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Small-area estimation for public health surveillance using electronic health record data: reducing the impact of underrepresentation | BMC Public Health

Electronic Health Record (EHR) data are increasingly being used to monitor population health on account of their timeliness, granularity, and large sample sizes. While EHR data are often sufficient to estimate disease prevalence and trends for large geographic areas, the same accuracy and precision may not carry over for smaller areas that are sparsely represented by non-random samples. We developed small-area estimation models using a combination of EHR data drawn from MDPHnet, an EHR-based public health surveillance network in Massachusetts, the American Community Survey, and state hospitalization data. We estimated municipality-specific prevalence rates of asthma, diabetes, hypertension, obesity, and smoking in each of the 351 municipalities in Massachusetts in 2016. Models were compared against Behavioral Risk Factor Surveillance System (BRFSS) state and small area estimates for 2016. Integrating progressively more variables into prediction models generally reduced mean absolute er ....

United States , United Kingdom , Community Level Data , Harvard Pilgrim Health Care Institute , Massachusetts League , Electronic Medical Record Support For Public Health , Community Health Centers , Cambridge Health Alliance , Atrius Health , American Community , Electronic Medical Record Support , Public Health , Harvard Pilgrim Health Care , Level Data , Code Tabulation Areas , Discharge Data , Risk Factor Surveillance System Data , Risk Factor Surveillance System , Case Mix , Community Level ,

COVID vaccination: Insurance status could be barrier in vaccine rates

COVID vaccination: Insurance status could be barrier in vaccine rates
newsleader.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from newsleader.com Daily Mail and Mail on Sunday newspapers.

United States , Monique Calello Staunton , Census Bureau , Health Access Data Assistance Center , University Of Minnesota , Kaiser Family Foundation , Affordable Health Care , Staunton News , Colin Planalp , State Health Access Data Assistance Center , Risk Factor Surveillance System Data , Kaiser Family , General Assembly , Lauren Young ,

Kiosk at White Mountain Library to Help Those in #PreventDiabetes Program

Kiosk at White Mountain Library to Help Those in #PreventDiabetes Program
sweetwaternow.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from sweetwaternow.com Daily Mail and Mail on Sunday newspapers.

United States , Sweetwater County , Jason Grubb , Sweetwater County Library System , Rock Springs Chamber , Sweetwater County Library , Health Preventdiabetes , Centers For Disease Control , Department Of Health , White Mountain Library , Wyoming Department , Risk Factor Surveillance System Data , Disease Control , Kleppe Director , Sweetwater County Library Director Jason Grubb ,