{"id":"https://openalex.org/W3089400671","doi":"https://doi.org/10.1093/jamia/ocaa192","title":"Barriers to hospital electronic public health reporting and implications for the COVID-19 pandemic: the authors\u2019 reply","display_name":"Barriers to hospital electronic public health reporting and implications for the COVID-19 pandemic: the authors\u2019 reply","publication_year":2020,"publication_date":"2020-08-20","ids":{"openalex":"https://openalex.org/W3089400671","doi":"https://doi.org/10.1093/jamia/ocaa192","mag":"3089400671","pmid":"https://pubmed.ncbi.nlm.nih.gov/33001154"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocaa192","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocaa192","pdf_url":"https://academic.oup.com/jamia/article-pdf/27/11/1823/34363862/ocaa192.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/jamia/article-pdf/27/11/1823/34363862/ocaa192.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5027068804","display_name":"A Jay Holmgren","orcid":"https://orcid.org/0000-0002-7939-6831"},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"A Jay Holmgren","raw_affiliation_strings":["Wyss House, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wyss House, Boston, Massachusetts, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077213401","display_name":"Nate C. Apathy","orcid":"https://orcid.org/0000-0002-7775-8544"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nate C Apathy","raw_affiliation_strings":["Wyss House, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wyss House, Boston, Massachusetts, USA","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5023154530","display_name":"Julia Adler\u2010Milstein","orcid":"https://orcid.org/0000-0002-0262-6491"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Julia Adler-Milstein","raw_affiliation_strings":["Wyss House, Boston, Massachusetts, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Wyss House, Boston, Massachusetts, USA","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5027068804"],"corresponding_institution_ids":[],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":null,"fwci":0.3496,"has_fulltext":true,"cited_by_count":5,"citation_normalized_percentile":{"value":0.68624574,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":95},"biblio":{"volume":"27","issue":"11","first_page":"1823","last_page":"1824"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12027","display_name":"Social Media in Health Education","score":0.9501000046730042,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T12027","display_name":"Social Media in Health Education","score":0.9501000046730042,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11819","display_name":"Data-Driven Disease Surveillance","score":0.909500002861023,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.9046000242233276,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coronavirus-disease-2019","display_name":"Coronavirus disease 2019 (COVID-19)","score":0.8868781924247742},{"id":"https://openalex.org/keywords/pandemic","display_name":"Pandemic","score":0.850937008857727},{"id":"https://openalex.org/keywords/2019-20-coronavirus-outbreak","display_name":"2019-20 coronavirus outbreak","score":0.6491851806640625},{"id":"https://openalex.org/keywords/severe-acute-respiratory-syndrome-coronavirus-2","display_name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","score":0.5824270248413086},{"id":"https://openalex.org/keywords/public-health","display_name":"Public health","score":0.49030497670173645},{"id":"https://openalex.org/keywords/medical-emergency","display_name":"Medical emergency","score":0.4202268719673157},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3633838891983032},{"id":"https://openalex.org/keywords/virology","display_name":"Virology","score":0.2196435034275055},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.19786158204078674}],"concepts":[{"id":"https://openalex.org/C3008058167","wikidata":"https://www.wikidata.org/wiki/Q84263196","display_name":"Coronavirus disease 2019 (COVID-19)","level":4,"score":0.8868781924247742},{"id":"https://openalex.org/C89623803","wikidata":"https://www.wikidata.org/wiki/Q12184","display_name":"Pandemic","level":5,"score":0.850937008857727},{"id":"https://openalex.org/C3006700255","wikidata":"https://www.wikidata.org/wiki/Q81068910","display_name":"2019-20 coronavirus outbreak","level":3,"score":0.6491851806640625},{"id":"https://openalex.org/C3007834351","wikidata":"https://www.wikidata.org/wiki/Q82069695","display_name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","level":5,"score":0.5824270248413086},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.49030497670173645},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.4202268719673157},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3633838891983032},{"id":"https://openalex.org/C159047783","wikidata":"https://www.wikidata.org/wiki/Q7215","display_name":"Virology","level":1,"score":0.2196435034275055},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.19786158204078674},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C524204448","wikidata":"https://www.wikidata.org/wiki/Q788926","display_name":"Infectious disease (medical specialty)","level":3,"score":0.0},{"id":"https://openalex.org/C116675565","wikidata":"https://www.wikidata.org/wiki/Q3241045","display_name":"Outbreak","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000073640","descriptor_name":"Betacoronavirus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073640","descriptor_name":"Betacoronavirus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000073640","descriptor_name":"Betacoronavirus","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000086382","descriptor_name":"COVID-19","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000086402","descriptor_name":"SARS-CoV-2","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000086402","descriptor_name":"SARS-CoV-2","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000086402","descriptor_name":"SARS-CoV-2","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011024","descriptor_name":"Pneumonia, Viral","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011024","descriptor_name":"Pneumonia, Viral","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011024","descriptor_name":"Pneumonia, Viral","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011634","descriptor_name":"Public Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011634","descriptor_name":"Public Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011634","descriptor_name":"Public Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018352","descriptor_name":"Coronavirus Infections","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018352","descriptor_name":"Coronavirus Infections","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D018352","descriptor_name":"Coronavirus Infections","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D058873","descriptor_name":"Pandemics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1093/jamia/ocaa192","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocaa192","pdf_url":"https://academic.oup.com/jamia/article-pdf/27/11/1823/34363862/ocaa192.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:33001154","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/33001154","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:7543488","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/7543488","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocaa192","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocaa192","pdf_url":"https://academic.oup.com/jamia/article-pdf/27/11/1823/34363862/ocaa192.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3089400671.pdf","grobid_xml":"https://content.openalex.org/works/W3089400671.grobid-xml"},"referenced_works_count":1,"referenced_works":["https://openalex.org/W2581049906"],"related_works":["https://openalex.org/W4200329650","https://openalex.org/W3127156785","https://openalex.org/W4205754011","https://openalex.org/W3009669391","https://openalex.org/W4311581287","https://openalex.org/W4205215807","https://openalex.org/W3005417802","https://openalex.org/W3171943759","https://openalex.org/W4226296940","https://openalex.org/W3028835529"],"abstract_inverted_index":{"We":[0,84,267,486,625],"appreciate":[1],"the":[2,18,52,87,120,138,160,185,212,241,261,265,285,290,306,315,336,345,365,376,378,391,612,649,675],"productive":[3],"discussion":[4,158],"about":[5],"our":[6,157,215,369],"article,":[7],"Barriers":[8],"to":[9,23,26,47,57,68,155,169,205,228,273,284,309,323,353,390,402,408,423,448,455,501,509,537,557,562,586,646,719,731],"Hospital":[10],"Electronic":[11],"Public":[12],"Health":[13],"Reporting":[14],"and":[15,32,45,55,76,94,108,189,203,225,232,246,311,329,332,357,482,499,523,542,554,564,568,582,661,688,692],"Implications":[16],"for":[17,144,243,495,551,619,680,715],"COVID-19":[19,121],"Pandemic,":[20],"which":[21,166,595,684],"serves":[22],"advance":[24],"efforts":[25,204],"strengthen":[27],"information":[28,149,512],"sharing":[29,63,532],"between":[30,92,222,559,657],"hospitals":[31,93,279,444,500,667],"public":[33,73,95,141,186,223,247,274,398,431,471,496,524,577,622,627,658,662,681,716],"health":[34,59,74,96,142,179,187,224,248,275,399,432,472,497,511,525,578,623,628,659,663,682,717],"agencies.":[35],"The":[36,250],"letter":[37,291],"by":[38,470],"Staes":[39,709],"et":[40,710],"al":[41,711],"raises":[42],"important":[43,645],"considerations":[44],"contributes":[46],"a":[48,117,195,295,326,406,424,453,474,620,721,727],"useful":[49],"dialogue":[50],"regarding":[51],"current":[53,88,164,230],"state":[54,689],"barriers":[56,145,272,468],"hospital\u2013public":[58],"agency":[60,400,579],"electronic":[61,236,410,505,634],"data":[62,237,313,320,404,429,450,566,590,655,735],"as":[64,66,116,129,319,405,428,452,547,605,641],"well":[65],"opportunities":[67],"increase":[69],"knowledge":[70],"of":[71,81,90,119,131,163,259,277,375,397,413,440,459,576,617,678,700],"extant":[72],"capabilities":[75,583,637],"foster":[77],"more":[78,588,722],"comprehensive":[79],"utilization":[80],"those":[82],"capabilities.":[83],"agree":[85,707],"that":[86,146,173,193,234,372,415,437,488,648,712],"level":[89],"interoperability":[91,301,304,679,695],"agencies":[97,188,433,498,690,718],"is":[98,239,256,371,417,465,494,530,652,726],"not":[99,126,281,665],"at":[100,294],"an":[101,548],"ideal":[102],"level,":[103],"even":[104],"under":[105],"normal":[106],"circumstances,":[107],"critical":[109,196,475,728],"infrastructure":[110,581,725],"gaps":[111],"have":[112,174,593],"been":[113],"laid":[114],"bare":[115],"result":[118],"pandemic.1":[122],"Our":[123],"findings":[124,216],"should":[125,434,584],"be":[127,435],"interpreted":[128],"evidence":[130],"fault":[132],"or":[133,140,382,421,614,668],"sole":[134],"responsibility":[135],"on":[136,159,178,343,356,632],"either":[137],"hospital":[139],"side":[143,263,374],"impede":[147],"effective":[148,409,456],"sharing.":[150],"Indeed,":[151],"we":[152,167,210,705],"are":[153,280],"careful":[154],"focus":[156],"likely":[161],"roots":[162],"challenges,":[165],"trace":[168],"federal":[170],"incentive":[171],"programs":[172],"focused":[175],"almost":[176],"entirely":[177],"care":[180],"delivery":[181],"organizations,":[182],"rather":[183],"than":[184,591],"other":[190,262,669],"community":[191],"partners":[192,227,699],"play":[194],"role":[197],"in":[198,214,218,355,419,539,571,608],"emergency":[199],"preparedness,":[200],"disease":[201],"monitoring,":[202],"improve":[206],"population":[207],"health.":[208],"Instead,":[209],"believe":[211],"value":[213],"comes":[217],"prompting":[219],"better":[220,257,527],"coordination":[221,255],"clinical":[226,245,522,670],"address":[229],"shortcomings":[231],"ensure":[233,732],"robust":[235,723],"exchange":[238,442,506,513,656,671,698],"meeting":[240],"needs":[242],"both":[244,521,535],"organizations.":[249],"first":[251,476],"step":[252,477],"towards":[253,478],"this":[254,460],"understanding":[258],"how":[260,510],"views":[264],"issues.":[266],"suspect":[268],"that,":[269],"when":[270],"citing":[271],"receipt":[276],"data,":[278,533],"referring":[282],"specifically":[283],"pure":[286],"technical":[287,418],"capability":[288,308],"(which":[289],"indicates":[292],"exists":[293],"broad":[296],"level).":[297],"As":[298],"with":[299,467,696,708],"any":[300,484],"effort,":[302],"functional":[303],"requires":[305],"technological":[307],"send":[310,563],"receive":[312,403,449,565],"alongside":[314],"nontechnical":[316],"factors":[317],"such":[318,427,602,640],"governance,":[321,430],"incentives":[322],"share":[324],"electronically,":[325],"clear":[327],"onboarding":[328],"testing":[330],"process,":[331],"more.":[333],"Surveys":[334],"like":[335],"AHA":[337,392],"IT":[338,393],"Supplement":[339],"shed":[340],"some":[341,395],"light":[342],"where":[344],"sticky":[346],"points":[347],"may":[348,519],"lie":[349],"but":[350],"isn\u2019t":[351],"able":[352],"home":[354],"separate":[358],"one":[359],"from":[360,368,666],"another.":[361],"Given":[362],"these":[363],"constraints,":[364],"key":[366],"insight":[367,600],"study":[370],"1":[373,489],"exchange\u2014namely,":[377],"Chief":[379,383],"Information":[380,385],"Officers":[381,386],"Medical":[384],"who":[387,529],"typically":[388],"respond":[389],"Supplement\u2014perceive":[394],"aspect":[396],"ability":[401,447,561],"barrier":[407,416,454],"exchange.":[411,457,736],"Regardless":[412],"whether":[414],"nature":[420,677],"related":[422],"socio-technical":[425],"process":[426],"aware":[436],"nearly":[438],"40%":[439],"potential":[441],"partner":[443],"view":[445],"their":[446,504],"electronically":[451,567],"Awareness":[458],"perceived":[461,469],"barrier\u2014especially":[462],"if":[463],"it":[464],"inconsistent":[466],"agencies\u2014is":[473],"resolving":[479],"outstanding":[480],"issues":[481],"clarifying":[483],"misunderstandings.":[485],"suggest":[487],"possible":[490],"strategy":[491],"going":[492],"forward":[493],"publicly":[502,515],"list":[503,516],"partners,":[507],"similar":[508],"organizations":[514,526],"participants.2":[517],"This":[518,673],"help":[520],"understand":[528],"successfully":[531],"enable":[534],"parties":[536],"engage":[538],"peer":[540],"learning":[541],"best":[543],"practice":[544],"dissemination,":[545],"serve":[546],"accountability":[549],"mechanism":[550],"all":[552],"parties,":[553],"allow":[555],"researchers":[556],"differentiate":[558],"stated":[560],"actual":[569],"connectivity":[570,618],"practice.":[572],"Secondarily,":[573],"national":[574],"surveys":[575],"informatics":[580,724],"seek":[585],"capture":[587],"detailed":[589],"they":[592],"historically,":[594],"has":[596],"thus":[597],"far":[598],"prevented":[599],"into":[601],"basic":[603],"questions":[604],"regional":[606],"variation":[607],"capabilities,":[609],"much":[610],"less":[611],"geographic":[613],"proportional":[615],"scope":[616],"given":[621],"agency.3,4":[624],"applaud":[626],"agencies\u2019":[629],"hard":[630],"work":[631],"building":[633],"case":[635],"reporting":[636],"through":[638],"platforms":[639],"AIMS.":[642],"However,":[643],"it\u2019s":[644],"note":[647],"AIMS":[650],"service":[651],"primarily":[653],"facilitating":[654],"laboratories":[660],"agencies,":[664],"partners.":[672],"underscores":[674],"complex":[676],"surveillance,":[683],"frequently":[685],"involves":[686],"local":[687],"establishing":[691],"maintaining":[693],"bidirectional":[694],"multiple":[697],"many":[701],"types.":[702],"Most":[703],"importantly,":[704],"wholeheartedly":[706],"increasing":[713],"support":[714],"build":[720],"policy":[729],"goal":[730],"accurate,":[733],"reliable":[734]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1}],"updated_date":"2026-07-29T09:40:50.615796","created_date":"2025-10-10T00:00:00"}