從SARS防治績效對比研究各國公共衛生應急反應體系_《中國循證醫學雜志》

作者：

孫丁 ¹ , 李幼平 ¹ , 馮曦兮 ² , 黃揩森 ³ , 鐘鈴 ³ , 甘靖 ³ , 周榮樂 ³ , 王鑫 ³ , 鄭靜 ⁴ , 易嵐 ⁴ , 曾錚 ⁴ , 稅紅 ⁴ , 劉挺 ⁴ , 易剛 ⁴

1. 四川大學華西醫院中國循證醫學中心,成都,6100412. 成都市疾病預防控制中心3. 四川大學華西臨床醫學院4. 四川大學外國語學院英語二系;

關鍵詞：

SARS 循證科學公共衛生應急反應體系

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目的　選擇SARS危機中公共衛生應急反應體系完善、應急迅速的有代表性的國家,對其公共衛生應急反應體系的機構機制與績效進行對比分析,為我國建立和完善公共衛生應急反應體系提供依據.
方法　采用循證科學的原理和方法,通過系統查閱、收集和評價中國、美國、英國、澳大利亞和新加坡官方網站的信息,比較其SARS防治績效及公共衛生應急反應體系的機構設置和運作機制,分析原因,總結問題,提出對策.
結果　美國、英國和澳大利亞的SARS防治績效最好;新加坡的應急反應措施受到WHO高度評價.我國公共衛生應急反應體系的結構與發達國家相似,但投入不足、管理落后、運作機制不成熟導致效率低下.
結論　我國公共衛生體系改革應以加強機制建設為突破口.我國幅員遼闊,不同地區宜采用適合本地區條件的公共衛生防御體系和機制.上述國家的經驗有助于我們建立和完善有中國特色的公共衛生預警應急體系.

引用本文： 孫丁,李幼平,馮曦兮,黃揩森,鐘鈴,甘靖,周榮樂,王鑫,鄭靜,易嵐,曾錚,稅紅,劉挺,易剛. 從SARS防治績效對比研究各國公共衛生應急反應體系. 中國循證醫學雜志, 2004, 04(6): 402-409. doi: 復制

1.	［1］The world health report 2003-shaping the future [ EB/OL ].Available from: URL: http://www. who. int/whr/2003/en/.
2.	［2］Deng SL, Sun D, Li YP, Tao TJ, Liu XH, Sun XL, Tian HM, Zhou QH, Liu M, Zhao LS, He Q, Li J, Liu CT.The construction of a public health system in Chengdu: from the point of view of evidence-based medicine [ J ]. Chinese Journal of Evidence-Based Medicine, 2004; 4 (3): 187-193.
3.	鄧紹林,孫丁,李幼平,陶鐵軍,劉協和,孫學禮,田浩潑?周請華,劉鳴,趙連三,何慶,李靜,劉春濤.從循證醫學角度看成都市公共衛生體系建設[J].中國循證醫學雜志,2004;4(3):187～193.
4.	［3］Situation in Singapore and Hong Kong, interpretation of "areas with recent local transmission" [ EB/OL]. Available from:URL: http ://www. who. int/csr/sarsarchive/2003-05-12/en/.
5.	［4］Ru X, Lu XY, Li PL, Yang GH. SARS epidemic and public health system of China [ A]. 2004: Blue book of Analysis and prediction of social situation of China [ M], Beijing: Social Science Literature Press.
6.	汝信,陸學藝,李培林,楊功煥.SARS流行與中國公共衛生系統[A]2004年:中國社會形勢分析與預測·社會藍皮書[M],北京:社會科學文獻出版社.
7.	［5］Tad Fallows, Liu AT, Hu CL. Does China need to establish a regular public crisis management agency [ EB/OL] ? Available from: URL: http://www. caijing. com. cn/mag/preview. aspx? ArtID =4198.
8.	Tad Fallows,劉安田,胡春磊.中國是否需要建立常設的公共危機管理機構[EB/OL]?Available from:URL:http://www. caijing. com. cn/mag/preview. aspx? ArtID =4198.
9.	［6］Mokdad AH, Bales VS, Greenlund KJ, Mensah GA. Public health surveillance for disease prevention: lessons from the behavioral risk factor surveillance system [J]. Ethn Dis, 2003;13(2 Suppl 2): S19-23.
10.	［7］He L, Li YP, Xu J, Tang GM, Tao TJ, Sun D. Information management of public health emergencies in SARS crisis [J].Chinese Journal of Evidence-Based Medicine, 2004, 4 ( 2 ):122-128.
11.	何林,李幼平,徐娟,唐光敏,陶鐵軍,孫丁.從SARS防治看突發公共衛生事件的信息管制與成效[J].中國循證醫學雜志,2004,4(2):122～128.
12.	［8］National Electronic Disease Surveillance System Working Group. National Electronic Disease Surveillance System (NEDSS): a standards-based approach to connect public health and clinical medicine [ J ]. J Public Health Manag Pract, 2001; 7(6): 43-50.
13.	［9］Huang JF. Evidence-based reform on health care after SARS[J]. Chinese Journal of Evidence-Based Medicine, 2003; 3(3): 169-170.
14.	黃杰夫.SARS過后看循證醫學與醫療衛生改革[J].中國循證醫學雜志,2003;3(3):169～170.
15.	［10］Huang JS. A view on the public health response system of USA [EB/OL]. Available from: URL: http://www. people. com. cn/GB/keji/1059/2110031. html.
16.	黃建始.從美國沒有SARS大流行看突發公共衛生事件應對體系[EB/OL].Available from:URL:http://www.people. com. cn/GB/keji/1059/2110031. html.
17.	［11］Australia can deal with a biological incident [EB/OL]. Availa ble from: URL: http://www. health. gov. au/pubhlth/strateg/communic/factsheets/anthrax_statement. html.

1. ［1］The world health report 2003-shaping the future [ EB/OL ].Available from: URL: http://www. who. int/whr/2003/en/.
2. ［2］Deng SL, Sun D, Li YP, Tao TJ, Liu XH, Sun XL, Tian HM, Zhou QH, Liu M, Zhao LS, He Q, Li J, Liu CT.The construction of a public health system in Chengdu: from the point of view of evidence-based medicine [ J ]. Chinese Journal of Evidence-Based Medicine, 2004; 4 (3): 187-193.
3. 鄧紹林,孫丁,李幼平,陶鐵軍,劉協和,孫學禮,田浩潑?周請華,劉鳴,趙連三,何慶,李靜,劉春濤.從循證醫學角度看成都市公共衛生體系建設[J].中國循證醫學雜志,2004;4(3):187～193.
4. ［3］Situation in Singapore and Hong Kong, interpretation of "areas with recent local transmission" [ EB/OL]. Available from:URL: http ://www. who. int/csr/sarsarchive/2003-05-12/en/.
5. ［4］Ru X, Lu XY, Li PL, Yang GH. SARS epidemic and public health system of China [ A]. 2004: Blue book of Analysis and prediction of social situation of China [ M], Beijing: Social Science Literature Press.
6. 汝信,陸學藝,李培林,楊功煥.SARS流行與中國公共衛生系統[A]2004年:中國社會形勢分析與預測·社會藍皮書[M],北京:社會科學文獻出版社.
7. ［5］Tad Fallows, Liu AT, Hu CL. Does China need to establish a regular public crisis management agency [ EB/OL] ? Available from: URL: http://www. caijing. com. cn/mag/preview. aspx? ArtID =4198.
8. Tad Fallows,劉安田,胡春磊.中國是否需要建立常設的公共危機管理機構[EB/OL]?Available from:URL:http://www. caijing. com. cn/mag/preview. aspx? ArtID =4198.
9. ［6］Mokdad AH, Bales VS, Greenlund KJ, Mensah GA. Public health surveillance for disease prevention: lessons from the behavioral risk factor surveillance system [J]. Ethn Dis, 2003;13(2 Suppl 2): S19-23.
10. ［7］He L, Li YP, Xu J, Tang GM, Tao TJ, Sun D. Information management of public health emergencies in SARS crisis [J].Chinese Journal of Evidence-Based Medicine, 2004, 4 ( 2 ):122-128.
11. 何林,李幼平,徐娟,唐光敏,陶鐵軍,孫丁.從SARS防治看突發公共衛生事件的信息管制與成效[J].中國循證醫學雜志,2004,4(2):122～128.
12. ［8］National Electronic Disease Surveillance System Working Group. National Electronic Disease Surveillance System (NEDSS): a standards-based approach to connect public health and clinical medicine [ J ]. J Public Health Manag Pract, 2001; 7(6): 43-50.
13. ［9］Huang JF. Evidence-based reform on health care after SARS[J]. Chinese Journal of Evidence-Based Medicine, 2003; 3(3): 169-170.
14. 黃杰夫.SARS過后看循證醫學與醫療衛生改革[J].中國循證醫學雜志,2003;3(3):169～170.
15. ［10］Huang JS. A view on the public health response system of USA [EB/OL]. Available from: URL: http://www. people. com. cn/GB/keji/1059/2110031. html.
16. 黃建始.從美國沒有SARS大流行看突發公共衛生事件應對體系[EB/OL].Available from:URL:http://www.people. com. cn/GB/keji/1059/2110031. html.
17. ［11］Australia can deal with a biological incident [EB/OL]. Availa ble from: URL: http://www. health. gov. au/pubhlth/strateg/communic/factsheets/anthrax_statement. html.

《中國循證醫學雜志》

從SARS防治績效對比研究各國公共衛生應急反應體系

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《中國循證醫學雜志》

從SARS防治績效對比研究各國公共衛生應急反應體系

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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