关键词：信息系统；公共卫生；临床医学；医药
摘 要：NORC at the University of Chicago is pleased to submit this final report for Assessing the Status and Prospects of State and Local Health Department Information Technology Infrastructure, a project of the Assistant Secretary for Planning and Evaluation (ASPE) at the United States Department of Health and Human Services. NORC and ASPE worked in close partnership with the National Association of County and City Health Officials (NACCHO) and the Association of State and Territorial Health Officials (ASTHO). This report describes how state health agencies (SHAs) and local health departments (LHDs) use information technology systems to capture, manage, analyze, and report information. We assess trends in use of information technology (IT) among SHAs and LHDs following the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the Patient Protection and Affordable Care Act (ACA) of 2010, recent work in public health informatics, and other factors. This project assumes that IT tools and resources should play a role in governmental public health practice. However, we also assume that rigorous assessments of public health goals should motivate IT projects and that stakeholders should design and implement IT in direct service of those goals.