The Limits of the Intervention of Public Power in Individual Health Choices——From the Perspective of the Realization of the Right to Health in the Prevention and Control of Chronic Diseases

Noncommunicable chronic diseases have become the most important public health problem in the world today,so the focus of public health services should be shifted from the traditional area of communicable diseases to the prevention and control of chronic diseases.Since bad living habits are the most direct cause of chronic diseases,the most effective measure to prevent and control chronic diseases is to promote healthy lifestyles for the individual citizen.The theories of equal health opportunity,the right to health from the perspective of human rights,and determinants of a healthy society provide justified reasons for the intervention of public power in individual health choices.In the current legal system,the intervention of public power is limited to flexible measures such as health education,which shows respect for individual autonomy.However,it is inconsistent with the needs of current public health practice.We should expand diversified intervention means to encourage individuals to make healthy choices under the guidance of the management model.The“ladder of intervention”outlines a panoramic view of the intervention measures available.However,for the selection of specific measures,it is necessary to consider the public health objectives and the invasion of individual freedom,introduce the“legal reservation principle”and“proportionality principle”as policy analysis tools,and reasonably choose intervention measures at different levels on the ladder to properly handle the tension between public power and private rights.

An Academic Summary of the International Seminar Series on “Protection of the Rights of Specific Groups in Pandemic Prevention and Control”

The international semiinar on"Protection of the Rights of Specific Groups in Pandemic Prevention and Control",organized by the Institute of Human Rights,Wuhan University,under the guidance of the China Society for Human Rights Studies,was held online on May 23,2020.Nearly 50 scholars and practitioners from domestic and foreign universities and research institutions conducted discussions and exchanges focusing on a series of topics including"Leave No One Behind:To Guarantee Specific Groups’Access to Public Service under the Pandemic","Justice for All:Prevention and Relief of Discrimination against Specific Groups",etc.

Development Path and Urgency of Further Strengthening Construction of Public Hospitals Based on Novel Coronavirus Pneumonia Treatment

During the outbreak of novel coronavirus pneumonia(NCP)in Wuhan,public hospitals have played an important role in intensive care,case guidance and scheme optimization.At the same time,it also faces unprecedented challenges and tests.Based on the treatment of severe patients in Wuhan,combined with the treatment practice in Tongji Hospital affiliated to Tongji Medical College,Huazhong University of Science and Technology,this paper puts forward the urgency of further strengthening the construction of public hospitals,discusses the feasible path for promoting the development of public hospitals,so as to meet the growing medical needs of the people,improve the ability to respond to major public health emergencies,and effectively guarantee the safety of people's lives and the promotion of a healthy China construction.

Enlightenment from the COVID-19 Pandemic:The Roles of Environmental Factors in Future Public Health Emergency Response

The coronavirus disease 2019(COVID-19)pandemic is challenging the current public health emergency response systems(PHERSs)of many countries.Although environmental factors,such as those influencing the survival of viruses and their transmission between species including humans,play important roles in PHERSs,little attention has been given to these factors.This study describes and elucidates the roles of environmental factors in future PHERSs.To improve countries’capability to respond to public health emergencies associated with viral infections such as the COVID-19 pandemic,a number of environmental factors should be considered before,during,and after the responses to such emergencies.More specifically,to prevent pandemic outbreaks,we should strengthen environmental and wildlife protection,conduct detailed viral surveillance in animals and hotspots,and improve early-warning systems.During the pandemic,we must study the impacts of environmental factors on viral behaviors,develop control measures to minimize secondary environmental risks,and conduct timely assessments of viral risks and secondary environmental effects with a view to reducing the impacts of the pandemic on human health and on ecosystems.After the pandemic,we should further strengthen surveillance for viruses and the prevention of viral spread,maintain control measures for minimizing secondary environmental risks,develop our capability to scientifically predict pandemics and resurgences,and prepare for the next unexpected resurgence.Meanwhile,we should restore the normal life and production of the public based on the“One Health”concept,that views global human and environmental health as inextricably linked.Our recommendations are essential for improving nations’capability to respond to global public health emergencies.

Analysis of CDC’s Role in Public Health Emergencies

Objective:To explore the role of the Centers for Disease Control and Prevention(CDC)in public health emergencies.Methods:The details of 12 public health events that occurred between January 2021 to December 2022 were analyzed to explore the roles of the CDC.Results:There were 160 patients involved in 10 public health events in 2021 and 48 patients involved in 2 public health events in 2022.Besides,the proportion of school public health events in 2022 was 0%,which was lower than in 2021,which was 80%(P<0.05).99.38%of patients during public health events were sent to the hospital promptly in 2022,which was higher than that in 2021,which was 81.25%(P<0.05).Furthermore,the average time taken for the CDC to control public health events in 2022 was 20.11±1.62 hours,and the average time taken to send inspection reports was shorter than that in 2021.The public satisfaction score was also higher in 2022 compared to 2021(P<0.05).Conclusion:The role of the CDC is to control infectious diseases.Therefore,it is important to pinpoint the existing problems in the strategies implemented by the CDC so that more improvements can be made to better prevent infectious diseases.

Effects of policies and containment measures on control of COVID- 19 epidemic in Chongqing

BACKGROUND Coronavirus disease 2019(COVID-19)is an emerging,rapidly evolving disease that spreads through the respiratory system and is highly contagious.In March 2020,the World Health Organization declared the COVID-19 outbreak a pandemic.In China,the pandemic was controlled after 2 mo through effective policies and containment measures.Describing the detailed policies and containment measures used to control the epidemic in Chongqing will provide a reference for the prevention and control of COVID-19 in other areas of the world.AIM To explore the effects of different policies and containment measures on the control of the COVID-19 epidemic in Chongqing.METHODS Epidemiological data on COVID-19 in Chongqing were prospectively collected from January 21 to March 15,2020.The policies and prevention measures implemented by the government during the epidemic period were also collected.Trend analysis was performed to explore the impact of the main policy measures on the effectiveness of the control of COVID-19 in Chongqing.As of March 15,the cumulative incidence of COVID-19 in Chongqing was 1.84/100000(576 cases)and the infection fatality rate was 1.04%(6/576).The spread of COVID-19 was controlled by effective policies that involved establishing a group for directing the COVID-19 epidemic control effort;strengthening guidance and supervision;ensuring the supply of daily necessities and medical supplies and equipment to residents;setting up designated hospitals;implementing legal measures;and enhancing health education.Medical techniques were implemented to improve the recovery rate and control the epidemic.Policies such as“the lockdown of Wuhan”,“initiating a first-level response to major public health emergencies”,and“implementing the closed management of residential communities”significantly curbed the spread of COVID-19.Optimizing the diagnosis process,shortening the diagnosis time,and constructing teams of clinical experts facilitated the provision of“one team of medical experts for each patient”treatment for severe patients,which significantly improved the recovery rate and reduced the infection fatality rate.CONCLUSION The prevention policies and containment measures implemented by the government and medical institutions are highly effective in controlling the spread of the epidemic and increasing the recovery rate of COVID-19 patients.

公立医院廉洁风险防控量化评价研究

目的探讨公立医院廉洁风险防控量化评价,为提升公立医院廉洁风险防控工作质效提供参考。方法自行设计《公立医院权力事项廉洁风险防控检查标准》,从权力运行流程梳理清晰程度、廉洁风险点查找准确程度、防控措施有力程度三个方面对四川大学华西医院各部门/临床医技科室提供的权力事项廉洁风险防控进行评分和评级。结果共检查了236个权力事项的廉洁风险防控情况,根据检查标准,57项评为一档,103项评为二档,76项评为三档,占比分别为24.15%、43.64%和32.20%。经检查,全院236个权力事项的廉洁风险防控检查得分为(5.82±1.92)分,其中,流程维度得分为(2.11±0.75)分,风险点查找维度得分为(1.89±0.75)分,防控维度得分为(1.89±0.79)分,体现出部分单位的工作流程不够清晰、个别风险点查找不准确、防控措施不具体等问题。结论医院要结合自身工作环节的问题,从思想、行为、成效和考核评价几方面入手,着力思考廉洁风险防控长期建设中的具体化、精准化、显著化和可量化。

2023年江苏省疾控机构公共场所卫生监测能力现状调查

目的了解2023年江苏省各级疾控机构公共场所卫生监测能力现状,分析存在的问题及其原因。方法于2023年6月,采用普查的方式,问卷调查江苏省所有市级和县级疾控机构公共场所卫生监测能力(人员配置、指标检测能力及其计量认证通过率)现状,并对不同级别、不同地区疾控机构进行比较分析。结果调查覆盖江苏省全省13个设区市,95个县(市、区)。共回收疾病预防控制机构调查问卷111份,其中市级13份,县级98份;调查内容涵盖人员队伍状况和实验室检测能力5大类31项检测指标。在人员配置方面,市级疾控机构环境卫生岗位设置以专职为主,县级以兼职为主。31项检测指标中,以市级为单位,13家市级总指标计量认证通过率为86.1%(347/403),以县级为单位,98家县级总指标计量认证通过率为51.2%(1555/3038);在计量认证通过率方面,市级疾控机构高于县级。在具备检测能力且通过计量认证指标监测能力方面,室内空气PM2.5等8项;公共用品用具pH值等2项;游泳池水、浸脚池水及沐浴水浊度等5项指标监测能力在不同级别疾控机构之间存在差异(χ2为3.87~42.05,P<0.05)。不同地区疾控机构在31项检测指标中,室内空气类氨和集中空调通风系统冷却水及沐浴水类嗜肺军团菌在不同地区疾控机构之间存在差异(χ^(2)分别为8.81和6.39,P<0.05)。监测能力整体评估显示,市级疾控机构公共场所卫生监测能力普遍高于县级,且苏中地区监测能力超过苏南和苏北地区。结论按监测能力综合评估,江苏省县级疾控机构公共场所监测能力总体较低,不同级别疾控机构中市级在人员配置及卫生监测能力上均高于县级,不同地区疾控机构在人员配置及卫生监测能力上存在地区差异,苏北地区以年轻人为主,苏中地区监测能力超过苏南和苏北地区。

公立医院加强中药配方颗粒廉政风险防控的研究和实践

近年来,随着中药配方颗粒市场的快速增长,相关的廉政风险也逐步凸显,公立医院必须高度重视,主动防范廉政风险。本文以上海市某三级甲等中医医院作为研究对象,从全面加强党风廉政建设、构建惩防体系、防患于未然的角度出发,梳理中药配方颗粒销售采购环节和临床应用环节的廉政风险点,通过加强廉政教育、完善管理制度、规范工作流程和运用“制度+科技”手段来强化监管等方式,建立健全中药配方颗粒廉政风险防控机制,有效管控廉政风险,促进公立医院高质量发展。

突发重大公共卫生事件中信息疫情防治策略研究

突发重大公共卫生事件涉及范围广泛、影响区域庞大,对社会发展以及人民生命健康构成重大威胁。信息疫情防治策略的研究在突发重大公共卫生事件中起着举足轻重的作用。本文从背景、挑战、策略以及未来展望4个方面,探讨了突发重大公共卫生事件背景下的信息疫情防治策略。通过运用信息化技术构建突发重大公共卫生事件防控体系,普及健康教育和卫生知识,建立突发重大公共卫生事件知识库,将能够更为有效地预防和控制突发重大公共卫生事件的扩散,保障社会稳定以及人民身心健康。

Prevention and control measures to further optimize COVID-19 response

On November 11,2022,the Chinese government released the Scientific and Targeted Prevention and Control Measures to Optimize COVID-19 Response.Since that time,adjusted measures have been implemented throughout China,leading to major shifts in implementation of the national prevention and control strategy.On the basis of the current situation of the epidemic and the evolving SARS-Cov-2 variants,an additional 10 specifications(referred to as“the 10-point measures”)were officially released on December 7,2022,in an effort to further optimize the prevention and control measures.The latest adjustments pertain to the specification of:precise delineation of high-risk areas,nucleic acid testing scheme,isolation and health monitoring,restriction and lifting of high-risk areas,medicine supply,vaccination rollout among older people,health status of key populations,social functioning,and campus response.

Scientific and targeted prevention and control measures to optimize COVID-19 response

Since the outbreak of the COVID-19 pandemic,under the strong leadership of the Central Committee of the Communist Party of China and President Xi Jinping,China has made firm decisions to prioritize people's lives and health.Efforts have been made to avoid foreign imported infection and domestic rebound of COVID-19 cases;the“dynamic zero COVID”policy has been executed without wavering;and the prevention and control measures have been optimized and improved in response to changing circumstances,actively responding to the impact caused by multiple waves of COVID-19 surge globally.China has made extraordinary efforts to safeguard people's lives and health.Meanwhile,prevention and control measures were timely updated to coordinate with economic and social development.On November 10,the Standing Committee of the Central Political Bureau held a meeting to discuss the latest situation of the COVID-19 pandemic in China.Twenty measures(referred to as“the 20-point measures”)were officially announced to further optimize the COVID-19 response.The latest prevention and control measures involve the requirements and guidance for isolation at home,high-risk area delineation,nucleic acid testing,international inbound flights and travelers,vaccination rollout,medical resource preparedness,and protection for special places and vulnerable population.

宋代地方政府公信力损耗及其治理论析

政府公信力是社会公众对政府履职能力的认可和信任度,属于政府的无形资产。宋代地方政府在行政中公信力损耗严重,主要表现在政策执行朝令夕改、失信于民,官员滥用权力残害民众、贪赃腐败、渎职怠政等方面。导致这种情况的原因包括部分官员素质较差,地方财政窘迫,中央政令和考核指标要求以及监督问责体制难以发挥实效等。为了挽回民众信任,宋朝统治者也提出一系列防治举措,既有制度层面的法令规章,也有执行层面的人事运作,还包括诸如《官箴书》之类的劝诫引导等,并取得一定成效。但由于缺乏严格的惩治措施和长效问责机制,特别是中央决策的可行性和对地方财政的搜刮,导致地方政府违法扰民问题仍屡禁不止,治理效果大打折扣。所以宋代民众以“不清不浊”的浆水色来形容地方政府和官员,其中的经验教训值得认真反思。

基层疾病预防控制机构2017—2022年政务热线案件特征分析

目的通过分析2017—2022年某基层疾控机构政务热线诉求反映的问题,为基层疾控机构政务热线处理提供参考。方法回顾性对比分析2017—2019年(常态化防控期)与2020—2022年(动态化防控期)受理的市民热线政务工单,通过比较诉求原因分类及受理科室分布,探讨不同时期市民诉求的变化情况。结果该基层疾控机构在动态化防控期(6974件)受理热线工单量较常态化防控期(284件)增加了23.6倍。常态化防控期“公共卫生服务质量”类(7.75%)、“公共卫生服务可及性”类(49.30%)诉求引发的案件占比高于动态化防控期同类型案件占比(3.63%和19.29%)。动态化防控期“管理措施”类(27.37%)案件占比低于常态化防控期同类案件(33.10%),“数据信息化”类案件受理量在动态化防控期间更为突出。结论动态化防控政策直接影响了市民获得公共卫生服务的体验,导致市民诉求原因的变化。基层疾控机构应通过完善公共卫生服务能力建设,以诉求问题为导向,加强沟通培训等措施提高政务热线处理能力。

“技防+监督”防控公立医院廉政风险的相关问题探讨

为了深入了解某省属公立医院关键重点岗位的廉政风险防控监督情况,通过问卷调查、结构化访谈等方法,全面分析了当前监督工作中存在的问题与挑战,提出了以“技防+监督”方式强化廉政风险防控的重要意义及相应解决方案。调研选取某省属公立医院的多个关键重点岗位员工作为调查对象,通过设计问卷和开展结构化访谈,收集了大量第一手资料。调研发现公立医院在廉政风险防控监督方面存在监督部门缺乏信息技术人才,监督工作的制度化、标准化程度有待提高,信息泄露、篡改等风险不容忽视。调研提出“完善制度,摸清底数,统一科学谋划;排查词库,精准聚焦,强化节点管控;梳理流程,制定表单,稳步推进联网;嵌入系统,规范运行,实现风险防控”的规范化、标准化管理解决方案,护航公立医院高质量发展。

本质安全视域下健全平安建设长效机制的思考——以H省为研究样本

本质安全作为一种高层次的安全管理理念,强调从源头防范化解系统性风险和预防事故的发生。H省自2021年9月践行本质安全理念以来,持续致力于健全平安建设长效机制,坚持控增量、减存量、防变量的原则,在“预”字上下足功夫,在“防”字上做好文章,全力以赴打击犯罪,积极化解积案和矛盾纠纷,开展了一系列有益探索。结合多地实践来看,平安建设的长效机制构建还存在一些问题。对此,基于本质安全视角客观审视这些问题,建议从强化社会治理共同体、创新公共安全体制机制、完善社会治安防控体系、筑牢舆情风险立体化防控体系、健全应急管理体系等方面着手促进长效机制建设,为平安建设更高水平、可持续发展打造坚实的支撑。

公立医院医疗腐败问题治理路径与防控策略研究

公立医院医疗腐败治理对于推进公立医院改革,加速公立医院高质量发展进程,实现健康中国目标具有重要意义。文章从定量分析案件的角度出发,结合中国裁判文书网医疗腐败案件数据和工作具体实践分析当前公立医院腐败问题现状,深入剖析医疗腐败治理存在的困境,如医疗腐败隐蔽性较强,查处极为困难;利益冲突导致“经济人”代理活动频发道德风险;公立医院内部监督制约机制不够有力等。在此基础上,提出创新公立医院反腐败手段,加强反腐深度;优化绩效薪酬分配体系,强化自我约束;健全公立医院内部制约监督机制,扎实推进惩防体系建设等建议。

基于财务风险防控的事业单位内控体系构建探讨

以财务风险防控为导向的内控管理工作,能够对事业单位各业务活动进行追踪管控,增强单位整体风险防控能力,实现财政资金的合理使用,满足国家财政管理要求。文章围绕财务风险防控下事业单位内控工作展开研究,简要分析财务风险防控与内控管理的概述及关系,探讨了财务风险防控的内控体系构建意义,最后基于风险防控视角提出几点事业单位内控体系构建思路,旨在发挥财务风险导向价值,优化事业单位内控管理效果,实现稳定发展。

重大公共卫生事件下西安市采供血情况纵向对比分析及启发

目的探讨重大公共卫生事件下西安市采供血情况。方法采用回顾性资料分析法,比较2020年1月25日至2月28日、2021年12月23日至2022年1月24日、2022年3月6日至3月28日西安市突发三轮公共卫生事件期间悬浮红细胞和血小板的采供量、血液调配情况和献血者人口学特征。结果2020年1月第1轮事件期间悬浮红细胞日库存一度跌至接近0;2022年3月第3轮事件期间悬浮红细胞日出库不断升高。三轮事件期间血小板日库存与日出库量均呈现较大波动。第1轮与第3轮事件期间悬浮红细胞供应主要靠本单位采集,而第2轮事件期间悬浮红细胞供应则主要依靠血液调配;三轮事件期间血小板供应主要依靠本单位采集。三轮事件期间献血人群越来越年轻化,专科学历献血者占比上升。结论重大公共卫生事件对西安市血液保障工作造成影响的同时有助于积累宝贵的工作经验。采供血机构应根据政府防控措施及事件发生发展的趋势灵活应对,及时调整工作思路和重点,不断完善采供血应急保障机制。

加强公共卫生服务体系建设的逻辑进路——以淮安市为例

重大公共卫生事件不仅严重挑战公共卫生服务体系,而且也关系着人民生命健康和国家安全。健全的公共卫生服务体系需要全生命周期的逻辑协同。健全防控体系、强化预警和监测能力、完善重大疫情救治体系、健全公共卫生服务辅助与保障体系是当前健全公共卫生服务体系的现实路径。