州级政策行动者对美国联邦政府COVID-19应对措施的看法
Jeff Jones1, Anne Barnhill1, Katelyn Esmonde1
1Jeff Jones, MBE, is a Research Assistant, Johns Hopkins Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, and a DPhil Candidate, University of Oxford, Oxford, United Kingdom. Anne Barnhill, PhD, is an Associate Research Professor; Katelyn Esmonde, PhD, is an Assistant Research Professor; and Ruth Faden, PhD, is Founder and Philip Franklin Wagley Professor of Biomedical Ethics; all at the Johns Hopkins University Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD. Brian Hutler, PhD, JD, is an Assistant Professor, Department of Philosophy, Temple University, Philadelphia, PA. Michaela Johns, MBE, is a BCL/JD Candidate, McGill University, Montreal, Quebec, Canada.
州卫生官员在联邦制度下管理了COVID-19的反应. 对于未来的流行病准备的关键改进包括协调公共沟通,更好的政府间沟通,以及联邦政府对卫生服务的持续投资.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 政府研究是政府研究.
背景情况:
- 美国在应对流行病方面采用联邦主义制度,主要权力位于州级.
- 了解州级管理和联邦影响对于分析政府对COVID-19反应至关重要.
- 需要对州卫生官员的经验和联邦影响进行全面的说明.
研究的目的:
- 调查州卫生官员如何管理COVID-19危机.
- 分析联邦政府行动对州级流行病应对措施的影响.
- 确定改善未来美国疫情准备和应对的关键因素.
主要方法:
- 对美国16个州的29个州级政策参与者进行了半结构化采访.
- 收集了对联邦COVID-19应对措施影响各州努力的各个方面的见解.
- 专注于公共和政府间沟通,以及联邦对医疗服务准备的行动.
主要成果:
- 采访者详细介绍了联邦对公共通信,政府间协调和卫生服务准备等方面的影响.
- 讨论了有关资金,采购,测试,疫苗分发和数据系统的联邦行动.
- 州的经验突出了在导航联邦主义流行病应对结构中的挑战和成功.
结论:
- 在政府各级协调公共沟通对于有效应对疫情至关重要.
- 加强政府间沟通和纳入农村视角至关重要.
- 持续的联邦投资和对医疗服务准备的支持对于未来的流行病反应至关重要.
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