Evidence map›Paper›PMID 37146228›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2023

Strengths, weaknesses, opportunities, and threats for the nation's public health information systems infrastructure: synthesis of discussions from the 2022 ACMI Symposium.

Jessica C Acharya, Catherine Staes, Katie S Allen, Joel Hartsell, Theresa A Cullen, Leslie Lenert, Donald W Rucker, Harold P Lehmann, Brian E Dixon

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. US public health surveillance, reimagined.Learning health systems · 2024
    Article
  5. Article
  6. Article
  7. Applying Machine Learning Techniques to Implementation Science.Online journal of public health informatics · 2024
    Article
  8. Article
  9. Article
  10. Informatics and data science approaches address significant public health problems.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  11. Enhancing the nation's public health information infrastructure: a report from the ACMI symposium.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
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

9 authors.

Jessica C AcharyaHealthy Policy & Management, Informatics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Catherine StaesCollege of Nursing, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-5423-3251
Katie S AllenDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health, IUPUI, Indianapolis, Indiana, USA.ORCID 0000-0002-6058-6280
Joel HartsellSchool of Medicine, University of Utah, Salt Lake City, Utah, USA.
Theresa A CullenCenter for Biomedical Informatics, Regenstrief Institute, Inc., Indianapolis, Indiana, USA.ORCID 0000-0002-8730-5688
Leslie LenertDepartment of Medicine, Medical University of South Carolina, Charleston, South Carolina, USA.
Donald W Rucker1upHealth, Boston, Massachusetts, USA.
Harold P LehmannDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Brian E DixonDepartment of Health Policy & Management, Richard M. Fairbanks School of Public Health, IUPUI, Indianapolis, Indiana, USA.ORCID 0000-0002-1121-0607

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe annual American College of Medical Informatics (ACMI) symposium focused discussion on the national public health information systems (PHIS) infrastructure to support public health goals. The objective of this article is to present the strengths, weaknesses, threats, and opportunities (SWOT) identified by public health and informatics leaders in attendance. MATERIALS AND

methodsThe Symposium provided a venue for experts in biomedical informatics and public health to brainstorm, identify, and discuss top PHIS challenges. Two conceptual frameworks, SWOT and the Informatics Stack, guided discussion and were used to organize factors and themes identified through a qualitative approach.

resultsA total of 57 unique factors related to the current PHIS were identified, including 9 strengths, 22 weaknesses, 14 opportunities, and 14 threats, which were consolidated into 22 themes according to the Stack. Most themes (68%) clustered at the top of the Stack. Three overarching opportunities were especially prominent: (1) addressing the needs for sustainable funding, (2) leveraging existing infrastructure and processes for information exchange and system development that meets public health goals, and (3) preparing the public health workforce to benefit from available resources. DISCUSSION: The PHIS is unarguably overdue for a strategically designed, technology-enabled, information infrastructure for delivering day-to-day essential public health services and to respond effectively to public health emergencies.

conclusionMost of the themes identified concerned context, people, and processes rather than technical elements. We recommend that public health leadership consider the possible actions and leverage informatics expertise as we collectively prepare for the future.

Indexed as

information systemsinformation technologypopulation healthpublic health informaticspublic policysociological factors

Identifiers

PMID37146228
PMCPMC10198524

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.