Evidence map›Paper›PMID 33763847›Full record

ArticleApplied clinical informatics2021

Moving Faster than the COVID-19 Pandemic: The Rapid, Digital Transformation of a Public Health System.

Clair Sullivan, Ides Wong, Emily Adams, Magid Fahim, Jon Fraser, Gihan Ranatunga, Matthew Busato, Keith McNeil

Abstract read
In one paragraph

Article in Applied clinical informatics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Digital paradigm of public health.Frontiers in public health · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Digital Transformation in Healthcare: Technology Acceptance and Its Applications.International journal of environmental research and public health · 2023
    Article
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  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Clair SullivanCentre for Health Services Research, University of Queensland, Brisbane, Australia.
Ides WongQueensland Department of Health, Brisbane, Queensland, Australia.
Emily AdamsQueensland Department of Health, Brisbane, Queensland, Australia.
Magid FahimCentre for Health Services Research, University of Queensland, Brisbane, Australia.
Jon FraserDigital Metro North, Metro North Hospital and Health Service, Brisbane, Queensland, Australia.
Gihan RanatungaDigital Metro North, Metro North Hospital and Health Service, Brisbane, Queensland, Australia.
Matthew BusatoDigital Metro North, Metro North Hospital and Health Service, Brisbane, Queensland, Australia.
Keith McNeilQueensland Department of Health, Brisbane, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQueensland, Australia has been successful in containing the COVID-19 pandemic. Underpinning that response has been a highly effective virus containment strategy which relies on identification, isolation, and contact tracing of cases. The dramatic emergence of the COVID-19 pandemic rendered traditional paper-based systems for managing contact tracing no longer fit for purpose. A rapid digital transformation of the public health contact tracing system occurred to support this effort.

objectivesThe objectives of the digital transformation were to shift legacy systems (paper or standalone electronic systems) to a digitally enabled public health system, where data are centered around the consumer rather than isolated databases. The objective of this paper is to outline this case study and detail the lessons learnt to inform and give confidence to others contemplating digitization of public health systems in response to the COVID-19 pandemic.

methodsThis case study is set in Queensland, Australia. Universal health care is available. A multidisciplinary team was established consisting of clinical informaticians, developers, data strategists, and health information managers. An agile "pair-programming" approach was undertaken to application development and extensive change efforts were made to maximize adoption of the new digital workflows. Data governance and flows were changed to support rapid management of the pandemic.

resultsThe digital coronavirus application (DCOVA) is a web-based application that securely captures information about people required to quarantine and creates a multiagency secure database to support a successful containment strategy.

conclusionMost of the literature surrounding digital transformation allows time for significant consultation, which was simply not possible under crisis conditions. Our observation is that staff was willing to adopt new digital systems because the reason for change (the COVID-19 pandemic) was clearly pressing. This case study highlights just how critical a unified purpose, is to successful, rapid digital transformation.

Indexed as

Medical InformaticsPandemicsPublic HealthConfidentialityCooperative BehaviorCOVID-19Health PolicyHumansPrivacyRiskSafetySARS-CoV-2User-Computer Interface

Identifiers

PMID33763847
PMCPMC7990571

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.