摘要
目的 选择SARS危机中公共卫生应急反应体系完善、应急迅速的有代表性的国家 ,对其公共卫生应急反应体系的机构机制与绩效进行对比分析 ,为我国建立和完善公共卫生应急反应体系提供依据。 方法 采用循证科学的原理和方法 ,通过系统查阅、收集和评价中国、美国、英国、澳大利亚和新加坡官方网站的信息 ,比较其SARS防治绩效及公共卫生应急反应体系的机构设置和运作机制 ,分析原因 ,总结问题 ,提出对策。 结果 美国、英国和澳大利亚的SARS防治绩效最好 ;新加坡的应急反应措施受到WHO高度评价。我国公共卫生应急反应体系的结构与发达国家相似 ,但投入不足、管理落后、运作机制不成熟导致效率低下。结论 我国公共卫生体系改革应以加强机制建设为突破口。我国幅员辽阔 ,不同地区宜采用适合本地区条件的公共卫生防御体系和机制。
Objective To provide evidence for the establishment and improvement of public health system in China by comparing national public health emergency system of some representative countries. MethodsThe principle and method of evidence-based science were applied to search and evaluate data from the official websites of China, United States, United Kingdom, Australia and Singapore. The performance of each country’s public health emergency response system in SARS prevention and control, as well as their organization structure and mechanism were compared. The existing problems and corresponding countermeasures were then put forward. ResultsPublic health system showed the best performance was in US, UK and Australia. The responding mechanism of Singapore was highly admired by WHO. The organization structure of China was similar to that of developed countries, but its performance was far lagged behind because of insufficient financial support, poor management and inefficient operational mechanism. Conclusions The public health emergency response system in China needs to be reformed by giving priority to mechanism reinforcement. Different models should be taken into account regarding different regional situations in China.
出处
《中国循证医学杂志》
CSCD
2004年第6期402-409,共8页
Chinese Journal of Evidence-based Medicine
基金
科技部软科学研究项目 (基金编号 :2 0 0 3DGQ3B167)~~
关键词
SARS
循证科学
公共卫生
应急反应体系
SARS
Evidence-based science
Public health
Emergency response system
