0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Invited Commentary |

Public Health Surveillance—The Integral Role of Community-Based Studies

Mary Frances Cotch, PhD1
[+] Author Affiliations
1National Eye Institute, National Institutes of Health, Bethesda, Maryland
JAMA Ophthalmol. 2016;134(5):578-579. doi:10.1001/jamaophthalmol.2016.0334.
Text Size: A A A
Published online

Extract

In the United States, active surveillance exists for notifiable conditions, such as communicable diseases and foodborne outbreaks, with data routinely collected directly from the health care system and shared with local, state, and federal public health departments tasked with protecting the public from health emergencies. In contrast, there is no fixed infrastructure to continuously monitor chronic conditions.

Surveillance of vision impairment from eye disease occurs through investments in different forms of data collection, each of which has its own advantages and limitations. The National Health Interview Survey, the primary method of monitoring health in the United States, captures information from large numbers of participants through household interviews at relatively low cost for its subject-matter sponsors. Questions on vision and eye disease are periodically included; participants selected for inclusion provide self-reported responses. While National Health Interview Survey data provide useful information overall, the yield is questionable on some topics. For example, in the case of age-related macular degeneration (AMD), relying on self-report is suboptimal because older individuals without overt symptoms often do not seek a clinical diagnosis and some people with symptoms fail to access clinical care. Hence, the presence of AMD is underestimated in a survey of affected individuals who are unaware of their disease status.1

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

145 Views
0 Citations
×

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Care at the Close of Life: Evidence and Experience
Final Choices by a Chinese American Family

brightcove.createExperiences();