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中国初级卫生保健:2021,35(6):49-54
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社区应对重大突发公共卫生事件的协同联动机制研究——以常州市新龙湖社区新冠肺炎疫情防控为例
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中文摘要: 社区作为新型冠状病毒肺炎疫情联防联控的重要堡垒,在控制传染源、切断传播途径和保护易感人群的三大环 节上发挥关键作用。基于常州市新龙湖社区疫情早期应急防控“四包一”管理行动的参与式观察,阐释以社区为应急管控的居 家隔离基点,党政医警力量、社工及人民群众协同联动应对疫情的实践模式,发现应急主体权责不对等、激励保障未受重 视、应急流程衔接整合不理想以及社区自主能动的响应承接力较弱等问题,提出从制度保障、监督考评、信息联动、资源调 配、弹性激励和联席调处六大方面共同推进协同联动机制优化,进而达到“三大基本目标”与“六大期望结果”,以期为重大突 发公共卫生事件联防联控的机制完善及社区公共健康的秩序构建提供策略。
Abstract:As an important fortress for joint prevention and control of COVID-19, the community plays a key role in controlling the source of infection, cutting off the route of transmission, and protecting susceptible people. Based on the participatory observation of the“Quartet Guarantee”management action for the early emergency prevention and control of COVID-19 in the Xinlonghu com⁃ munity of Changzhou, the practice model of the party and government cadres, medical forces, police forces, social worker group and general public in collaborating to respond to COVID-19 is explained, where the community is serviced as the basis of home isolation for emergency management and control. It is discovered that the powers and responsibilities of emergency subjects are not equal, in⁃ centives are not paid attention to, the integration of emergency process is not ideal, and the community’s autonomous and active re⁃ sponse capacity is weak. The optimization of the collaborative linkage mechanism from the six aspects is proposed, which includes system guarantee, supervision and evaluation, information linkage, resource allocation, flexible incentives, and joint mediation. Then the “three basic goals” and the “six expected results” are achieved. Finally, the above practices are expected to provide strate⁃ gies to improve the mechanism of joint prevention and control the magnitude outburst public health incident and construct the order of public health in communities.
文章编号:3202106015     中图分类号:R197    文献标志码:
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