Time-tradeoff utilities for identifying and evaluating a minimum data set for time-critical biosurveillance

Med Decis Making. 2008 May-Jun;28(3):351-8. doi: 10.1177/0272989X08317011. Epub 2008 May 13.

Abstract

Background: Researchers and policy makers are interested in identifying, implementing, and evaluating a national minimum data set for biosurveillance. However, work remains to be done to establish methods for measuring the value of such data.

Purpose: The purpose of this article is to establish and evaluate a method for measuring the utility of biosurveillance data.

Method: The authors derive an expected utility model in which the value of data may be determined by trading data relevance for time delay in receiving data. In a sample of 23 disease surveillance practitioners, the authors test if such tradeoffs are sensitive to the types of data elements involved (chief complaint v. emergency department [ED] log of visit) and proportional changes to the time horizon needed for receiving data (24 v. 48 h). In addition, they evaluate the logical error rate: the proportion of responses that scored less relevant data as having higher utility.

Results: Utilities of chief complaints were significantly higher than ED log of visit, F(1, 21)= 5.60, P < 0.05, suggesting the method is sensitive. Further utilities did not depend on time horizon used in the exercise, F(1, 21) = 0.00, P = ns. Of 92 time tradeoffs elicited, there were 5 logical errors (i.e., 5% logical error rate).

Conclusions: In this article, the authors establish a time-tradeoff exercise for valuing biosurveillance data. Empirically, the method shows initial promise for evaluating a minimum data set for biosurveillance. Future applications of this approach may prove useful in disease surveillance planning and evaluation.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Biometry*
  • Communicable Diseases / epidemiology
  • Disease Outbreaks
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical
  • Population Surveillance / methods*
  • Public Health / statistics & numerical data
  • Time Factors
  • United States
  • Washington / epidemiology