面向疫情危机的城市公共卫生系统韧性

Resilience of urban public health system in cases of epidemic crisis

为有效应对城市公共卫生危机,公共卫生系统韧性至关重要。以武汉新冠肺炎(COVID-19)疫情防控成功经验为例,运用扎根理论分析政府、社区、医疗机构、媒体、非政府组织在COVID-19疫情防控中的观念与行为,解析出反映系统韧性特征的疾病监测体系、防疫资源管理、合作治理能力等10个主范畴及对应的52个子范畴,由此将系统韧性细分为功能韧性、过程韧性和整体韧性。运用解释结构模型(ISM)构建提升公共卫生系统韧性的层次结构模型,揭示多元社会主体通过前述韧性要素集合:社会防疫基础、防疫科技与文化、疫情风险综合治理的层级递进应急准备,实现城市公共卫生系统韧性提升目标。

To effectively cope with urban public health crisis,the resilience of public health system is critical.With the successful prevention experience of COVID-19 epidemic in Wuhan as an example,grounded theoretical method was used to analyze concepts and behaviors of the government,communities,hospitals,media and Non-Governmental Organizations in the prevention and control of the epidemic.10 main categories and 52 corresponding sub-categories,which reflected system resilience,were identified,including disease surveillance system,epidemic prevention resource management,and collaborative governance capabilities.It is found that public health system resilience can be divided into functional resilience,process resilience and integral resilience.A hierarchical structure model can be constructed to improve its resilience by means of interpretation structure modeling(ISM).And by integrating factors of multiple social subjects,including social epidemic prevention foundation,epidemic prevention technology and culture,and comprehensive governance of epidemic risks for gradual emergency preparedness,the resilience of the urban public health system can be upgraded.