Improving data surveillance resilience beyond COVID-19: experiences of primary heAlth Care quAlity Cohort In ChinA (ACACIA) using unannounced standardized patients

Dong (Roman) Xu, Yiyuan Cai, Xiaohui Wang, Yaolong Chen, Wenjie Gong, Jing Liao, Jifang Zhou, Zhongliang Zhou, Nan Zhang, Chengxiang Tang, Baibing Mi, Yun Lu, Ruixin Wang, Qing Zhao, Wenjun He, Huijuan Liang, Jinghua Li, Jay Pan

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

We analyzed COVID-19 influences on the design, implementation, and validity of assessing the quality of primary health care using unannounced standardized patients (USPs) in China. Because of the pandemic, we crowdsourced our funding, removed tuberculosis from the USP case roster, adjusted common cold and asthma cases, used hybrid online-offline training for USPs, shared USPs across provinces, and strengthened ethical considerations. With those changes, we were able to conduct fieldwork despite frequent COVID-19 interruptions. Furthermore, the USP assessment tool maintained high validity in the quality checklist (criteria), USP role fidelity, checklist completion, and physician detection of USPs. Our experiences suggest that the pandemic created not only barriers but also opportunities to innovate ways to build a resilient data collection system. To build data system reliance, we recommend harnessing the power of technology for a hybrid model of remote and in-person work, learning from the sharing economy to pool strengths and optimize resources, and dedicating individual and group leadership to problem-solving and results.

Original languageEnglish
Pages (from-to)913-922
Number of pages10
JournalAmerican Journal of Public Health
Volume112
Issue number6
DOIs
Publication statusPublished - 1 Jun 2022

Fingerprint

Dive into the research topics of 'Improving data surveillance resilience beyond COVID-19: experiences of primary heAlth Care quAlity Cohort In ChinA (ACACIA) using unannounced standardized patients'. Together they form a unique fingerprint.

Cite this