基于区域卫生信息平台的食源性疾病预警系统设计  

Design of foodborne disease early warning system based on regional health information platform

作　　者：王博远[1] 陈夏威[1] 李笑 刘杨 黄国贤[1] 李炳烈[1] 陈子龙[1] 岑应健 罗毅俊 WANG Boyuan;CHEN Xiawei;LI Xiao;LIU Yang;HUANG Guoxian;LI Binglie;CHEN Zilong;CEN Yingjian;LUO Yijun(Zhongshan Center for Disease Control and Prevention,Guangdong Zhongshan 528403,China;Guangdong Pharmaceutical University,Guangdong Guangzhou 510310,China;China National Center for Food Safety Risk Assessment,Beijing 100022,China;Guizhou Academy of Sciences,Guizhou Guiyang 550001,China;B-SOFT Limited,Zhejiang Hangzhou 310051,China)

机构地区：[1]中山市疾病预防控制中心,广东中山528403 [2]广东药科大学,广东广州510310 [3]国家食品安全风险评估中心,北京100022 [4]贵州科学院,贵州贵阳550001 [5]创业软件股份有限公司,浙江杭州310051

出　　处：《中国食品卫生杂志》2019年第4期379-384,共6页Chinese Journal of Food Hygiene

基　　金：中山市社会公益科技研究专项(2018B1049);国家重点研发项目(2017YFC1602002)

摘　　要：目的研究食源性疾病预警系统的设计模式,为政府部门防控食源性疾病提供信息化支撑。方法在人口健康信息化总体框架内,基于地级市区域卫生信息平台采集食源性疾病患者信息,应用地理编码技术对监测数据赋予空间位置属性,应用空间分析方法进行可视化展现和统计分析。结果系统在设计上突破了哨点医院的瓶颈,将采集范围扩展到中山市所有医疗机构和社区卫生服务中心,自动获取符合食源性疾病定义的主诉病例,从个体上掌握全市疑似食源性疾病患者就诊和用药情况,每日夜间汇总当天所有疑似食源性疾病病例,基于空间统计分析模型辅助研判,对疑似聚集性食源性疾病暴发事件进行预警。结论基于区域卫生信息平台的系统设计模式有助于解决我国食源性疾病预警中滞后性的问题,对推进基层公共卫生信息化建设,创新预警防控模式将产生积极的作用。Objective To study the design of foodborne disease early warning system and provide information technology support for government departments to prevent and control foodborne diseases.Methods Within the overall framework of population health information,the information of foodborne patients was collected based on the regional health information platform of prefecture-level cities.The geocoding technology was used to assign spatial location attributed to the monitoring data,and the spatial analysis method was used for visual display and statistical analysis.Results The design of the system broke through the bottleneck of the sentinel hospital,and extended the collection scope to all medical institutions and community health service centers in Zhongshan City,which could automatically obtain the main complaint cases that meet the definition of foodborne diseases,and grasp the foodborne diseases of the whole city from the individuals.The patient's visit and medication were summarized daily for all suspected foodborne illness cases on the day.Based on the spatial statistical analysis model,the service management personnel were notified to the suspected foodborne disease outbreak event on the same day.Conclusion The system design model based on regional health information platform can help solve the problem of hysteresis in foodborne disease early warning in China,and it will play a positive role in promoting public health informationization construction at local level and innovation in early warning and prevention mode.

关 键 词：卫生信息平台 食源性疾病 预警 信息化 疾病监测 空间统计 

分 类 号：R155[医药卫生—营养与食品卫生学]