enhancing the collection and use of data on injuries and violence...surveillance: public health...
TRANSCRIPT
Enhancing the collection and
use of data on injuries and
violence
Dr. Mashyaneh Haddadi
Head of Injury Prevention & Safety Promotion
Department
Main Topics:
Injury surveillance system.
Road traffic reimbursement data bank.
Hospital information system.
National Injury Surveillance
System
Surveillance:
Public health surveillance is the ongoing, systematic
collection, analysis, interpretation & dissemination
of data regarding a health related event for use in
public health action to reduce the morbidity &
mortality and to improve health.
Injury surveillance is the continuing scrutiny of all
aspects of occurrence and patterns of injury that are
pertinent to effective prevention and control.
Reference: Injury Surveillance Guideline, WHO, 2001.
No Injury Mild Moderate Severe Fatal
Household (Community) Survey
Health Clinic Records
Emergency Department Records
Ward Admission
ICU Admission
Death Certificate
Potential Data Sources
Reference: TEACH-VIP
Strengths Weaknesses
Country wide
Information was limited to Emergency
Department.
Simple
The process was too long.
There were some misclassification.
There was no quality control.
No data on Risk factors
Road traffic Reimbursement
Data Bank
Based on the Law, to address the health inequity due to catastrophic medical care costs of RTI, the Ministry of Health & Medical Education became responsible for free of charge care to all road traffic injured in all public & private health care facilities within the country.
Regarding this article, 10% of the mandatory third party premium of all kind of motor vehicles is deposited to the Ministry of Health & Medical Education to compensate the costs of this free of charge care .
Road traffic reimbursement data bank:
Road traffic reimbursement data bank:
Demographic Characteristics
Injury characteristics
XX External causes of morbidity and mortality
XIX Injury, poisoning and certain other
consequences of external causes
Place of occurrence
Mode of Transport to the hospital
Final outcome
Medical coding
Financial bill
Strengths Weaknesses
Country wide No quality control.
Simple No data on Risk factors
Outcome is not limited to ED
Based on ICD-10
Cost
EMS Coverage
Hospital Information System
(National health profile)
Strengths weaknesses
Country wide No quality control
Simple No data on Risk factors
Based on ICD-10
Cost
Linked to ID number for
tracking a patient
Facilitate targeted injury prevention policies and programs
at country and provincial level.
Lesson Learned:
A surveillance system should be:
Simple
Acceptable
Practical & Cost benefit
Sustainable
Timely
Comparable
Thank You