The public health emergency management system in China: trends from 2002 to 2012

BMC Public Health

Mingzhu Yu¹  Jingjin Yu¹  Jian Wang²  Xinhua Wang³  Yu Zhang⁴  Hua Wang⁵  Qi Li⁶  Yueliang Lu⁷  Ming Fan⁸  Ningze Xu⁹  Zheng Chen^1,10  Jiatong Zou^1,11  Chengyue Li^1,11  Li Luo^1,11  Mo Hao^1,11  Mei Sun^1,11  Ying Wang^1,11  Zhenqiang Bi^1,12  Dan Wu^1,13  Liping Fu^1,14  Peiwu Shi^1,15 

[1] Bureau of Disease Control and Prevention of National Health Commission of the People’s Republic of China;Chinese Center for Disease Control and Prevention;Gansu Provincial Center for Disease Control and Prevention;Health and Family Planning Commission of Hubei Province;Health and Family Planning Commission of Jiangsu Province;Hebei Provincial Center for Disease Control and Prevention;Jiangsu Provincial Center for Disease Control and Prevention;Jilin Provincial Center for Disease Control and Prevention;Key Lab of Health Technology Assessment, National Health Commission of the People’s Republic of China (Fudan University), School of Public Health, Fudan University;National Grassroots Health Prevention Group;Research Institute of Health Development Strategies & Collaborative Innovation Center of Social Risks Governance in Health, Fudan University;Shandong Provincial Center for Disease Control and Prevention;Shanghai Health Education Institution;Xinjiang Provincial Center for Disease Control and Prevention;Zhejiang Academy of Medical Sciences;

关键词: Public health emergency management system;    China;    Trend;    Preparation;    Readiness;    Response;   

DOI  :  10.1186/s12889-018-5284-1

来源: DOAJ

【 摘 要 】

Abstract Background Public health emergencies have challenged the public health emergency management systems (PHEMSs) of many countries critically and frequently since this century. As the world’s most populated country and the second biggest economy in the world, China used to have a fragile PHEMS; however, the government took forceful actions to build PHEMS after the 2003 SARS outbreak. After more than one decade’s efforts, we tried to assess the improvements and problems of China’s PHEMS between 2002 and 2012. Methods We conducted two rounds of national surveys and collected the data of the year 2002 and 2012, including all 32 provincial, 139 municipal, and 489 county CDCs. The municipal and county CDCs were selected by systematic random sampling. Twenty-one indicators of four stages (preparation, readiness, response and recovery) from the National Assessment Criteria for CDC Performance were chosen to assess the ten-year trends. Results At the preparation stage, organization, mechanisms, workforce, and stockpile across all levels and regions were significantly improved after one decade’s efforts. At the readiness stage, the capability for formulating an emergency plan was also significantly improved during the same period. At the response stage, internet-based direct reporting was 98.8%, and coping scores were nearly full points of ten in 2012. At the recovery stage, the capabilities were generally lower than expected. Conclusions Due to forceful leadership, sounder regulations, and intensive resources, China’s PHEMS has been improved at the preparation, readiness, and response stages; however, the recovery stage was still weak and could not meet the requirements of crisis management and preventive governance. In addition, CDCs in the Western region and counties lagged behind in performance on most indicators. Future priorities should include developing the recovery stage, establishing a closed feedback loop, and strengthening the capabilities of CDCs in Western region and counties.

【 授权许可】

Unknown