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Public Health and Epidemiology Informatics: Recent Research and Trends in the United States
13 August 2015
10 March 2018 (online)
Objectives: To survey advances in public health and epidemiology informatics over the past three years.
Methods: We conducted a review of English-language research works conducted in the domain of public health informatics (PHI), and published in MEDLINE between January 2012 and December 2014, where information and communication technology (ICT) was a primary subject, or a main component of the study methodology. Selected articles were synthesized using a thematic analysis using the Essential Services of Public Health as a typology.
Results: Based on themes that emerged, we organized the advances into a model where applications that support the Essential Services are, in turn, supported by a socio-technical infrastructure that relies on government policies and ethical principles. That infrastructure, in turn, depends upon education and training of the public health workforce, development that creates novel or adapts existing infrastructure, and research that evaluates the success of the infrastructure. Finally, the persistence and growth of infrastructure depends on financial sustainability.
Conclusions: Public health informatics is a field that is growing in breadth, depth, and complexity. Several Essential Services have benefited from informatics, notably, “Monitor Health,” “Diagnose & Investigate,” and “Evaluate.” Yet many Essential Services still have not yet benefited from advances such as maturing electronic health record systems, interoperability amongst health information systems, analytics for population health management, use of social media among consumers, and educational certification in clinical informatics. There is much work to be done to further advance the science of PHI as well as its impact on public health practice.
- 1 Yasnoff WA, O’Carroll PW, Koo D, Linkins RW, Kilbourne EM. Public health informatics: improving and transforming public health in the information age. J Public Heal Manag Pr [Internet] 2000; 6 (06) 67-75. Available from: http://www.ncbi.nlm.nih.gov/pubmed/18019962
- 2 Yasnoff WA, Overhage JM, Humphreys BL, LaVenture M. A national agenda for public health informatics: summarized recommendations from the 2001 AMIA Spring Congress. J Am Med Inform Assoc 2001; 8 (06) 535-45.
- 3 Magnuson JA, Fu PC. Public health informatics and information systems [Internet]. 2nd ed. Health informatics, London; Available from: http://dx.doi.org/10.1007/978-1-4471-4237-9
- 4 Massoudi BL, Goodman KW, Gotham IJ, Holmes JH, Lang L, Miner K. et al. An informatics agenda for public health: summarized recommendations from the 2011 AMIA PHI Conference. J Am Med Inform Assoc [Internet] 2012; 19 (05) 688-95. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22395299
- 5 Bravata DM, McDonald KM, Smith WM, Rydzak C, Szeto H, Buckeridge DL. et al. Systematic review: surveillance systems for early detection of bioterrorism-related diseases. Ann Intern Med [Internet] 2004; 140 (11) 910-22. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15172906
- 6 Federal Bureau of Investigation.. Amerithrax Investigation [Internet]. 2008 Available from: http://www.fbi.gov/anthrax/amerithraxlinks.htm
- 7 Tu AT. Overview of sarin terrorist attacks in Japan. tACS Symp Ser 1999; 745: 304-17.
- 8 Peiris JS, Yuen KY, Osterhaus AD, Stohr K. The severe acute respiratory syndrome. N Engl J Med [Internet] 2003; 349 (25) 2431-41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14681510
- 9 Shapiro JS, Genes N, Kuperman G, Chason K. Clinical Advisory Committee H1N1 Working Group NYCIE Richardson LD. Health information exchange, biosurveillance efforts, and emergency department crowding during the spring 2009 H1N1 outbreak in New York City. Ann Emerg Med [Internet] 2010; 55 (03) 274-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20079955
- 10 Bialek SR, Allen D, Alvarado-Ramy F, Arthur R, Balajee A, Bell D. et al. First confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in the United States, updated information on the epidemiology of MERS-CoV infection, and guidance for the public, clinicians, and public health authorities - May 20. MMWR Morb Mortal Wkly Rep [Internet] 2014; 63 (19) 431-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24827411
- 11 Ejima K, Aihara K, Nishiura H. Probabilistic differential diagnosis of Middle East respiratory syndrome (MERS) using the time from immigration to illness onset among imported cases. J Theor Biol [Internet] 2014; 346: 47-53. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24406808
- 12 Mandl KD. Ebola in the United States: EHRs as a Public Health Tool at the Point of Care. JAMA [Internet]. 2014 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25329170
- 13 Khoury MJ, Lam TK, Ioannidis JP, Hartge P, Spitz MR, Buring JE. et al. Transforming epidemiology for 21st century medicine and public health. Cancer Epidemiol Biomarkers Prev [Internet] 2013; 22 (04) 508-16. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23462917
- 14 Liyanage H, de Lusignan S, Liaw ST, Kuziemsky CE, Mold F, Krause P. et al. Big Data Usage Patterns in the Health Care Domain: A Use Case Driven Approach Applied to the Assessment of Vaccination Benefits and Risks. Contribution of the IMIA Primary Healthcare Working Group. Yearb Med Inf [Internet] 2014; 9 (01) 27-35. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25123718
- 15 Bobashev G. myEpi. Epidemiology of One. Front Public Heal [Internet] 2014; 2: 97. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25161995
- 16 Dixon BE, Pina J. Public and Global Health Informatics Year in Review. Westra B, editor. AMIA Annual Symposium. Washington, DC: AMIA; 2014
- 17 Lamy J-B, Séroussi B, Griffon N, Kerdelhué G, Jaulent M-C, Bouaud J. Toward a formalization of the process to select IMIA Yearbook best papers. Methods Inf Med [Internet] 2015; Jan [cited 2015 Aug 5] 54 (02) 135-44. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25396220
- 18 Public Health Functions Steering Committee M (1995). Public Health in America [Internet]. 2008 Available from: http://www.health.gov/phfunctions/public.htm
- 19 Chiolero A, Paccaud F, Fornerod L. [How to conduct public health surveillance? The example of the Observatoire Valaisan de la Sante in Switzerland]. Sante Publique (Paris) [Internet] 2014; 26 (01) 75-84. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24893517
- 20 Sulis G, Roggi A, Matteelli A, Raviglione MC. Tuberculosis: Epidemiology and Control. Mediterr J Hematol Infect Dis [Internet] 2014; 6 (01) e2014070. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25408856
- 21 Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Popul Heal Metr [Internet] 2010; 8: 29. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20969750
- 22 Gottlieb LM, Tirozzi KJ, Manchanda R, Burns AR, Sandel MT. Moving Electronic Medical Records Upstream: Incorporating Social Determinants of Health. Am J Prev Med [Internet] 2014 Available from: http://www.ncbi.nlm.nih.gov/pubmed/25217095
- 23 Committee on the Recommended Social and Behavioral Domains and Measures for Electronic Health Records Institute of Medicine, B on PH and PHP. Capturing Social and Behavioral Domains in Electronic Health Records: PHASE 1. Washington DC: National Academies Press; 2014
- 24 Carey G, Crammond B, Keast R. Creating change in government to address the social determinants of health: how can efforts be improved?. BMC Public Health [Internet] 2014; 14: 1087. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25327969
- 25 Aguilar-Gaxiola S, Ahmed S, Franco Z, Kissack A, Gabriel D, Hurd T. et al. Towards a unified taxonomy of health indicators: academic health centers and communities working together to improve population health. Acad Med [Internet] 2014; 89 (04) 564-72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24556775
- 26 Blumenthal D, Tavenner M. The “Meaningful Use” Regulation for Electronic Health Records. N Engl J Med [Internet] 2010; Aug 5 [cited 2015 Mar 30] 363 (06) 501-4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20647183
- 27 Charles D, Gabriel M, Furukawa MF. Adoption of Electronic Health Record Systems among U . S . Non -federal Acute Care Hospitals : 2008-2013. ONC Data Br 2014; 2008 (16) 2008-13.
- 28 Adler-Milstein J, Sarma N, Woskie LR, Jha AK. A comparison of how four countries use health IT to support care for people with chronic conditions. Heal Aff [Internet] 2014; 33 (09) 1559-66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25201660
- 29 Stabile M, Thomson S, Allin S, Boyle S, Busse R, Chevreul K. et al. Health care cost containment strategies used in four other high-income countries hold lessons for the United States. Heal Aff [Internet] 2013; 32 (04) 643-52. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23569043
- 30 Schoen C, Osborn R, Squires D, Doty M, Pierson R, Applebaum S. New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated. Heal Aff [Internet] 2011; 30 (12) 2437-48. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22072063
- 31 About Us [Internet]. Washington DC: Patient-Centered Outcomes Research Institute; 2014 Available from: http://www.pcori.org/about-us
- 32 Wastell D, White S. Beyond bureaucracy: emerging trends in social care informatics. Heal Informatics J [Internet] 2014; 20 (03) 213-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24038485
- 33 Administration for Children and Families.. OMB Partnership Fund Pilot: State Systems Interoperability and Integration (S2I2) Grant Project [Internet]. Department of Health and Human Services; 2014. Available from: http://www.acf.hhs.gov/omb-partnership-fund-pilot-state-systems-interoperability-and
- 34 Strategic Plan: 2008 Update. Rockville, MD: Montgomery County Department of Health and Human Services; 2008
- 35 The Committee for Study of the Future of Public Health.. The Future of Public Health [Internet]. Washington, D.C: National Academy of Sciences; 1988 [cited 2015 Aug 5]. Available from: http://www.nap.edu/openbook.php?record_id=1091
- 36 Feit S. TCP/IP Architecture, Protocols, and Implementation. McGraw-Hill Series on Computer Communications. New York: McGraw-Hill, Inc.; 1993
- 37 Sittig DF, Singh H. A new sociotechnical model for studying health information technology in complex adaptive healthcare systems. Qual Saf Heal Care [Internet] 2010; 19 (03) i68-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20959322
- 38 Dixon BE, Gibson PJ, Grannis SJ. Estimating increased electronic laboratory reporting volumes for meaningful use: implications for the public health workforce. Online J Public Heal Inf 2014/03/29 ed 2014; 5 (03) 225.
- 39 Centers for Medicare & Medicaid Services. 42 CFR Parts 412, 413, 422, and 495 [CMS–0033–F] RIN 0938–AP78 Medicare and Medicaid Programs; Electronic Health Record Incentive Program (Final Rule). Services C for M& M, editor. Fed Regist [Internet]. Washington, DC; 2010; 75 (144) 44314-588. Available from: http://www.gpo.gov/fdsys/pkg/FR-2010-07-28/pdf/2010-17207.pdf
- 40 Centers for Medicare & Medicaid Services. 42 CFR Parts 412, 413, and 495 [CMS–0044–F] RIN 0938–AQ84 Medicare and Medicaid Programs; Electronic Health Record (Final Rule). Fed Regist [Internet] 2012; 77 (171) 53968-4161. Available from: http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-21050.pdf
- 41 Carayon P. Human factors of complex sociotechnical systems. Appl Erg [Internet] 2006; 37 (04) 525-35 Available from: http://www.ncbi.nlm.nih.gov/pubmed/16756937
- 42 Sittig DF, Kahol K, Singh H. Sociotechnical evaluation of the safety and effectiveness of point-of-care mobile computing devices: a case study conducted in India. Stud Health Technol Inform [Internet] 2013; 192: 515-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23920608
- 43 Aqil A, Lippeveld T, Hozumi D. PRISM framework: a paradigm shift for designing, strengthening and evaluating routine health information systems. Heal Policy Plan [Internet] 2009; 24 (03) 217-28. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19304786
- 44 Dixon B.S.G.. Public Health Informatics Infrastructure. In: Magnuson J, Fu JPC. editors. Public Health Informatics and Information Systems. London: Springer; 2014. p. 69-88.
- 45 Merrill JA, Deegan M, Wilson RV, Kaushal R, Fredericks K. A system dynamics evaluation model: implementation of health information exchange for public health reporting. J Am Med Inform Assoc [Internet] 2013/01/08 ed 2013; 20 e1 e131-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23292910
- 46 Buehler JW, Hopkins RS, Overhage JM, Sosin DM, Tong V, Group CDCW. Framework for evaluating public health surveillance systems for early detection of outbreaks: recommendations from the CDC Working Group. MMWR Recomm Rep [Internet] 2004; 53 RR-5 1-11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15129191
- 47 McCullough JM, Zimmerman FJ, Bell DS, Rodriguez HP. Local public health department adoption and use of electronic health records. J Public Heal Manag Pr [Internet] 2015; 21 (01) E20-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25271385
- 48 Jones EB, Furukawa MF. Adoption and use of electronic health records among federally qualified health centers grew substantially during 2010-12. Heal Aff [Internet] 2014; 33 (07) 1254-61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25006154
- 49 Wu L. ONC Issue Brief: Health IT for Public Health Reporting and Information Systems [Internet]. Washington, DC: Office of the National Coordinator for Health Information Technology; 2014. Available from: http://www.healthit.gov/sites/default/files/phissuebrief04-24-14.pdf
- 50 Gluskin RT, Mavinkurve M, Varma JK. Government leadership in addressing public health priorities: strides and delays in electronic laboratory reporting in the United States. Am J Public Health [Internet] 2014/01/18 ed 2014; 104 (03) e16-21. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24432922
- 51 Effler P, Ching-Lee M, Bogard A, Ieong MC, Nekomoto T, Jernigan D. Statewide system of electronic notifiable disease reporting from clinical laboratories: comparing automated reporting with conventional methods. JAMA [Internet] 1999; 282 (19) 1845-50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10573276
- 52 Vest JR, Issel LM, Lee S. Experience of using information systems in public health practice: findings from a qualitative study. Online J Public Heal Inf 2014/03/29 ed 2014; 5 (03) 227.
- 53 Lewis SH, Hurt-mullen K, Martin C, Ma H, Tokars I, Lombardo JS. et al. Systems in Public Health Practice. In: Lombardo JS, Buckeridge DL. editors. Disease surveillance: A public health informatics approach. New York: Wiley; 2007
- 54 Travers D, Haas SW, Waller AE, Schwartz TA, Mostafa J, Best NC. et al. Implementation of Emergency Medical Text Classifier for syndromic surveillance. AMIA Annu Symp Proc [Internet] 2014/02/20 ed 2013; 2013: 1365-74. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24551413
- 55 Turner AM, Bergman M, Brownstein M, Cole K, Kirchhoff K. A comparison of human and machine translation of health promotion materials for public health practice: time, costs, and quality. J Public Heal Manag Pr 2013/10/03 ed 2014; 20 (05) 523-9.
- 56 Kirchhoff K, Turner AM, Axelrod A, Saavedra F. Application of statistical machine translation to public health information: a feasibility study. J Am Med Inform Assoc [Internet] 2011; 18 (04) 473-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21498805
- 57 Sinčak P, Ondo J, Kaposztasova D, Virčikova M, Vranayova Z, Sabol J. Artificial intelligence in public health prevention of legionelosis in drinking water systems. Int J Env Res Public Heal [Internet] 2014/08/26 ed 2014; 11 (08) 8597-611. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25153475
- 58 Barrat A, Cattuto C, Tozzi AE, Vanhems P, Voirin N. Measuring contact patterns with wearable sensors: methods, data characteristics and applications to data-driven simulations of infectious diseases. Clin Microbiol Infect [Internet] 2014; 20 (01) 10-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24267942
- 59 Dixon BE. The neolithic revolution in public health [Internet]. Public Administration Times. 2013 Available from: http://patimes.org/neolithic-revolution-public-health
- 60 Vest JR. Health information exchange: national and international approaches. Adv Heal Care Manag [Internet] 2012; 12: 3-24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22894043
- 61 Furukawa MF, Patel V, Charles D, Swain M, Mostashari F. Hospital electronic health information exchange grew substantially in 2008-12. Heal Aff [Internet] 2013; 32 (08) 1346-54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23918477
- 62 Erdem E, Korda H, Haffer SC, Sennett C. Medicare claims data as public use files: a new tool for public health surveillance. J Public Heal Manag Pr 2014/05/24 ed 2014; 20 (04) 445-52.
- 63 Dixon BE, Jones JF, Grannis SJ. Infection preventionists’ awareness of and engagement in health information exchange to improve public health surveillance. Am J Infect Control [Internet] 2013; 41 (09) 787-92. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23415767
- 64 Vest JR, Issel LM. Factors related to public health data sharing between local and state health departments. Health Serv Res [Internet] 2013/12/24 ed 2014; 49 1 Pt 2 373-91. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24359636
- 65 Klann JG, Buck MD, Brown J, Hadley M, El-more R, Weber GM. et al. Query Health: standards-based, cross-platform population health surveillance. J Am Med Inform Assoc [Internet] 2014/04/05 ed 2014; 21 (04) 650-6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24699371
- 66 McCullough Mac J, Goodin K. Patterns and Correlates of Public Health Informatics Capacity Among Local Health Departments. Online J Public Heal Inf [Internet] 2014 6(2) Available from: http://dx.doi.org/10.5210/ojphi.v6i3.5572
- 67 Samoff E, Fangman MT, Hakenewerth A, Ising A, Waller AE. Use of syndromic surveillance at local health departments: movement toward more effective systems. J Public Heal Manag Pr 2014/01/18 ed 2014; 20 (04) E25-30.
- 68 Dixon BE, Vreeman DJ, Grannis SJ. The long road to semantic interoperability in support of public health: experiences from two states. J Biomed Inf [Internet] 2014; 49: 3-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24680985
- 69 Dixon BE, Gamache RE, Grannis SJ. Towards public health decision support: a systematic review of bidirectional communication approaches. J Am Med Inform Assoc [Internet] 2013; 20 (03) 577-83. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23467470
- 70 Househ M. The role of short messaging service in supporting the delivery of healthcare: An umbrella systematic review. Heal Informatics J [Internet] 2014/07/20 ed. 2014; Available from: http://www.ncbi.nlm.nih.gov/pubmed/25038203
- 71 Vodopivec-Jamsek V, de Jongh T, Gurol-Urganci I, Atun R, Car J. Mobile phone messaging for preventive health care. Cochrane database Syst Rev [Internet] 2012; Jan [cited 2014 Jul 15] 12: CD007457. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23235643
- 72 Cole-Lewis H, Kershaw T. Text messaging as a tool for behavior change in disease prevention and management. Epidemiol Rev [Internet] 2010; Apr [cited 2015 Mar 30] 32 (01) 56-69. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3082846&tool=pmcentrez&render-type=abstract
- 73 Militello LK, Kelly SA, Melnyk BM. Systematic review of text-messaging interventions to promote healthy behaviors in pediatric and adolescent populations: implications for clinical practice and research. Worldviews Evid Based Nurs [Internet] 2012; Apr [cited 2015 Jul 7] 9 (02) 66-77. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22268959
- 74 Wei J, Hollin I, Kachnowski S. A review of the use of mobile phone text messaging in clinical and healthy behaviour interventions. J Telemed Telecare [Internet] 2011; Jan [cited 2015 Aug 5] 17 (01) 41-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21097565
- 75 Horvath T, Azman H, Kennedy GE, Rutherford GW. Mobile phone text messaging for promoting adherence to antiretroviral therapy in patients with HIV infection. Cochrane database Syst Rev [Internet] 2012; Jan [cited 2015 Mar 20] 3: CD009756. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22419345
- 76 Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Car J, Atun R. Mobile phone messaging for communicating results of medical investigations. Cochrane database Syst Rev [Internet] 2012; Jan [cited 2015 Aug 5] 6: CD007456. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22696369
- 77 Yeager VA, Menachemi N. Text messaging in health care: a systematic review of impact studies. Adv Health Care Manag [Internet].2011 Jan [cited 2015; Aug 5] 11: 235-61. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22908672
- 78 Broniatowski DA, Paul MJ, Dredze M. National and local influenza surveillance through Twitter: an analysis of the 2012-2013 influenza epidemic. PLoS One [Internet] 2013; 8 (12) e83672. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24349542
- 79 Denecke K, Krieck M, Otrusina L, Smrz P, Dolog P, Nejdl W. et al. How to exploit twitter for public health monitoring?. Methods Inf Med [Internet] 2013/07/24 ed 2013; 52 (04) 326-39. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23877537
- 80 Capurro D, Cole K, Echavarria MI, Joe J, Neogi T, Turner AM. The use of social networking sites for public health practice and research: a systematic review. J Med Internet Res 2014/03/20 ed 2014; 16 (03) e79.
- 81 Admin. Medical Doctors, PhDs Enter New Apprenticeship Program [Internet]. Apr 26, 20. (Work in Progress) The Official Blog of the U.S. Department of Labor. 2012 Available from: http://social.dol.gov/blog/medical-doctors-phds-enter-new-apprenticeship-program
- 82 Lehmann CU, Shorte V, Gundlapalli AV. Clinical informatics sub-specialty board certification. Pediatr Rev [Internet] 2013; 34 (11) 525-30. Available from: http://www.ncbi.nlm.nih.gov/pubmed/24187144
- 83 Samuel HW, Zaiane OR. A Repository of Codes of Ethics and Technical Standards in Health Informatics. Online J Public Heal Inf [Internet] 2014; 6 (02) e189. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25422725
- 84 A code of ethics for public health. Am J Pub Heal 2002; 92 (07) 1057-9.
- 85 Thomas JC, Irwin DE, Zuiker ES, Millikan RC. Genomics and the public health code of ethics. Am J Public Health [Internet] 2005; 95 (12) 2139-43. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16257942
- 86 Geissbuhler A, Safran C, Buchan I, Bellazzi R, Labkoff S, Eilenberg K. et al. Trustworthy reuse of health data: a transnational perspective. Int J Med Inf [Internet] 2013; 82 (01) 1-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23182430
- 87 Strengthening the evidence base for a learning health system - Inspirations from good practice for capacity building in health services research and public health research [Internet]. 2011 Available from: http://eprints.hta.lbg.ac.at/908/1/HTA-Projektbericht_Nr.48.pdf Item Resolution URL