重新思考信任和公共卫生合规:为政策和实践引入信任连续性
Ashley Fox1, Victoria Y Fan2,3, Heeun Kim1,4
1Rockefeller College of Public Affairs and Policy, Department of Public Administration and Policy, University at Albany, Albany, NY, USA.
Health systems and reform
|February 11, 2025
概括
政府信任是疫情期间公共卫生合规的关键. 这项研究提出了一个信任连续框架,强调知情的信任和政府赢得公众信任的长期战略.
科学领域:
- 公共卫生政策 公共卫生政策
- 政府信任与合规性问题
- 行为科学 行为科学
背景情况:
- 对政府的信任显著预测了国家在管理COVID-19大流行中的表现.
- 在疫情期间,大量关于信任和遵守公共卫生措施的文献已经出现.
研究的目的:
- 综合政策相关的建议,以概念化对政府的信任.
- 检查政府信任是否总是有理由的.
- 为政府提供可行的策略,以获得适当水平的公众信任.
主要方法:
- 对信任和公共卫生合规现有文献进行批判性审查和综合.
- 开发一个概念框架,说明信任作为一个连续性.
- 对细微疾病应对策略的政策影响的分析.
主要成果:
- 提出了一个框架,信任存在于从极端不信任到盲目信任的连续上.
- 理想的信任水平被确定为"知情"或"基本"的信任,位于中间点.
- 为各国政府提供建议,以根据不同程度的公众信任量身定制应对措施.
结论:
- 建立和维护公众信任是一个持续的,长期的努力,即使在危机时期之外也是必不可少的.
- 政府必须采用细微的疾病应对方法,承认和解决不同程度的公众信任.
- 需要持续努力,以培养对有效公共卫生结果的知情信任.
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