突发公共卫生危机应急防控体系的研究之一——应急响应系统

Research on systems for preventing and controlling emergent public health crises: I. The emergency re- sponse system

分析了常态环境中的公共卫生管理系统以及危机情势下公共卫生管理体系面临的困境; 总结出新趋势下突发公共卫生危机呈现出加速扩散、倍增放大和叠加共振的新特征;探讨了建立应急响 应系统的相关问题。为适应现代危机防控的全域性要求,原有公共卫生管理系统必须向结构分化和规 模扩大的应急响应系统转变;必须构建应急决策指挥、应急动员执行、控制校正三大子系统,以实现对原 有系统功能的强化和提升。

The paper analyzes the operation of the public health administration system under normal circumstances and the dilemmas the system faces in case of a crisis, sums up the new features presented by emergent public health crises under the new circumstances： rapid spread, multiplier amplification and superimposed resonance, and discusses issues related to the establishment of an emergency response system. It argues that in order to meet the universal demands in preventing and controlling modern crises, it is imperative for the existing public health administration system to transform into the structurally differentiated and greatly enlarged emergency response system; and it is also imperative to establish the three subsystems of emergency decisionmaking, emergency mobilization and operations, and control and correction so as to improve and strengthen the functions of the original system.