Department of Hospital-Acquired Infection Control, Peking University People's Hospital, Beijing, China.
Department of Hospital-Acquired Infection Control, Beijing Jishuitan Hospital, Beijing, China.
Front Public Health. 2020 May 29;8:250. doi: 10.3389/fpubh.2020.00250. eCollection 2020.
This study aimed at exploring the current development status and problems of health emergency management in China and provides a reference for improving, constructing, and implementing a public health emergency management system. Cases of major and severe public health emergencies in China were analyzed along with the relevant health emergency management literature from the last decade. China's health emergency system gradually improved during the study period. Monitoring and early warning systems were significantly strengthened. Material reserves and transfer management systems were constantly improved. However, the operational efficiency of command and decision systems was low, versatile talent accounted for a relatively small proportion, and emergency fund investment was insufficient. Constructing a sound and scientific emergency management mechanism is a lengthy and challenging process. To establish an emergency management mode for public health emergencies that is appropriate for China, it is necessary to solve existing problems and learn from the models and experiences of developed foreign countries.
本研究旨在探讨中国卫生应急管理的现状和问题,为完善、构建和实施突发公共卫生事件应急管理体系提供参考。通过对近十年中国重大和严重突发公共卫生事件的案例分析,结合相关卫生应急管理文献,梳理了我国卫生应急管理体系的发展历程和存在的问题。研究期间,中国卫生应急体系逐步完善,监测预警系统显著加强,物资储备和调拨管理制度不断完善,但指挥决策系统运行效率低、多科人才比例相对较小、应急资金投入不足。构建完善、科学的应急管理机制是一个漫长而具有挑战性的过程。要建立适合中国国情的突发公共卫生事件应急管理模式,需要解决现存问题,借鉴发达国家的模式和经验。