Implementation of a Surveillance and Monitoring System for Chronic
Disease: A Scoping Review
Abstract
Background: Numerous national-based indicators aid in designing
population-centered chronic disease surveillance. However, there is
little consensus on the key indicators and goals for developing a
chronic disease surveillance analysis system. Objective: This
study aimed to develop evidence-based indicators to measure and improve
the health outcomes of chronic disease surveillance systems in Korea.
Methods: A scoping review was focused on peer-reviewed
literature from 2012 to 2022 using PubMed, Medline, Embase, PsychINFO,
CINHAL, Wiley Online, Scopus, and Cochrane Library. Three reviewers
evaluated and selected the articles in accordance with comprehensive
inclusion and exclusion criteria. Data were synthesized using median
descriptive analysis, prioritization, and agreement. There was a
consensus meeting to discuss the recommendations, and the findings were
analyzed thematically and descriptively. Results: Forty-eight
articles were finalized and most of them were published in 2019
(18.8%). The studies on chronic disease-based surveillance systems and
related data sources were conducted primarily in Canada (58.3%). The
findings were prioritized by prevalence rate, risk factors, data
linkage, complex disease, and updated indicators in a current system.
The key themes of focus were mortality, survival management, diagnosis,
treatment, and healthcare systems. Conclusion: Our preliminary
measurement methods need validation through follow-up projects. Chronic
disease surveillance will improve public health resource allocation and
monitoring in real time. Public health and healthcare systems could be
enhanced through timely assessments of population health at the local
and regional levels. In Korea, experts will validate the chronic
disease-based surveillance system’s development.