Abstract:
:Automated analysis of electronic health record (EHR) data is a complementary tool for public health surveillance. Analyzing and presenting these data, however, demands new methods of data communication optimized to the detail, flexibility, and timeliness of EHR data.RiskScape is an open-source, interactive, Web-based, user-friendly data aggregation and visualization platform for public health surveillance using EHR data. RiskScape displays near-real-time surveillance data and enables clinical practices and health departments to review, analyze, map, and trend aggregate data on chronic conditions and infectious diseases. Data presentations include heat maps of prevalence by zip code, time series with statistics for trends, and care cascades for conditions such as HIV and HCV. The platform's flexibility enables it to be modified to incorporate new conditions quickly-such as COVID-19.The Massachusetts Department of Public Health (MDPH) uses RiskScape to monitor conditions of interest using data that are updated monthly from clinical practice groups that cover approximately 20% of the state population. RiskScape serves an essential role in demonstrating need and burden for MDPH's applications for funding, particularly through the identification of inequitably burdened populations.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Cocoros NM,Kirby C,Zambarano B,Ochoa A,Eberhardt K,Rocchio Sb C,Ursprung WS,Nielsen VM,Durham NN,Menchaca JT,Josephson M,Erani D,Hafer E,Weiss M,Herrick B,Callahan M,Isaac T,Klompas Mdoi
10.2105/AJPH.2020.305963subject
Has Abstractpub_date
2021-02-01 00:00:00pages
269-276issue
2eissn
0090-0036issn
1541-0048journal_volume
111pub_type
杂志文章abstract::Falls and fall-induced injuries in older people are a major public health problem in modern societies with aging populations. Injury is the fifth leading cause of death in older adults, and most of these fatal injuries are related to falls. We have assessed the nationwide trends in fall-induced deaths of older people ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047779
更新日期:2005-03-01 00:00:00
abstract::From April 2004 through December 2004, we reviewed the express legal authorities of the 10 most populous US states to restrict the movement of persons to control communicable diseases. All 10 of the states possessed express legal authority to quarantine and isolate individuals, but the laws varied substantially. In th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.083311
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abstract:OBJECTIVES:We sought to determine how risk factors for disease vary among Asian subgroups. METHODS:Using data from a case-control study conducted at Northern California Kaiser Medical Centers (from 1996 to 2001), we compared prevalence of selected risk factors among Asian subgroups and evaluated the associations of th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.11.1977
更新日期:2004-11-01 00:00:00
abstract::Using data from the Child Health Supplement to the 1981 National Health Interview Survey, illness and use of physician services are compared for children under 18 years old in three family income groups. The results indicate that although annual prevalence of many health problems does not differ greatly by income leve...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.8.927
更新日期:1988-08-01 00:00:00
abstract::This study examined the association between aerobic fitness and serum cholesterol and the effects of controlling for gender, body composition, abdominal fat, and dietary saturated fat in 262 children. The 1-mile run was used to estimate fitness. Skinfolds were used in assessing body fat. Fit children had lower total c...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.12.1702
更新日期:1995-12-01 00:00:00
abstract::Health officials often wish to sponsor nutrition and other health promotion programs but are hampered by lack of funding. One source of funding is suggested by the fact that 18 states and 1 major city levy special taxes on soft drinks, candy, chewing gum, or snack foods. The tax rates may be too small to affect sales,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.6.854
更新日期:2000-06-01 00:00:00
abstract::We interviewed 1038 HIV-positive inpatients in public hospitals in Miami, Florida, and Atlanta, Georgia, to examine patient factors associated with use of HIV care, use of antiretroviral therapy, and unprotected sexual intercourse. Multivariate analyses and multiple logistic regression models showed that use of crack ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.139931
更新日期:2009-06-01 00:00:00
abstract::An estimated 2,300,000 women in the United States underwent tubal sterilizations in 1970-1975. During this period the rate of tubal sterilizations per 1,000 women 15-44 years of age rose from 4.7 to 11.7. We studied the influence on sterilization trends of four demographic variables: age, region of residence, race, an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.70.8.808
更新日期:1980-08-01 00:00:00
abstract:OBJECTIVES:Syphilis in the United States is focally distributed, with high incidence rates in the South and in metropolitan areas nationwide. In this study an ecological analysis, using the county as the unit of analysis, was performed to generate hypotheses about community-level determinants of syphilis rates. METHOD...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.87.12.1937
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVES:We evaluated the effectiveness of the Public Health Detailing Program in helping primary care providers and their staff to improve patient care on public health challenges. METHODS:We analyzed reported changes in clinical practice or behavior by examining providers' retention and implementation of recommend...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300622
更新日期:2012-06-01 00:00:00
abstract::Objectives. To examine state-level factors associated with late-stage HIV diagnoses in the United States.Methods. We examined state-level factors associated with late-stage diagnoses by estimating negative binomial regression models. We used 2013 to 2016 data from the National HIV Surveillance System (late-stage diagn...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305273
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:This study sought to estimate the impact on birthweight of maternal participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). METHODS:WIC estimates were based on sibling models incorporating data on children born between 1990 and 1996 to women taking part in the Nat...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.5.799
更新日期:2002-05-01 00:00:00
abstract::We evaluated perceived social and environmental supports for physical activity and walking using multivariable modeling. Perceptions were obtained on a sample of households in a southeastern county. Respondents were classified according to physical activity levels and walking behaviors. Respondents who had good street...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.3.440
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVES:This study examined the relationship of sociodemographic factors and use of substances other than cocaine to cocaine use from 1987 to 1992 in a cohort of Black and White men and women 20 to 32 years of age. METHODS:Data were collected as part of the Coronary Artery Risk Development in Young Adults study. Se...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.86.12.1736
更新日期:1996-12-01 00:00:00
abstract::The evolution of the emergency medical services system in the United States accelerated rapidly between 1960 and 1973 as a result of a number of medical, historical, and social forces. Current emergency medical services researchers, policy advocates, and administrators must acknowledge these forces and their limitatio...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.048793
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:We sought to determine whether an elevated burden of chronic kidney disease is found among disadvantaged groups living in the United States, Australia, and Thailand. METHODS:We used data on participants 35 years or older for whom a valid serum creatinine measurement was available from studies in the United ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.116020
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVES:The Centers for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis Team conducted a systematic review of US-based HIV behavioral intervention research literature from 2000 through 2004 to identify interventions demonstrating best evidence of efficacy for reducing HIV risk. METHODS:Stand...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2005.076182
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:We compared childbirth-related outcomes for Medicaid recipients who received prenatal education and childbirth support from trained doulas with outcomes from a national sample of similar women and estimated potential cost savings. METHODS:We calculated descriptive statistics for Medicaid-funded births natio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301201
更新日期:2013-04-01 00:00:00
abstract::The science of eliminating health disparities is complex and dependent on demographic data. The Health Information Technology for Economic and Clinical Health Act (HITECH) encourages the adoption of electronic health records and requires basic demographic data collection; however, current data generated are insufficie...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302384
更新日期:2015-07-01 00:00:00
abstract::We assessed the prevalence of smokeless tobacco use by 901 high school students in two Arkansas communities, and identified factors associated with initiation and maintenance. Results showed that 36.7 per cent of males and 2.2 per cent of females currently used smokeless tobacco. Modal responses indicated that if smok...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.2.190
更新日期:1986-02-01 00:00:00
abstract:OBJECTIVES:This study identified behavioral and psychosocial/interpersonal factors in young adolescence that are associated with handgun carrying in later adolescence. METHODS:A sample of 2200 high school students was surveyed at 9th grade and again at 12th grade. RESULTS:Multivariate logistic regression analyses ind...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.6.960
更新日期:1998-06-01 00:00:00
abstract:OBJECTIVES:We examined low-birthweight (LBW) rates among participants in Colorado's Prenatal Plus program by prenatal risk factors (smoking, inadequate weight gain during pregnancy, and psychosocial problems) and the effect of successful resolution of these risks during pregnancy. METHODS:Data for 3569 Medicaid-eligib...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.047068
更新日期:2005-11-01 00:00:00
abstract::Blood pressure levels were investigated in a population of diabetic persons who were diagnosed at 30 years of age or older and who received their primary medical care in an 11-county area in Southern Wisconsin. Prevalence of hypertension in these 5,104 persons was compared with prevalence figures from the Health and N...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.4.336
更新日期:1984-04-01 00:00:00
abstract:OBJECTIVES:Data from the Western Collaborative Group Study were used to determine the extent to which the inverse association between socioeconomic status (SES) and mortality can be explained by risk factors for major causes of mortality. METHODS:The relation of education and income to subsequent mortality was studied...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.85.9.1231
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVES: To investigate the impact of Be the Exception, a newly developed program to delay onset of sexual behaviors, in a White, rural population. METHODS: A cluster randomized controlled trial in northwestern Indiana (14 schools, 1776 students, 2011-2015) compared an intervention (5 group sessions and multimedia ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303438
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:We evaluated the association of household-level stressors with depressive symptoms among low-wage nursing home employees. METHODS:Data were collected in 2006 and 2007 from 452 multiethnic primary and nonprimary wage earners in 4 facilities in Massachusetts. We used logistic regression to estimate the associ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300323
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:To elucidate why the inverse association between education level and mortality risk (the gradient) has increased markedly among White women since the mid-1980s, we identified causes of death for which the gradient increased. METHODS:We used data from the 1986 to 2006 National Health Interview Survey Linked ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301128
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:We reviewed data for the Minority HIV/AIDS Research Initiative (MARI), which was established in 2003 to support underrepresented minority scientists performing HIV prevention research in highly affected communities. METHODS:MARI was established at the Centers for Disease Prevention and Control as a program ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301345
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Drug overdose is an important, yet an inadequately understood, public health problem. Global attention to unintentional drug overdose has been limited by comparison with the scope of the problem. There has been a substantial increase in drug overdose incidence and prevalence in several countries worldwide ov...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2015.302843
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:We investigated environmental lead pollution and its impact on children's blood lead levels (BLLs) in a rural area of China. METHODS:In 2007, we studied 379 children younger than 15 years living in 7 villages near lead mines and processing plants, along with a control group of 61 children from another villa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.193656
更新日期:2011-05-01 00:00:00