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这不仅仅是培训:重新思考加强全球应急响应工作人员的战略
Mays Shamout1, Adela Hoffman2, Sonya Panjwani2
1Global Public Health Emergency Branch, Division of Global Health Protection, Global Health Center, Centers for Disease Control and Prevention, Atlanta, Georgia, USA olv6@cdc.gov.
BMJ global health
|September 25, 2025
概括
公共卫生快速响应小组 (RRTs) 需要的不仅仅是培训. 可持续的资金和领导力支持对于RRT计划的成功至关重要. 定制的全球卫生倡议可以提高应急响应能力.
科学领域:
- 公共卫生 公共卫生
- 应急管理 应急管理
- 全球卫生安全 全球卫生安全
背景情况:
- 公共卫生快速响应小组 (RRT) 对于有效的紧急响应至关重要.
- 美国疾病预防控制中心 (CDC) 在RRT计划上培训了全球公共卫生紧急管理人员.
- 在RRT编程中仍然存在挑战,需要确定支持因素和阻碍因素.
研究的目的:
- 阐明影响RRT计划实施的支持因素和挑战因素.
- 根据RRT计划能力和国家收入水平分析这些因素.
主要方法:
- 2021年4月,一项匿名在线调查分发给86名受过CDC培训的参与者.
- 调查问题涉及RRT计划能力 (完全功能与部分功能) 和实施因素.
- 用描述性分析和千二测试来按计划能力和收入水平分层因素 (低低中高高中高).
主要成果:
- 来自24个国家的55名参与者做出了回应;82%的人表示有RRT计划 (65%部分功能,35%完全功能).
- 关键的支持因素包括专门的RRT管理团队和领导层的理解;主要的挑战是缺乏资金.
- 低收入国家面临着更大的资金和设备挑战,而中高收入国家则在标准运营程序和领导层理解方面扎. 功能完善的RRT报告说,他们更缺乏急救人员.
结论:
- 仅仅是RRT培训不足以有效应对紧急情况.
- 可持续的资金和强有力的领导支持是RRT计划成功的基本基本要素.
- 未来的全球卫生倡议应根据国家RRT能力和收入水平量身定制支持,以提高应急响应能力.
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