked with affiliates to introduce them in North Carolina, Ohio, and California.DESIGN AND PARTICIPANTSExternal partners solicited feedback on health notes via semistructured interviews and surveys from legislators, legislative staff, and expert reviewers who were familiar with health notes in each of these jurisdictions.RESULTSRespondents shared that health notes were nonpartisan, were easy for nonexperts to understand, and would be more effective if delivered earlier in the legislative process.CONCLUSIONIn response to informant feedback, practitioners can explore adding high-level summaries, increasing focus on health equity implications and the potential to work with legislators during the policy formulation phase. Data from this pilot suggest that legislative health notes are a promising nonpartisan and standardized tool to better understand the health and equity implications of proposed legislation.
CONTEXTIn 2018 年,健康影响项目(以下简称 "项目")开发并测试了一种名为 "立法健康说明 "的新的 "所有政策中的健康"(HiAP)工具,为州和地方立法者提供经同行评审的证据、公共卫生数据和地方数据,以说明拟议法案可能对健康和公平产生的积极和消极影响。目标该项目的目标是在科罗拉多州和印第安纳州议会以及哥伦比亚特区议会试用该工具的同时,完善健康说明方法,并与附属机构合作在北卡罗来纳州、俄亥俄州和加利福尼亚州引入该工具。设计与参与者外部合作伙伴通过半结构化访谈和调查的方式,向立法者、立法人员以及熟悉这些司法管辖区健康笔记的专家评审员征集对健康笔记的反馈意见。结果受访者认为健康说明不带党派色彩,非专业人士也很容易理解,如果能在立法过程中更早提供,效果会更好。结论根据受访者的反馈,从业人员可以探索增加高层次摘要,更加关注健康公平的影响以及在政策制定阶段与立法者合作的可能性。本次试点的数据表明,立法健康说明是一种很有前途的非党派标准化工具,可以更好地了解拟议立法对健康和公平的影响。
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引用次数: 0
Estimating the Cost of the COVID-19 Response for Local Health Departments: Evidence From Ohio. 估算地方卫生部门应对 COVID-19 的成本:来自俄亥俄州的证据。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001907
Simone R Singh
This study assessed the staffing allocations and associated costs incurred by Ohio local health departments (LHDs) in response to the challenges posed by the COVID-19 pandemic. Data were extracted from the annual financial reports of Ohio LHDs for 2020 and 2021, encompassing a sample of 38 LHDs in 2020 and 60 LHDs in 2021. Descriptive analysis showed that Ohio LHDs committed substantial resources to responding to the COVID-19 pandemic. Although there was considerable variability across LHDs, median staffing and compensation collectively constituted 22% of total staffing and compensation. Multivariate regression analysis found minimal associations between the examined agency and community-level variables and the differences in staffing allocations and associated costs incurred by LHDs in response to the COVID-19 pandemic. After decades of underfunding and understaffing, securing sustainable funding will be crucial to equip LHDs across the country with the necessary resources to deliver comprehensive public health services in their communities.
本研究评估了俄亥俄州地方卫生部门(LHDs)为应对 COVID-19 大流行带来的挑战而进行的人员分配和产生的相关费用。数据来自俄亥俄州地方卫生部门 2020 年和 2021 年的年度财务报告,其中 2020 年抽样调查了 38 个地方卫生部门,2021 年抽样调查了 60 个地方卫生部门。描述性分析表明,俄亥俄州 LHD 为应对 COVID-19 大流行投入了大量资源。尽管各卫生防疫中心之间存在相当大的差异,但人员配备和报酬的中位数合计占人员配备和报酬总额的 22%。多变量回归分析发现,所研究的机构和社区变量与地方卫生局在应对 COVID-19 大流行时的人员分配和相关成本差异之间的关联很小。在经历了数十年的资金不足和人员配备不足之后,确保可持续的资金对全国各地的地方卫生局在其社区内提供全面的公共卫生服务所需的必要资源至关重要。
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引用次数: 0
Reaching Diverse Communities During a Local Public Health COVID-19 Vaccination Response Through a Mobile Clinic Compared to Mass Vaccination Sites. 与大规模疫苗接种点相比,在地方公共卫生 COVID-19 疫苗接种响应期间,通过流动诊所覆盖不同社区。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001905
Regina M Gavin, Melanie Countryman, Joseph Musco, Rachel Ricard, Amalia Roberts, Christine Lees
During the COVID-19 vaccine rollout, local public health agencies were responsible for vaccinating a wide variety of communities. Dakota County Public Health (Dakota County, Minnesota) implemented a program that offered COVID-19 vaccines in a variety of settings, such as county public health buildings, community sites, in-home, mass vaccination clinics, and a mobile clinic unit. The purpose of this analysis is to compare the demographics of vaccinations administered at Dakota County COVID-19 vaccination clinics based on clinic site. More than half (52.5%) of vaccinations administered at mobile clinic sites were administered to Hispanic or Latino clients, while at the mass vaccination clinic site, 5.4% of vaccinations were administered to Hispanic or Latino clients. In addition, 59.6% of in-home vaccinations were administered to adults 65 years and older. Offering COVID-19 vaccination clinics in a variety of clinic settings strategically throughout the community helped increase vaccine reach to diverse communities.
在 COVID-19 疫苗推广期间,当地公共卫生机构负责为多个社区接种疫苗。达科塔县公共卫生机构(明尼苏达州达科塔县)实施了一项计划,在县公共卫生大楼、社区站点、家庭、大规模疫苗接种诊所和流动诊所等多种场所提供 COVID-19 疫苗。本分析的目的是比较达科塔县 COVID-19 疫苗接种诊所根据接种地点提供的疫苗接种人口统计数据。在流动诊所接种的疫苗中,有一半以上(52.5%)是为西班牙裔或拉丁裔客户接种的,而在大规模疫苗接种诊所接种的疫苗中,有 5.4% 是为西班牙裔或拉丁裔客户接种的。此外,59.6% 的上门疫苗接种对象是 65 岁及以上的成年人。在整个社区内战略性地提供各种诊所环境的 COVID-19 疫苗接种诊所有助于扩大疫苗在不同社区的覆盖范围。
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引用次数: 0
The Core Competencies for Public Health in Canada: Opportunities and Recommendations for Modernization. 加拿大公共卫生核心能力:现代化的机遇和建议。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001884
Rosemarie Shephard, Justine Uy, Victoria Otterman, Claire Betker, H. Sandhu, Lynda Tjaden, E. Apatu, Erica Di Ruggiero, Richard Musto, Jasmine Pawa, Malcolm Steinberg, Elspeth Payne, Lily Fang
CONTEXTThe 2008 Public Health Agency of Canada's (PHAC's) "Core Competencies for Public Health in Canada" (the "Canadian core competencies") outline the skills, attitudes, and knowledge essential for the practice of public health. The core competencies represent an important part of public health practice, workforce development, and education in Canada and internationally. However, the core competencies are considered outdated and are facing calls for review, expansion, and revision.OBJECTIVETo examine the literature on public health competencies to identify opportunities and recommendations for consideration when reviewing and updating the Canadian core competencies.METHODSThis narrative literature review included 4 components: 3 literature searches conducted between 2021 and 2022 using similar search strategies, as well as an analysis of competency frameworks from comparable jurisdictions. The 3 searches were conducted in collaboration with the Health Library to identify core competency-relevant scholarly and gray literature published in English since 2007. Reference lists of sources identified were also reviewed. During the data extraction process, one researcher screened each source, extracted competency-relevant information, and categorized these data into key findings.RESULTSAfter identifying 2392 scholarly and gray literature sources, 166 competency-relevant sources were included in the review. Findings from these sources were synthesized into 3 main areas: (1) competency framework methodology and structure; (2) competencies to add; and (3) competencies to modify.DISCUSSIONThese findings demonstrate that updates to Canada's core competencies are needed and overdue. Recommendations to support this process include establishing a formal governance structure for the competencies' regular review, revision, and implementation, as well as ensuring that priority topics applicable across all competency categories are integrated as overarching themes. Limitations of the evidence include the potential lack of applicability and generalizability to the Canadian context, as well as biases associated with the narrative literature review methodology.
内容提要2008 年加拿大公共卫生署(PHAC)的 "加拿大公共卫生核心能力"("加拿大核心能力")概述了公共卫生实践所必需的技能、态度和知识。核心能力是加拿大和国际公共卫生实践、劳动力发展和教育的重要组成部分。目的研究有关公共卫生能力的文献,以确定在审查和更新加拿大核心能力时应考虑的机会和建议。方法本叙述性文献综述包括 4 个部分:在 2021 年至 2022 年期间,使用类似的搜索策略进行了 3 次文献检索,并对可比辖区的能力框架进行了分析。这 3 次检索是与卫生图书馆合作进行的,目的是找出自 2007 年以来用英语发表的与核心能力相关的学术文献和灰色文献。此外,还审查了已确定来源的参考资料清单。在数据提取过程中,一名研究人员对每个来源进行筛选,提取与胜任能力相关的信息,并将这些数据归类为主要发现。结果在确定了 2392 篇学术和灰色文献来源后,166 篇与胜任能力相关的来源被纳入综述。这些来源的研究结果被归纳为三个主要方面:(1)能力框架的方法和结构;(2)需要增加的能力;以及(3)需要修改的能力。支持这一进程的建议包括建立一个正式的治理结构,对能力进行定期审查、修订和实施,以及确保将适用于所有能力类别的优先主题整合为总体主题。证据的局限性包括可能缺乏对加拿大环境的适用性和普遍性,以及与叙述性文献综述方法相关的偏差。
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引用次数: 0
Evidence-Based Strategies to Enhance Public Health Emergency Preparedness and Response. 加强公共卫生应急准备和响应的循证战略。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001949
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引用次数: 0
Prevalence of Burnout Among Public Health Professionals: A Systematic Review. 公共卫生专业人员职业倦怠的普遍性:系统回顾。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001887
Rhonda Spencer-Hwang, Analyn Cruz, Meng-Yung Ong, Ashley Chitanda, Yolisa Harvey, Jayden Hwang, Huma Shah, Shanalee Tamares, Lori Wilber
CONTEXTSince the initial outbreak of COVID-19, health professionals-both clinical health care, as well as public health concentrations-have faced tremendous pressures. A growing body of literature indicates the pandemic has magnified already prevalent burnout rates among clinical health professionals and to what extent for public health professionals remains to be determined.OBJECTIVEThis study purpose is to conduct a systematic review of literature examining burnout prevalence among public health professionals before and during the COVID-19 pandemic-nationally and internationally-with identification of potential risk factors.DESIGNWe conducted a literature search in PubMed, EMBASE, PsycINFO, SocINDEX, and ClinicalKey since inception through April 4, 2023. Inclusion criteria included peer-reviewed, original research studies (qualitative or quantitative), in English, assessing prevalence of, or risk factors for, burnout in public health professionals. Two authors independently screened abstracts, titles, full report of studies and abstracted data related to burnout. This review was conducted using Joanna Briggs Institute Systematic Reviews guidelines and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines with narrative synthesis. Protocol for this review registered on PROSPERO (CRD42023424468).RESULTSOf 3327 health-related articles mentioning burnout, 15 met inclusion criteria (11 quantitative and 4 qualitative) with 10 in international settings and 5 in US majority of quantitative studies were from international settings and only 1 in United States. Seventy-eight percent of studies that included prevalence data, exhibited a burnout prevalence greater than 50% (with a range of 19%-81%). The pandemic likely heightened (13% increase) already elevated burnout prevalence. Major risk factors identified included overwork, lack of support, changing roles, and full-time employment status, though many risk factors had not been studied in the United States.CONCLUSIONSBurnout is prevalent among public health professionals, nationally and internationally, and likely heightened by the COVID-19 pandemic. More research is warranted assessing burnout among differing public health concentrations and interventions developed. Public health is an essential framework for protecting and promoting health nationally and internationally, and we need to ensure and support solidity of that framework.
背景自 COVID-19 最初爆发以来,医疗专业人员--无论是临床医疗人员还是公共卫生专业人员--都面临着巨大的压力。越来越多的文献表明,疫情扩大了临床医疗专业人员本已普遍存在的职业倦怠率,而公共卫生专业人员的倦怠程度如何仍有待确定。本研究的目的是对文献进行系统性综述,研究 COVID-19 大流行之前和期间公共卫生专业人员的职业倦怠率--国内和国际--并确定潜在的风险因素。纳入标准包括经同行评审的、评估公共卫生专业人员职业倦怠发生率或风险因素的英文原创研究(定性或定量)。两位作者独立筛选了摘要、标题、研究报告全文以及与职业倦怠相关的摘要数据。本综述采用乔安娜-布里格斯研究所系统性综述指南和系统性综述和元分析首选报告项目指南进行叙述性综合。结果 在 3327 篇提及职业倦怠的健康相关文章中,有 15 篇符合纳入标准(11 篇定量研究和 4 篇定性研究),其中 10 篇来自国际环境,5 篇来自美国,大部分定量研究来自国际环境,只有 1 篇来自美国。在包含倦怠发生率数据的研究中,78%的研究显示倦怠发生率超过 50%(范围为 19%-81%)。大流行病可能加剧了(增加了 13%)本已升高的职业倦怠流行率。已确定的主要风险因素包括工作过度、缺乏支持、角色变化和全职就业状况,但许多风险因素尚未在美国进行过研究。有必要开展更多的研究,评估不同公共卫生专业人员的职业倦怠情况,并制定干预措施。公共卫生是在国内和国际上保护和促进健康的重要框架,我们需要确保和支持这一框架的稳固性。
{"title":"Prevalence of Burnout Among Public Health Professionals: A Systematic Review.","authors":"Rhonda Spencer-Hwang, Analyn Cruz, Meng-Yung Ong, Ashley Chitanda, Yolisa Harvey, Jayden Hwang, Huma Shah, Shanalee Tamares, Lori Wilber","doi":"10.1097/PHH.0000000000001887","DOIUrl":"https://doi.org/10.1097/PHH.0000000000001887","url":null,"abstract":"CONTEXT\u0000Since the initial outbreak of COVID-19, health professionals-both clinical health care, as well as public health concentrations-have faced tremendous pressures. A growing body of literature indicates the pandemic has magnified already prevalent burnout rates among clinical health professionals and to what extent for public health professionals remains to be determined.\u0000\u0000\u0000OBJECTIVE\u0000This study purpose is to conduct a systematic review of literature examining burnout prevalence among public health professionals before and during the COVID-19 pandemic-nationally and internationally-with identification of potential risk factors.\u0000\u0000\u0000DESIGN\u0000We conducted a literature search in PubMed, EMBASE, PsycINFO, SocINDEX, and ClinicalKey since inception through April 4, 2023. Inclusion criteria included peer-reviewed, original research studies (qualitative or quantitative), in English, assessing prevalence of, or risk factors for, burnout in public health professionals. Two authors independently screened abstracts, titles, full report of studies and abstracted data related to burnout. This review was conducted using Joanna Briggs Institute Systematic Reviews guidelines and Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines with narrative synthesis. Protocol for this review registered on PROSPERO (CRD42023424468).\u0000\u0000\u0000RESULTS\u0000Of 3327 health-related articles mentioning burnout, 15 met inclusion criteria (11 quantitative and 4 qualitative) with 10 in international settings and 5 in US majority of quantitative studies were from international settings and only 1 in United States. Seventy-eight percent of studies that included prevalence data, exhibited a burnout prevalence greater than 50% (with a range of 19%-81%). The pandemic likely heightened (13% increase) already elevated burnout prevalence. Major risk factors identified included overwork, lack of support, changing roles, and full-time employment status, though many risk factors had not been studied in the United States.\u0000\u0000\u0000CONCLUSIONS\u0000Burnout is prevalent among public health professionals, nationally and internationally, and likely heightened by the COVID-19 pandemic. More research is warranted assessing burnout among differing public health concentrations and interventions developed. Public health is an essential framework for protecting and promoting health nationally and internationally, and we need to ensure and support solidity of that framework.","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"2000 20","pages":"384-393"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140718512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Public Health Response to SARS-CoV-2 in Assisted Living Facilities in New York State: March 2020-December 2022. 纽约州生活辅助设施应对 SARS-CoV-2 的公共卫生对策:2020 年 3 月至 2022 年 12 月。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001878
Antonella M D'Ascanio, Dial Hewlett, Karen Davda, Marisa A Montecalvo
CONTEXTAssisted living facility (ALF) residents are especially vulnerable to SARS-CoV-2 infection due to the age and comorbidities of the resident population and the social nature of these facilities.OBJECTIVETo collate all New York State Department of Health guidance and regulations to control transmission of SARS-CoV-2 infection within ALFs from March 2020 through December 2022 and to include US Food and Drug Administration COVID-19 testing and vaccine authorizations.DESIGNA narrative chronological review of all New York State Department of Health guidance.RESULTSDocuments and associated guidance and regulations are divided into 4 sections: (1) lockdown until COVID-19 vaccine emergency use authorization; (2) COVID-19 vaccine authorization until phased reopening; (3) phased reopening, vaccination requirements, and booster vaccination; (4) the period of the bivalent booster.CONCLUSIONControlling the spread of SARS-CoV-2 within ALFs required a multifactorial approach that included stringent infection control measures, testing, and vaccination and careful attention to the social structure and support systems within ALFs. The SARS-CoV-2 pandemic highlighted the complexity of controlling spread of an easily transmissible respiratory pathogen in assisted living communities and the need to structure infection control programs within the diverse ALFs that provide care for our aging population.
目的整理纽约州卫生部从 2020 年 3 月到 2022 年 12 月控制 ALF 内 SARS-CoV-2 感染传播的所有指南和法规,包括美国食品药品管理局 COVID-19 测试和疫苗授权。结果文件及相关指南和法规分为 4 部分:(1) 在 COVID-19 疫苗紧急使用授权之前的封锁;(2) 在分阶段重新开放之前的 COVID-19 疫苗授权;(3) 分阶段重新开放、疫苗接种要求和加强接种;(4) 二价加强接种期。结论控制 SARS-CoV-2 在 ALF 内的传播需要采取多因素方法,包括严格的感染控制措施、检测和疫苗接种,以及对 ALF 内的社会结构和支持系统的谨慎关注。SARS-CoV-2 大流行凸显了在生活辅助设施中控制易传播呼吸道病原体传播的复杂性,以及在为老龄人口提供护理服务的各种生活辅助设施中构建感染控制计划的必要性。
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引用次数: 0
Faces of Local Public Health: Insights Across LHD Staff Data on Race, Ethnicity, and Gender From the 2022 National Profile of Local Health Departments. 地方公共卫生的面孔:从《2022 年全国地方卫生部门概况》中获得的有关种族、民族和性别的地方卫生部门工作人员数据。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001934
Krishna Patel, Margaret C. Cunningham, David Okereke
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引用次数: 0
Commentary on Schneider et al., "Charting the Advocacy Landscape: A Qualitative Content Analysis of Syllabi in Public Health Graduate Education". 对 Schneider 等人的评论,"Charting the Advocacy Landscape:公共卫生研究生教育教学大纲的定性内容分析》。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001930
David H Jernigan
{"title":"Commentary on Schneider et al., \"Charting the Advocacy Landscape: A Qualitative Content Analysis of Syllabi in Public Health Graduate Education\".","authors":"David H Jernigan","doi":"10.1097/PHH.0000000000001930","DOIUrl":"https://doi.org/10.1097/PHH.0000000000001930","url":null,"abstract":"","PeriodicalId":296123,"journal":{"name":"Journal of public health management and practice : JPHMP","volume":"12 1","pages":"319-320"},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Few Prison Systems Release Individual Death Data: Death in Custody Reporting Act Completeness, Speed, and Compliance. 很少有监狱系统公布个人死亡数据:在押死亡报告法》的完整性、速度和合规性。
Pub Date : 2024-04-10 DOI: 10.1097/PHH.0000000000001893
M. Fliss, Jennifer Lao Bs, Forrest Behne Bs, Lauren Brinkley-Rubinstein
The United States has one of the largest incarcerated populations per capita. Prisons are dangerous environments, with high in-prison and postrelease mortality. The Death in Custody Reporting Acts (DCRAs) of 2000 and 2013 require deaths of people in correctional custody or caused by law enforcement to be reported to the Bureau of Justice Assistance. These deaths must be reported within 3 months of the death and include 10 required fields (eg, age, cause of death). There is no public reporting requirement. Our Third City Mortality project tracks near-real-time data about individual deaths released publicly and prison system metadata, including data completeness and release speed, across (N = 54) US state, federal (N = 2; Bureau of Prisons, Immigration and Customs Enforcement), Washington, District of Columbia, and Puerto Rico prison systems. Twenty-one (38%) systems release no individual death data; 13 systems release incomplete data slower than 1 year; 19 release timely, but incomplete, death data; and only one system (Iowa) releases complete and timely data. Incomplete, untimely, public prison mortality data limit protective community responses and epidemiology.
美国是人均监禁人口最多的国家之一。监狱是一个危险的环境,狱中和释放后的死亡率都很高。2000 年和 2013 年的《在押人员死亡报告法》(DCRAs)要求向司法援助局报告在教养所羁押人员的死亡或执法人员造成的死亡。这些死亡事件必须在死亡后 3 个月内报告,并包括 10 个必填字段(如年龄、死因)。没有公开报告的要求。我们的 "第三城市死亡率 "项目对美国各州(N = 54)、联邦(N = 2;监狱管理局、移民和海关执法局)、华盛顿、哥伦比亚特区和波多黎各监狱系统公开发布的个人死亡数据和监狱系统元数据(包括数据完整性和发布速度)进行了近实时跟踪。21个系统(38%)没有发布个人死亡数据;13个系统发布不完整数据的速度慢于1年;19个系统及时发布但不完整的死亡数据;只有一个系统(爱荷华州)发布完整及时的数据。不完整、不及时的公共监狱死亡数据限制了保护性社区应对措施和流行病学的发展。
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引用次数: 0
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