超越错误信息:为管理信息生态系统开发公共卫生预防框架
Atsuyoshi Ishizumi1, Jessica Kolis2, Neetu Abad2
1Task Force for Global Health, Decatur, GA, USA; US Centers for Disease Control and Prevention, Atlanta, GA, USA.
The Lancet. Public health
|April 22, 2024
概括
COVID-19 流行病揭示了信息过载或信息流行病如何威胁到公共健康. 一个新的框架将传染病管理纳入常规服务,使用四级预防策略.
科学领域:
- 公共卫生 公共卫生
- 信息科学 信息科学 信息科学
- 卫生沟通健康沟通
背景情况:
- COVID-19大流行突显了信息流行病对公共卫生构成的重大威胁,其特点是信息过多,包括错误信息和虚假信息.
- 目前的传染病管理框架主要关注急性紧急情况,缺乏整合到常规公共卫生服务提供中.
- 这种差距阻碍了个人做出明智的健康决策的能力.
研究的目的:
- 为信息流行病管理提出一个全面的框架,将上游战略整合到常规服务提供中.
- 根据公共卫生预防的四个层面,提供有关识别和实施干预措施的指导.
- 将重点从反应性反应转移到信息生态系统的积极管理.
主要方法:
- 一个叙事审查54份文件,包括同行评审和灰色文献,发表在1961年至2023年之间.
- 对有关传染病管理策略的现有证据的分析.
- 根据预防的四个层次进行干预的分类:初级,二级,三级和初级.
主要成果:
- 审查确定了各种适用于各级公共卫生预防的干预措施.
- 一个拟议的框架涵盖了主动感染流行病管理的上游战略.
- 干预措施的例子展示了在四个预防层面的实际应用.
结论:
- 针对传染病管理的综合框架对于日常公共卫生服务的提供至关重要.
- 信息生态系统的积极管理,利用四级预防方法是必不可少的.
- 这一框架超越了反应性措施,有效地解决了信息流行病对公共卫生的影响.
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