J Biomed Inform - Visualization and analytics tools for infectious disease epidemiology: a systematic review.


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CKGROUND: A myriad of new tools and algorithms have been developed to help public health professionals analyze and visualize the complex data used in infectious disease control. To better understand approaches to meet these users' information needs, we conducted a systematic literature review focused on the landscape of infectious disease visualization tools for public health professionals, with a special emphasis on geographic information systems (GIS), molecular epidemiology, and social network analysis. The objectives of this review are to: (1) identify public health user needs and preferences for infectious disease information visualization tools; (2) identify existing infectious disease information visualization tools and characterize their architecture and features; (3) identify commonalities among approaches applied to different data types; and (4) describe tool usability evaluation efforts and barriers to the adoption of such tools.METHODS: We identified articles published in English from January 1, 1980 to June 30, 2013 from five bibliographic databases. Articles with a primary focus on infectious disease visualization tools, needs of public health users, or usability of information visualizations were included in the review.RESULTS: A total of 88 articles met our inclusion criteria. Users were found to have diverse needs, preferences and uses for infectious disease visualization tools, and the existing tools are correspondingly diverse. The architecture of the tools was inconsistently described, and few tools in the review discussed the incorporation of usability studies or plans for dissemination. Many studies identified concerns regarding data sharing, confidentiality and quality. Existing tools offer a range of features and functions that allow users to explore, analyze, and visualize their data, but the tools are often for siloed applications. Commonly cited barriers to widespread adoption included lack of organizational support, access issues, and misconceptions about tool use.DISCUSSION AND CONCLUSION: As the volume and complexity of infectious disease data increases, public health professionals must synthesize highly disparate data to facilitate communication with the public and inform decisions regarding measures to protect the public's health. Our review identified several themes: consideration of users' needs, preferences, and computer literacy; integration of tools into routine workflow; complications associated with understanding and use of visualizations; and the role of user trust and organizational support in the adoption of these tools. Interoperability also emerged as a prominent theme, highlighting challenges associated with the increasingly collaborative and interdisciplinary nature of infectious disease control and prevention. Future work should address methods for representing uncertainty and missing data to avoid misleading users as well as strategies to minimize cognitive overload.

Resumo Limpo

ckground myriad new tool algorithm develop help public health profession analyz visual complex data use infecti diseas control better understand approach meet user inform need conduct systemat literatur review focus landscap infecti diseas visual tool public health profession special emphasi geograph inform system gis molecular epidemiolog social network analysi object review identifi public health user need prefer infecti diseas inform visual tool identifi exist infecti diseas inform visual tool character architectur featur identifi common among approach appli differ data type describ tool usabl evalu effort barrier adopt toolsmethod identifi articl publish english januari june five bibliograph databas articl primari focus infecti diseas visual tool need public health user usabl inform visual includ reviewresult total articl met inclus criteria user found divers need prefer use infecti diseas visual tool exist tool correspond divers architectur tool inconsist describ tool review discuss incorpor usabl studi plan dissemin mani studi identifi concern regard data share confidenti qualiti exist tool offer rang featur function allow user explor analyz visual data tool often silo applic common cite barrier widespread adopt includ lack organiz support access issu misconcept tool usediscuss conclus volum complex infecti diseas data increas public health profession must synthes high dispar data facilit communic public inform decis regard measur protect public health review identifi sever theme consider user need prefer comput literaci integr tool routin workflow complic associ understand use visual role user trust organiz support adopt tool interoper also emerg promin theme highlight challeng associ increas collabor interdisciplinari natur infecti diseas control prevent futur work address method repres uncertainti miss data avoid mislead user well strategi minim cognit overload

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