Texas State Health Plan: 1987-1988 Page: 86
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Council's Task Force on the Regionalization of
Specialized Medical Services would have found
injury surveillance data extremely beneficial when
addressingtraumaandtraumacare issues.
INTERVENTION ALTERNATIVES
There are four alternative methods of collecting
information on injuries.
Alternative 1: Routine active surveillance. This
type of data collection system continuously monitors
rates of injury morbidity and mortality in defined
populations. Not all injuries must be included, but
care must be taken in selecting the injuries and
appropriate data to allow the estimation of age-
specific injury incidence and mortality overtime.
Alternative 2: Monitoring "sentinel" injuries. This
approach attempts to identify emerging problems or
changing patterns in injury rates. Certain types of
injuries are selected to serve as sentinels, i.e., to be
indicative of larger problems resulting from lifestyle
changes.
Alternative 3: Specialized surveillance and
registries. This type of data collection system
collects more detailed information on the injury-
producing event, the nature of the injuries, the
patient's survival and disabilities, and outcome of
treatment. Information is often fowarded to
centralized registries so that data on similarly injured
persons from different geographic areas can be
compared overtime.
Alternative 4: Epidemiologic studies. This
concept requires extensive examination of data on
the injured in question in an attempt to establish
causative and risk factors in the occurrence and
severity of injuries. An epidemiologic study may
establish incidence rates, but such a study is not a
surveillance system unless it is repeated periodically
so that trends in incidence can be determined.
ALTERNATIVE SELECTED
The establishment of a specialized surveillance and
registry system is selected as the preferred alter-
native for the following reasons:
-Surveillance can be limited to fewer, more sig-
nificant injury types.
-More extensive data can be collected on injuries
including information on the injury-producing
event, nature of injuries, patient survival and
related disabilities, and treatment outcome and
costs.-Data are reported to a centralized source allowing
geographically-based analyses of injury incidence
and severity. This capability is extremely important
in Texas with its wide diversity in population
composition.
Recommendations:
The following recommendations are made in support
of the development of an injury surveillance system
in the state.
1. Amend the Emergency Medical Services Act,
Article 44470, VTCS, to reflect a standardized1987-88 TEXAS STATE HEALTH PLAN
FIGURE A
YEARS OF POTENTIAL LIFE LOST
FROM DEATHS BETWEEN
ONE AND 65 YEARS OF AGE
TEXAS, 1984
Cause of Death
njuries - 318,000 Years
Cancer
111,000 Years
Diseases of the Heart
99,000 YearsCerebrovascular Disease
17,000 Years0 100 200 300 400
Potential Years of Life Lost
(In Thousands)
SOURCE: Texas Vital Statistics, 1984
Texas Department of Health
Prepared by: Bureau of State Health Planning
and Resource Development
Texas Department of Health86
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Texas. Statewide Health Coordinating Council. Texas State Health Plan: 1987-1988, report, 1986; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1586615/m1/98/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.