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通过集中化,合法性和灵活性,新加坡的COVID-19危机决策:经验分析
Sumegha Asthana1, Sanjana Mukherjee2, Alexandra L Phelan3,4
1Center for Global Health Science and Security, Georgetown University, Washington, DC, USA.
The Lancet regional health. Western Pacific
|July 29, 2024
概括
行政集中和政治合法性是新加坡敏捷应对COVID-19的关键. 虽然有效,但治理模式在社区参与和移民工人支持方面存在差距.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 危机管理 危机管理
背景情况:
- 健康危机决策是复杂的,受到不确定性,紧迫性和恐惧的影响.
- 现有的关于COVID-19治理的研究缺乏关注国家一级决策决定因素.
- 在了解塑造国家一级卫生危机决策的因素方面存在差距.
研究的目的:
- 在新加坡COVID-19大流行期间调查公共卫生决策的过程和特征.
- 在国家卫生危机中确定敏捷治理和决策的关键决定因素.
主要方法:
- 采用一种以案例研究为重点的方法,专注于新加坡的COVID-19应对措施.
- 通过采访关键信息者和聚焦小组讨论收集经验数据.
- 吸引来自政府,学术界和民间社会组织的利益相关者.
主要成果:
- 行政集中化为应急响应提供了统一的治理模式.
- 人民行动党 (PAP) 的政治合法性提高了公众的信任.
- 卫生系统的弹性和财务储备支持了敏捷的反应.
- 社区参与和对弱势移民群体的优先考虑不足.
结论:
- 行政和政治因素是敏捷危机决策的关键决定因素.
- 新加坡的经验凸显了集中化,合法性和危机应对有效性的相互作用.
- 未来的危机治理应应对包容性和弱势群体的需求.
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