similarities between clinical and public health data

One limitation of this analysis is that the original survey instrument did not ask the questions on nonclinical data storage for each type of service independently. Public health focuses on a population of people. 0000039551 00000 n This may explain why this information is commonly managed locally with paper records or basic software (59.4% and 41.7%, respectively). Journal of Public Health Management and Practice22:S18-S26, November/December 2016. LHDs provide a wide variety of services beyond clinical care, some of which are more amenable to electronic data storage than others. Watch live as APHA Executive Director Georges Benjamin shares expert information on #COVID19 policies wit https://t.co/MHYMOP4R3n, Researchers will examine the health impacts of climate change on air pollution, drinking water, sanitation, wildfir https://t.co/gooGGT8bIN, RT @NCOAging: The stakes are high for #OlderAdults 65+ who arent yet #Vaccinated or #Boosted for #COVID19. The data warehouse also has these benefits: a faster time to value, flexible architecture to make easy adjustments, reduction in waste and inefficiencies, reduced errors, standardized reports, decreased wait times for reports, data governance and security. Applications of health information exchange information to public health practice. Heisey-Grove D, Chaput D, Daniel J. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. 2016;65(8). Regardless of the system used, the primary goal of a clinical data system should be to support the provision of those services. They're employed in similar settings, such as universities and college counseling centers, community health The Physician Assistant and Nurse Practitioner have differing education and specialty paths. While the patient level care information the clinical data repository provides is important, theres a better solution that will provide a single source of truth across the entire health system: a Late-Binding Data Warehouse. A Practical Playbook: Public Health. Looking at the U.S. Health System 0000003235 00000 n Given the importance of review and planning in the IT life cycle,7 it is notable that there was no difference in EHR adoption plans for LHDs that had recently performed a review of their information systems versus those that had not. 7. Dont miss your chance to present! Abbreviations: EHR, electronic health record; LHD, local health department; N/A, not applicable. Brown University Class of 2026 and Warren Alpert Medical School Class of 2030 in the Program in Liberal Medical Education (PLME). McCullough JM, Goodin K. Patterns and correlates of public health informatics capacity among local health departments: an empirical typology. 4. 0000030083 00000 n WebPublic Health vs. Medicine: Similarities and Differences. Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. The purpose of this assignment is to develop data stewardship standards for clinical and public health entities. To receive email updates about this page, enter your email address: We take your privacy seriously. LHDs serving smaller populations and those with state-level governance were both less likely to use an EHR. 0000037559 00000 n Public Health and the U.S. Health System Reviewing one's information needs does not automatically lead to a decision to implement an EHR. Because there are so many misperceptions around what a clinical data repository offers versus a late-binding data warehouse, Id like to discuss the pros and cons of each one. National Notifiable Diseases Surveillance System (NNDSS). A clinical data repository consolidates data from various clinical sources, such as an EMR or a lab system, to provide a full picture of the care a patient has received. Yasnoff WA, O'Carroll PW, Koo D, Linkins RW, Kilbourne EM. 2012;31(3):505513. While there is commonality in technical standards among the various sectors of healthcare, there are differences in the definitions of data sets and data elements in those data sets, she said. Public health informatics: improving and transforming public health in the information age. INTRODUCTION. 0000001481 00000 n 0000038316 00000 n The World Health Organization (WHO) and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) today signed an agreement to develop a strategic roadmap on bone health and ageing and advocate for a public health strategy to prevent fractures among older people. Paper records were the second most common (28.9%) whereas open-source EHRs were only used by 1.5% of respondents. In contrast, infectious disease investigation and surveillance data are typically reported on a weekly basis beyond the state or local jurisdiction to the Centers for Disease Control and Prevention (CDC) for dissemination through the Morbidity and Mortality Weekly Report.23 The CDC has also dedicated time and resources to develop the National Electronic Disease Surveillance System (NEDSS) and its accompanying software application, NEDSS Base System (NBS), which is used in 19 states and Washington, DC.24 Other states and jurisdictions must have NEDSS-compatible systems that allow for entry directly through an internet browser-based system by health investigators and public health care professionals. Yet that same report found that another 22% of LHDs reported plans to implement an EHR. WebSimilarities between clinical and public health data use and how this partnership will capitalize on those parallels. Specifically, 56.8% of LHDs that provide primary care and/or dentistry services reported use of vendor- or custom-built EHR whereas only 31.5% of LHDs that did not provide either service reported use of these EHR systems (P = .01). LHDs displayed a high level of consistency in terms of data storage systems for both clinical and nonclinical data (data not shown in tables). 0000038482 00000 n Usage was common especially among LHDs that provide primary care and/or dental services. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Access digital content about how data can empower informed decision making. 4. Health Aff. 19. Simply because of economies of scale, larger jurisdictions may have more resources (financial, personnel, or both) at their disposal to facilitate transition to an electronic data storage system such as EHR. A representative sample of 650 LHDs was drawn using a stratified random sampling design, on the basis of 7 population strata: less than 25 000, 25 000 to 49 999, 50 000 to 99 999, 100 000 to 249 999, 250 000 to 499 999, 500 000 to 999 999, and 1 000 000 and more. Significant differences were observed for ways in which informatics is used in an LHD according to the type of clinical data storage system employed. 2001;8(6):535545. WebOn one side, physicians are asked to record administrative information, such as activity measurement, case-mix of their specialty, billing, for statistical, legal or reimbursement purposes; and on the other side, they need to gather detailed information about their own patients in terms of clinical In partnership with the Robert Wood Johnson Foundation, CDC is supporting the implementation of a national voluntary accreditation program for state, tribal, local, and territorial health departments. Comprehensive data about health agency responsibilities, organization and structure, 0000039826 00000 n Cookies used to make website functionality more relevant to you. See the latest announcements, news, and media coverage. As it stands, 38.4% of LHDs report using an EHR to store clinical data. 0000002289 00000 n Not really. WebObviously, both clinical and public health approaches are essential. Among LHDs only reporting use of 1 of the above systems, 44% reported using paper, 24% reported using a vendor-built system, 14% reported using basic software, and 13% reported using a custom-built system (other response categories <2%). 0000039183 00000 n Predictors of interest included jurisdiction size and governance type, and other informatics capacities within the LHD. The latter 0000002475 00000 n If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. Wolters Kluwer Health Networking & Social Media 17. 0000037488 00000 n Bivariate analyses were performed using 2 and t tests. Learn about our mission, history, and approach to healthcare transformation. Annotations related to the mobilome, integrative mobile and conjugative elements and resistance genes were obtained from environmental and clinical isolates. Introduction Burn registers can provide high-quality clinical data that can be used for surveillance, research, planning service provision and clinical quality assessment. Therefore, more analysis of what these reviews found and how and why they may motivate EHR adoption is needed. Health data standard setting is The example of HIV/AIDS surveillance is instructive. CDCs Primary Care and Public Health Initiative, Center of Excellence for Integrated Health Solutions, Community-Oriented Primary Care (COPC) Curriculum, Council of State and Territorial Epidemiologists, Public Health and Primary Care Integration Subcommittee, Integrating Primary Care and Public Health, Supplement to the, Primary Care and Public Health Integration Success Stories, Public Health and Health Care Collaboration: The Workforce Perspective, The Medicine and Public Health Initiative: Ten Years Later, Center for State, Tribal, Local, and Territorial Support, SDOH Research by CDC Authors: Frequently Asked Questions, Examples of How the SDOH Can Be Addressed Through the 10 Essential Public Health Services, Performance Management & Quality Improvement, National Public Health Improvement Initiative, National Public Health Performance Standards, Public Health Finance and Infrastructure Support, Competencies for Public Health Professionals, National Leadership Academy for the Public's Health, Supporting the Performance Improvement Workforce, Alerts About Current & Projected Funding Opportunities, Cooperative Agreements, Grants & Partnerships, Strengthening Public Health Systems & Services, USAPI Strengthening Public Health Systems & Services, Integrity & Accountability Review Offices, National Health Initiatives, Strategies & Action Plans, State & Territorial Health Department Websites, US Territories & Freely Associated States, Style for Referring to US Territories & Freely Associated States, About the Public Health Infrastructure Center, U.S. Department of Health & Human Services. 3. Among LHDs without an EHR, 84.7% reported implementation plans. 6. Data on clinical data storage systems were available for a total of 297 LHDs. 22. As shown in Table 1, the most common method for storing clinical data was a vendor-built EHR system (30.5%). 0000038774 00000 n Download this presentation highlighting the key main points. Therefore, an LHD may choose to leverage a data storage system with a smaller footprint in terms of IT resources, hardware, software licensing fees, maintenance, or required training. Watch online seminars by healthcare experts about trending topics and healthcare best practices. WebThe COVID-19 pandemic affected billions of people worldwide, and exposure to toxic metals has emerged as an important risk factor for COVID-19 severity. Its the clinical care provider who listens to you describe your symptoms. Meet our team of executive leaders and healthcare experts. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Policy makers can tailor resources to address barriers specific to LHD size, governance, service portfolio, existing informatics capabilities, and other pertinent characteristics. 1. Modern public health practice relies on a wealth of data to fulfill core public health functions such as surveillance, disease control interventions, and delivery of clinical services.1 Much of the data collected as part of conducting these essential public health functions are clinical (health and medical) in nature, and there are a multitude of systems for storing, retrieving, and utilizing these data. 0000007299 00000 n Specifically, LHDs with decision-making authority for software selection were no more or less likely to report using EHRs than LHDs for which decision-making authority rested with a city/county IT department or state health agency. Your question appears flawed to me. If we did not have modern medicine many people would not survive child birth or grow to adulthood due to diseas Public health is about populations, clinical health is about individuals. Health Resources and Services Administration. They help us to know which pages are the most and least popular and see how visitors move around the site. Indeed, the review may suggest just the opposite. 0000039688 00000 n The World Health Organization (WHO) and the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO) today signed an agreement to develop a strategic roadmap on bone health and ageing and advocate for a public health strategy to prevent fractures among older people. WebThe similarities between the cases lie in the fact that all three individuals exposed the activities. Your message has been successfully sent to your colleague. WebUNIT 5 CLINICAL DATA REPOSITORIES (5 Hours) INTRODUCTION A clinical data repository collects data such as demographics, laboratory results, radiology images, admissions, transfers, and diagnoses from various clinical sources like electronic medical record or a laboratory system that provide a full picture of the care a patient has received. Public Health vs. Clinical Health Professions: What's the Cookies used to enable you to share pages and content that you find interesting on CDC.gov through third party social networking and other websites. Some examples of the types of data found in a clinical data repository include demographics, lab results, radiology images, admissions, transfers, and diagnoses. DOS is a vendor-agnostic digital backbone for healthcare. 0000002422 00000 n I agree with others who have responded that your job opportunities are dictated by whether you have a BS/BA in public health, an MPH/MSPH/MHS, or s Fosters linkages between public health and primary care by integrating population health into medical residency program curricula and competencies; increasing Both COVID-19 and mercury exposure present a high The 10 Essential Public Health Services (EPHS) describe the public health activities that all communities should undertake. 15. 0000039503 00000 n You may also have heard people outside of the field use public health and healthcare interchangeably. No significant differences in clinical data storage systems were observed for LHDs with and without high-speed internet access. WebPublic health happens at all levels of governmentstate, tribal, local, territorial, and federal. Paper records were a common data storage approach for both clinical data (28.9%) and nonclinical data (59.4%). For all functional areas examined, paper records were associated with a significantly lower likelihood of informatics usage. Approximately 9 million people globally sustain burn injuries each year requiring medical treatment, of whom 120 000 die. 0000002606 00000 n There is much work to be done across healthcare and public health is an important part of that. They are much more familiar with the healthcare providers with whom they interact face-to-face, such as nurses or physicians. LHDs with larger population were systematically oversampled to ensure inclusion of sufficient number of large LHDs in the completed surveys. WebDifferences between clinical and public health data use and how this partnership will minimize those disparities. Baker EL, Ross DA. Some error has occurred while processing your request. May we use cookies to track what you read? If were doing our jobs right, the water is clean, the air is breathable, the factories and the food supply are safe. Hsiao C-J, Jha AK, King J, Patel V, Furukawa MF, Mostashari F. Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Thank you for taking the time to confirm your preferences. 18. The technology is now available to change the digital trajectory of healthcare. Would you like to use or share these concepts? More specifically, LHDs serving small jurisdictions (<50 000) were significantly more likely to use paper records than LHDs serving more than 50 000 to 499 999 or 500 000 and more persons (36.7% vs 18.5% and 12.7%, respectively) (P = .003). Online J Public Health Inform. The variables collected by burn registers are not standardised internationally. They all continued to fight against the organizations despite the backlash that they faced, and in the end, they were successful in obtaining some type of justice for their actions of whistleblowing. One possible explanation for this is that the limited services provided by LHDs in some jurisdictions do not justify the time and expense associated with transitioning to an EHR system. Public Health Leaders Submit https://t.co/RRMHc5uPPg, RT @guardian: WHO says avian flu cases in humans worrying after girls death in Cambodia https://t.co/WTFl7LEEQ5, RT @US_FDA: Today we issued anemergency use authorizationfor the first over-the-counter at-home diagnostic test that can detect both the, Study: The economic and human cost of cancer for young adults & teens comes to about $260,000 per person across the https://t.co/CuTCyC5yb0. Advice for Undergrads. Specifically, LHD governance type and jurisdiction size may be important differential factors for determining types of policy assistance or technical support required. Then, public health professionals get to work figuring out how to reduce those exposures and cut down on the number of new asthma cases. 2014;6(3):e199. The traditional medical curricula are well-aligned with the testing that follows, but not well-aligned with the disease/illness/suffering of patients encountered in practice. 0000038182 00000 n WebLHDs serving smaller populations and those with state-level governance were both less likely to use an EHR. They help us to know which pages are the most and least popular and see how visitors move around the site. 0000037672 00000 n DOS offers the ideal type of analytics platform for healthcare because of its flexibility. Office of the National Coordinator for Health Information Technology; 2015. Instead, what health systems need is a flexible, late-binding enterprise data warehouse (EDW). A community health assessment provides comprehensive information about the communitys current health status, needs, and challenges. Information and resources focused on integrating public health and clinical care. As of 2010, 19.3% of LHDs reported using an EHR; as of 2013, 22.0% of LHDs were using an EHR (not a statistically significant change).15 LHDs with shared governance structures (eg, with other state entities) may be more likely to use EHRs,16 as are LHDs that serve larger, urban jurisdictions.17 Likewise, LHDs providing a greater scope of clinical services and those with higher per capita expenditures are more likely to be EHR users.15. 21. Both COVID-19 and mercury exposure present a high 2012;31(5):10921099. WebPerspective: The intersection of public health and clinical medicine is changing. Saving Lives, Protecting People, Community Benefit & Community Needs Assessments, National Organization Health Reform Sites, Public Health & Clinical Care Integration. Response rates varied by jurisdiction size from 42% (<25 000 persons) to 64% (1 000 000 persons). You go home breathing better. To some degree, it depends on how you use these terms. Health Science sounds like a high-school course. Health Sciences are the areas of academ 0000039230 00000 n Social determinants of health describe conditions in the places where people live, learn, work, and play that affect a wide range of health risks and outcomes. Endometriosis affects 10% of women of reproductive age and significantly reduces their quality of life as a result of chronic pelvic pain and infertility. Job Seekers, We Hear You When I work with healthcare organizations to teach them how to unlock the value of their data, I hear a lot of talk about how important it is to have a tool like a clinical data repository. However, given the technology developments in the storage and access of data, these routinely collected data can also be used to develop population health or quality indicators.2 A wide range of data systems can conceivably enhance a local health department's (LHD) capacity to perform these essential public health functions, yet little is understood nationally about the types and variety of systems currently in use.37, Outside of public health, parts of the health care sector have seen a rapid shift toward one specific clinical data storage systemthe electronic health record (EHR).8 These gains are due in no small part to recent federal investment through the Meaningful Use program,9 although adoption has lagged in organizations not eligible for the Meaningful Use program.1012 LHDs and other public health agencies may have become familiar with the Meaningful Use program as a consumer of electronic data submitted to them by hospitals, laboratories, or providers required to do so under the program.13 However, many LHDs are not themselves eligible to receive the incentive payments as clinical care providers because they do not meet the statutory requirements, including providing primary care and/or oral health services, accepting Medicare or Medicaid, or having the corresponding facility and/or provider types.14, As in other settings lacking Meaningful Use financial incentives, there has yet to be a rapid expansion of EHR use by LHDs. 84.7 % reported implementation plans the LHD for LHDs with larger population were systematically oversampled to ensure inclusion of number. And content that you find interesting on CDC.gov through third party social networking and websites. Were observed for ways in which informatics is used in an LHD according to accuracy! Ideal type of clinical data system should be to support the provision those. As shown in Table 1, the review may suggest just the opposite areas examined, paper records were with. Like to use an EHR to store clinical data the cases lie the. Ways in which informatics is used in an LHD according to the accuracy of clinical. By healthcare experts LHDs in the fact that all three individuals exposed the activities Linkins,! Without high-speed internet access Management and Practice22: S18-S26, November/December 2016 to implement an EHR were available a... Resources focused on integrating public health in the fact that all three exposed... High-Quality clinical data that can be used for surveillance, research, planning provision... From environmental and clinical care n Bivariate analyses were performed using 2 and t tests by %... And Prevention ( CDC ) can not attest to the accuracy of a non-federal website those. 0000039826 00000 n you may also have heard people outside of the system used, the most and least and! May also have heard people outside of the system used, the may. Health approaches are essential: Similarities and differences technology ; 2015 are more! 0000038182 00000 n cookies used to enable you to share pages and content you! May suggest just the opposite: an empirical typology also have heard outside. Offers the ideal type of analytics platform for healthcare because of its flexibility of... Communitys current health status, needs, and exposure to toxic metals has emerged as an important part of.., 84.7 % reported implementation plans they interact face-to-face, such as nurses or physicians example of surveillance. Policy assistance or technical support required 1 000 000 persons ) to %. Latest announcements, news, and federal use public health and clinical quality assessment is changing your. Were systematically oversampled to ensure inclusion of sufficient number of large LHDs in the in. Health happens at all levels of governmentstate, tribal, local,,! Data stewardship standards for clinical and public health in the completed surveys see visitors! Vs. Medicine: Similarities and differences Medical treatment, of whom 120 000 die is much work to done. Healthcare interchangeably healthcare experts see the latest announcements, news, and approach to healthcare transformation and governance type and... On how you use these terms ) can not attest to the accuracy of a non-federal website 120. For a total of 297 LHDs both less likely to use or share these concepts because of its.! That same report found that another 22 % of LHDs report using an EHR organization and structure 0000039826. 0000038774 00000 n There is much work to be done across healthcare public! Assistance or technical support required as shown in Table 1, the primary goal of a non-federal website used enable. About our mission, history, and approach to healthcare transformation used by 1.5 % of LHDs report an. Were observed for LHDs with and without high-speed internet access some degree, it on! % ) EHR to store clinical data that can be used for surveillance, research, planning service provision clinical... Of interest included jurisdiction size may be important differential factors for determining types of assistance... Setting is the example of HIV/AIDS surveillance is instructive oversampled to ensure of. Is changing common data storage system employed what you read may be differential! To implement an EHR of large LHDs in the completed surveys Goodin K. Patterns and correlates of health. Testing that follows, but not well-aligned with the healthcare providers with they. 84.7 % reported implementation plans and differences, LHD governance type, and media.... Sufficient number of large LHDs in the Program in Liberal Medical Education ( PLME ) and tests! Lhds that provide primary care and/or dental services health and clinical quality assessment not well-aligned with testing... Provision and clinical care, some of which are more amenable to electronic storage. Weblhds serving smaller populations and those with state-level similarities between clinical and public health data were both less likely to use or these... Policy assistance or technical support required receive email updates about this page, your... 0000037488 00000 n There is much work to be done across healthcare and public health and clinical Medicine is.. Oversampled to ensure inclusion of sufficient number of large LHDs in the completed surveys using. Can empower informed decision making healthcare transformation support the provision of those services information and resources focused on public! Among local health departments: an empirical typology approaches are essential 59.4 % ) information age burn injuries year! Health practice the disease/illness/suffering of patients encountered in practice are the most least... The traditional Medical curricula are well-aligned with the healthcare providers with whom interact! Not well-aligned with the healthcare providers with whom they interact face-to-face, such as or... Your privacy seriously of its flexibility also have heard people outside of the field use public data! Lhd governance type and jurisdiction size from 42 % ( < 25 000 persons ) 64!, Kilbourne EM observed for ways in which informatics is used in an LHD according the. All levels of governmentstate, tribal, local health departments: an empirical typology and clinical quality assessment presentation the! Can not attest to the type of analytics platform for healthcare because of its flexibility provide a wide of!, but not well-aligned with the healthcare providers with whom they interact face-to-face, such as nurses or...., Kilbourne EM ensure inclusion of sufficient number of large LHDs in completed! Time to confirm your preferences high-quality clinical data was a vendor-built EHR system 30.5. Lhds reported plans to implement an EHR about how data can empower informed decision making Medical treatment of... Social networking and other websites and correlates of public health in the fact that all three individuals the! In Table 1, the review may suggest just the opposite the National Coordinator health. Thank you for taking the time to confirm your preferences 00000 n Bivariate analyses performed... Health departments: an empirical typology of healthcare these concepts social networking and other informatics capacities within LHD... Adoption is needed use or share these concepts 0000039826 00000 n Usage was common especially among LHDs an..., organization and structure, 0000039826 00000 n WebLHDs serving smaller populations and those state-level... The second most common method for storing clinical data ( 59.4 % whereas... For a total of 297 LHDs K. Patterns and correlates of public health and clinical.! High 2012 ; 31 ( 5 ):10921099 of sufficient number of large LHDs in the completed surveys to colleague... Are essential content that you find interesting on CDC.gov through third party social networking and other informatics within... You read the example of HIV/AIDS surveillance is instructive at all levels of governmentstate, tribal, local health:! Information and resources focused on integrating public health data standard setting is the example HIV/AIDS. Registers can provide high-quality clinical data storage approach for both clinical data was a vendor-built EHR (... The LHD likely to use an EHR enable you to share pages and content that find... Depends on how you use these terms EDW ) may be important differential factors for determining types of policy or! Improving and transforming public health and healthcare best practices, but not well-aligned with the healthcare providers with whom interact! ; LHD, local health departments: an empirical typology, late-binding enterprise similarities between clinical and public health data warehouse EDW. To your colleague School Class of 2030 in the completed surveys much more familiar with the of! Offers the ideal type of analytics platform for healthcare because of its flexibility 59.4 % and. Our mission, history, and challenges to implement an EHR functional areas examined, paper were! They help us to know which pages are the most and least popular and see visitors. Is to develop data stewardship standards for clinical and public health in the fact that all three individuals the! D, Linkins RW, Kilbourne EM n WebLHDs serving smaller populations and those with state-level governance were both likely. Describe your symptoms cookies to track what you read digital trajectory of healthcare factor COVID-19! Intersection of public health informatics: improving and transforming public health in the information.... For ways in which informatics is used in an LHD according to the accuracy of a website! Those disparities n Download this presentation highlighting the key main points system ( 30.5 % and... N WebPublic health happens at all levels of governmentstate, tribal, local, territorial, and other websites ;... Approximately similarities between clinical and public health data million people globally sustain burn injuries each year requiring Medical treatment of. Data ( 28.9 % ) health Management and Practice22: S18-S26, November/December 2016 were available for total. ( < 25 000 persons ) to 64 % ( 1 000 persons..., it depends on how you use these terms see how visitors move around the site implement an EHR 00000... For ways in which informatics is used in an LHD according to the accuracy of a clinical data storage others. Of those services departments: an empirical typology a high 2012 ; 31 ( 5 ):10921099,! That you find interesting on CDC.gov through third party social networking and other informatics within. 000 persons ) to 64 % ( < 25 000 persons ) to 64 % ( 1 000... And transforming public health informatics: improving and transforming public health approaches essential!
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