Thursday, December 5, 2019
Active Surveillance Management of Localized â⬠MyAssignmenthelp.com
Question: Discuss about Active Surveillance Management of Localizedthe . Answer: Introduction: After identifying and defining the exact problem that is to be considered for surveillance, relevant data is to be collected relevant to the scope and needs that have been determined. For enabling a justified and accurate surveillance system, it is necessary to make a choice between active and passive surveillance system. Each system has its own set of advantages and disadvantages, and each aspect is to be considered before deciding on which system is to be used. Given a choice, it would be desirable to set up an active surveillance system aligned with the data collection objective. In active surveillance systems, potential researchers are stimulated to report specific diseases, and it is noteworthy that such a system is highly useful for validating the completeness and representativeness of passive reporting. Staff members can be employed for making regular contacts with population cohort or healthcare providers for seeking valuable information about the desired heath condition (Brownsen et al. 2017). Communicating with the healthcare providers is prominent in case of active surveillance, and one can suitably review medical records for identification of suspected cases of the disease. Designated staff re to visit regularly the health facilities for suspected cases possibly attending the facility for care services. Since there is a physical review of medical registers and records along with face to face interviews, relevant data is collected optimally. When a case is identified, the staff is to investigate it and document the data in person. As a result, the acc uracy of the data collected is optimal. The method is most suitable for collecting data with the objective of eliminating or eradicating diseases for which each potential case is to be identified and reported. In case of outbreak investigations, this method is most suitable. Chen et al. (2016) highlighted that active surveillance system provides the most timely and accurate information. Prospective steps can be involved for identifying patients with different diseases with the help of standardised definitions of infections, predetermined criteria and procedures resulting in incidence rates of the disease. Though implementation and maintenance of an active surveillance system need financial and personnel resources, this can be managed as per the exact need. At a higher level, the active surveillance system is directly related to monitoring and controlling of diseases, unlike passive surveillance system. Baum (2016) commented that if active surveillance is considered and done in a flawless manner, and if cohort population is monitored regularly, there are no chances of committing errors. The results gained are complete and trustworthy since a proactive initiative is taken in this context. Against the drawbacks of a passive surveillance system, the drawbacks of an active surveillance system are not more prominent, and the advantages of active surveillance system outweigh those of passive surveillance system. Further, more rigorous legislations can be found to guide active surveillance system, making it easier to implement the same. Lastly, active surveillance can be a better method for quantitative information required for forming health policies that are rational and focus on national health priorities. Chances to suffer a failure to carry out active surveillance is less as compared to passive surveillance. Public health surveillance is to be advocated for being an integral element o f global health agenda if preset goals are to be achieved with the purpose of improving public health status. References Baum, F. 2016.The new public health(No. Ed. 4). Oxford University Press. Brownson, R. C., Baker, E. A., Deshpande, A. D., and Gillespie, K. N. 2017.Evidence-based public health. Oxford University Press. Chen, R. C., Rumble, R. B., Loblaw, D. A., Finelli, A., Ehdaie, B., Cooperberg, M. R., ...and Justman, S. 2016. Active surveillance for the management of localized prostate cancer (Cancer Care Ontario Guideline): American Society of Clinical Oncology clinical practice guideline endorsement.Journal of Clinical Oncology,34(18), pp. 2182-2190.
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