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突发公共卫生事件应急体系建设内涵
引用本文:赵琦,赵根明,韦建国,姜庆五,雷正龙,郭京平,陈贤义,谢昀.突发公共卫生事件应急体系建设内涵[J].中国公共卫生管理,2008,24(5).
作者姓名:赵琦  赵根明  韦建国  姜庆五  雷正龙  郭京平  陈贤义  谢昀
作者单位:1. 复旦大学公共卫生学院,上海,200032
2. 卫生部卫生应急办公室,北京,100044
3. 江西省疾病预防控制中心,330029
基金项目:卫生部国外贷款办公室项目,第二批国家级实施性研究课题
摘    要:目的了解我国现有公共卫生应急体系基本状况及其存在的问题,提出适合我国国情的突发公共卫生事件应急体系的建设内涵。方法采用个人深入访谈和小组访谈收集资料,采用MAXqda2软件进行分析。结果应急体系内涵建设包括硬件和软件建设,应从"体系建设"、"能力建设"、"机制建设"、"法律建设"四个方面综合考虑。目前,我国已基本建立了覆盖基层的防控网络,但是人力资源缺乏、监测网络不健全、实验室设备缺少、协调机制不完善、缺少储备、公共卫生投入不足依然是制约应急能力发展的重要因素。结论我国已经初步建立了突发公共卫生应急体系,但仍需进一步加大对公共卫生的投入,加紧专业人才的培养,完善疾病监测预警网络,加快完善应急机制建设。

关 键 词:突发公共卫生事件  应急体系  定性研究  小组讨论  个人深入访谈

Connotation of establishment of responsing systems for public health emergencies
Abstract:Objective To study the current situation,characteristics and capability of Early Warning and Response System and try to put forward the construction connotation of Early Warning and Response System in China.Method In-depth interview and focus group discussion were carried out to collect data.MAXqda2 soft were used to analyze information.Result The construction connotation of the early warning and response system should include four components:system construction,ability construction,mechanism construction and legal system construction.Although the disease control and prevention network had already set up,there still were some problems impact on the capacity of dealing with public health emergencies such as "short of human resource","unsound disease surveillance netwok","lack of equipment","faultiness of correspond mechanism","lack of stock" and "insufficiency of government devotion".Conclusion Early warning and response system had already set up in our country.It was still important to increase devotion of public health;afford more education and training,consummate the construction of diseases surveillance network and to increase the progress of mechanism construction.
Keywords:Public Health Emergency events  Early warning and response system  Qualitative study  Focus Group Discussion  In-depth interview
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