在COVID-19紧急情况期间,对美国公共卫生机构限制的当地反应
Genevive R Meredith1,2,3, Xue Zhang4, Zachary M Batterman1,2
1Department of Public and Ecosystem Health, Cornell University, Ithaca, New York, USA.
The International journal of health planning and management
|January 27, 2026
概括
当地公共卫生机构在COVID-19大流行期间,由于政治化的限制,面临着挑战. 跨机构合作和建立信任是维持公共卫生工作的关键,尽管权力有限.
科学领域:
- 公共卫生政策 公共卫生政策
- 医疗保健服务研究 医疗服务研究
- 应急准备情况 应急准备情况
背景情况:
- 美国的公共卫生当局日益政治化.
- 研究表明,在紧急情况下限制公共卫生当局危及社区福祉和健康结果.
- 在COVID-19大流行期间 (2020-2021年),美国的州政策制定者削减了当地公共卫生机构的疾病预防行动.
研究的目的:
- 调查地方公共卫生机构如何在受限制的公共卫生权力的情况下维持保护生命的任务.
- 分析当地公共卫生官员在应对COVID-19紧急情况期间实施的限制时采用的策略.
主要方法:
- 在2023年10月进行了定性,半结构化的焦点小组.
- 来自七个州的14名美国公共卫生官员的有目的样本参与了公共卫生行动的各种限制.
- 参与者分享了关于障碍,挑战,适应,采取的行动和未来前景的经验.
主要成果:
- 有限的资源和受限制的公共卫生权威给当地机构造成了重大压力.
- 通过加强地方层面的跨机构合作来维持公共卫生目标,促进创新.
- 建立信任和保持清晰的沟通被认为是成功适应的关键要素.
结论:
- 尽管面临挑战,当地公共卫生机构通过合作和建立信任来表现出性.
- 未来的公共卫生紧急情况可能会增加地方当局的限制,需要采取积极的战略.
- 加强协作网络,专注于信任,确保一致的沟通对于降低风险至关重要. 解决卫生政策的政治化问题也是必不可少的.
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