未来中长期全球公共卫生安全: 发展趋势及其国际政治影响

  目的  明确我国公共卫生安全优先干预领域及策略，为制定我国卫生安全战略、完善公共卫生安全体系提供参考依据。  方法  采用文献分析、专家咨询、专题小组讨论等方法设计专家咨询问卷，通过现场调查进行数据收集，采用EPI建立数据库及SPSS 20.0进行数据分析，运用因子分析筛选策略。  结果  建立了8个战略目标维度、64个原始策略因子专家咨询问卷；因子分析KMO统计值为0.953，8个初始特征值方差贡献率大于1，其方差累计贡献率为76.56；利用因子分析法删除25个负相关因子后筛选出39个干预策略、9个优先策略、4个优先战略目标。  结论  卫生安全全球化形势与迫切需求下，强化全球卫生安全、加强医疗和公共卫生干预措施、加强系统监测以及制定我国的卫生安全战略是我国现阶段优先考虑的公共卫生安全战略目标。

Health security in 2014: building on preparedness knowledge for emerging health threats

  Objective  To identify priority intervention fields and strategies for public health security in China and to provide references for formulating health security strategy and improving the public health safety system in China.  Methods  Literature analysis, expert consultation and subject panel discussion were employed to design an expert consultation questionnaire. Data collection was conducted with field investigation. A database was built with Epi Data 3.1; the collected data were analyzed with SPSS 20.0 and public health safety strategies were screened using factor analysis method.  Results  An expert consultation questionnaire with 8 strategic target dimensions and 64 original strategic factors were designed. Then, 207 experts were surveyed with the questionnaire and valid responses were acquired from 194 (93.72%) of the experts. Factor analysis resulted in a Kaiser-Meyer-Olkin (KMO) statistic value of 0.953, the variance contribution rate of 8 initial eigenvalues of greater than 1, and the cumulative variance contribution rate of 76.56. After deleting 25 reverse correlation factors confirmed by factor analysis, 39 intervention strategies, 9 priority strategies and 4 priority strategic objectives were selected.  Conclusion  With the urgent needs and the globalization of health security, strengthening global health security, medical and public health interventions, and systematic monitoring and formulating China's public health security strategy are the priority strategic objectives of public health security nowadays in China.