准备迎接下一次大流行:佛罗里达州的反思和建议
Anicca Liu1,2, Rachel N Waldman1, Bonnie Deal3
1Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, United States of America.
PloS one
|December 2, 2024
概括
佛罗里达州的利益相关者建议为未来的传染病准备和应对,平衡健康和经济方面的担忧,制定一本流行病攻略书. 这项研究强调需要统一的战略和明确的机构角色.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 随着COVID-19的爆发,在国家层面的传染病准备和应对 (PPR) 中出现了严重的缺陷.
- 佛罗里达州对COVID-19的独特方法,限制较少,需要对其特定的PPR需求进行检查.
- 缺乏利益相关者为国家一级的流行病准备做出建议.
研究的目的:
- 实证地检查佛罗里达州关键利益相关者关于疫情准备和应对的观点.
- 收集有关COVID-19大流行期间面临的挑战的见解以及未来大流行规划的建议.
- 为制定有效的,国家特定的PPR战略提供信息.
主要方法:
- 与佛罗里达州政府,学术界和私营部门的领导人进行了25次半结构面试.
- 探讨了参与者与COVID-19挑战的经验,以及他们对未来的流行病的考虑.
- 采用定性内容分析 (QCA) 来分析采访记录和笔记.
主要成果:
- 在PPR中确定了六个关键子类别:公共卫生能力,疾病传播缓解,角色和关系,信息传播,尽量减少不良影响和公共卫生文化.
- 利益相关者提出了一份流行病指南,以澄清机构的责任,简化程序豁免,解决被忽视的计划和管辖权紧张局势.
- 讨论揭示了关于疾病缓解关闭和限制的程度的不同观点,同时重点关注尽量减少社会和经济影响.
结论:
- 该研究强调,需要在意识形态和政府划分 (联邦,州,县) 之间建立共识,以实现有效的PPR.
- 成功应对流行病必须平衡疾病传播缓解与尽量减少不利的社会和经济影响.
- 参与者主张采取统一的,协调的方法来应对未来的流行病,整合健康和经济方面的考虑.
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