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

目的 　選擇SARS危機中公共衛(wèi)生應(yīng)急反應(yīng)體系完善、應(yīng)急迅速的有代表性的國家,對其公共衛(wèi)生應(yīng)急反應(yīng)體系的機構(gòu)機制與績效進行對比分析,為我國建立和完善公共衛(wèi)生應(yīng)急反應(yīng)體系提供依據(jù).
方法 　采用循證科學的原理和方法,通過系統(tǒng)查閱、收集和評價中國、美國、英國、澳大利亞和新加坡官方網(wǎng)站的信息,比較其SARS防治績效及公共衛(wèi)生應(yīng)急反應(yīng)體系的機構(gòu)設(shè)置和運作機制,分析原因,總結(jié)問題,提出對策.
結(jié)果 　美國、英國和澳大利亞的SARS防治績效最好;新加坡的應(yīng)急反應(yīng)措施受到WHO高度評價.我國公共衛(wèi)生應(yīng)急反應(yīng)體系的結(jié)構(gòu)與發(fā)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(jié)論 　我國公共衛(wèi)生體系改革應(yīng)以加強機制建設(shè)為突破口.我國幅員遼闊,不同地區(qū)宜采用適合本地區(qū)條件的公共衛(wèi)生防御體系和機制.上述國家的經(jīng)驗有助于我們建立和完善有中國特色的公共衛(wèi)生預(yù)警應(yīng)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(wèi)生應(yīng)急反應(yīng)體系. 中國循證醫(yī)學雜志, 2004, 04(6): 402-409. doi: 復(fù)制

版權(quán)信息： ?四川大學華西醫(yī)院華西期刊社《中國循證醫(yī)學雜志》版權(quán)所有，未經(jīng)授權(quán)不得轉(zhuǎn)載、改編

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(xié)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(yī)學角度看成都市公共衛(wèi)生體系建設(shè)[J].中國循證醫(yī)學雜志,2004;4(3):187～193.
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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(wèi)生系統(tǒng)[A]2004年:中國社會形勢分析與預(yù)測·社會藍皮書[M],北京:社會科學文獻出版社.
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8. Tad Fallows,劉安田,胡春磊.中國是否需要建立常設(shè)的公共危機管理機構(gòu)[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(fā)公共衛(wèi)生事件的信息管制與成效[J].中國循證醫(yī)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(yī)學與醫(yī)療衛(wèi)生改革[J].中國循證醫(yī)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(fā)公共衛(wèi)生事件應(yīng)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. ［1］The world health report 2003-shaping the future [ EB/OL ].Available from: URL: http://www. who. int/whr/2003/en/.
  2. 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. 3. 鄧紹林,孫丁,李幼平,陶鐵軍,劉協(xié)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(yī)學角度看成都市公共衛(wèi)生體系建設(shè)[J].中國循證醫(yī)學雜志,2004;4(3):187～193.
  4. 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. 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. 6. 汝信,陸學藝,李培林,楊功煥.SARS流行與中國公共衛(wèi)生系統(tǒng)[A]2004年:中國社會形勢分析與預(yù)測·社會藍皮書[M],北京:社會科學文獻出版社.
  7. 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. 8. Tad Fallows,劉安田,胡春磊.中國是否需要建立常設(shè)的公共危機管理機構(gòu)[EB/OL]?Available from:URL:http://www. caijing. com. cn/mag/preview. aspx? ArtID =4198.
  9. 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. 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. 11. 何林,李幼平,徐娟,唐光敏,陶鐵軍,孫丁.從SARS防治看突發(fā)公共衛(wèi)生事件的信息管制與成效[J].中國循證醫(yī)學雜志,2004,4(2):122～128.
  12. 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. 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. 14. 黃杰夫.SARS過后看循證醫(yī)學與醫(yī)療衛(wèi)生改革[J].中國循證醫(yī)學雜志,2003;3(3):169～170.
  15. 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. 16. 黃建始.從美國沒有SARS大流行看突發(fā)公共衛(wèi)生事件應(yīng)對體系[EB/OL].Available from:URL:http://www.people. com. cn/GB/keji/1059/2110031. html.
  17. 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.