Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Dec 15, 2019
Date Accepted: May 14, 2020
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The integrated non-communicable disease collaborative management system based on the regional health information platform in Ningbo pilot: a milestone tackling NCD epidemic in China
ABSTRACT
Background:
Non-communicable diseases (NCDs) have become the main public health concern worldwide. With economic development and changes of lifestyles, the burden of NCDs in China is increasing dramatically year by year. Monitoring is a critical measure for NCDs control and prevention. Due to the lack of regional representativeness, unsatisfied data quality, inefficient data sharing and utilization, the existed surveillance systems and surveys in China cannot tackle the status and transition of NCDs epidemic.
Objective:
In order to tackle NCDs epidemic in China, this pilot program conducted in Ningbo city by Chinese Center for Disease Control and Prevention (CDC) aimed to develop an innovative model for NCDs surveillance and management, which named the integrated non-communicable disease collaborative management system (NCDCMS).
Methods:
This Ningbo model was developed through three-level (county/district, municipal, and provincial level) direct reporting based on the regional health information platform. The uniform data standards and interface specifications were developed to connect different platforms and conduct data exchanges. NCDs Registration Report and Management Standards were issued to clarify data quality evaluation indicators and data security management standards.
Results:
NCDCMS firstly realized the NCDs data automatic exchanging and sharing by three-level public health data exchanged platform in China. It currently covers 227 medical institutions throughout the city, including General Hospitals, Community Health Service Centers and township hospitals. Compared to the past, the data entry time of NCDs reporting in the new model is reduced from ten minutes to one minute, the data entry time of first-visit and follow-up is reduced from 15 minutes to less than one minute，respectively.
Conclusions:
NCDCMS firstly realized the NCDs data automatic exchanging and sharing by three-level public health data exchanged platform in China. It reshaped the whole process of NCD surveillance reporting and had unique advantages, which include relieving the burden of case reporting with real time manner, eliminating unnecessary redundancies, reducing the amount of underreporting, and structuring population-based cohorts and health big data as well. The Ningbo model will be gradually promoted elsewhere following this success of pilot, and expected to be a milestone in NCDs surveillance, control and prevention in China.
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