A Comparative Study on National Public Health Emergency Response Systems Regarding Their Performance in SARS Prevention and Control_Chinese Journal of Evidence-Based Medicine

Authors：

SUN Ding ¹ , LI Youping ¹ , FENG Xixi ² , HUANG Kaisen ³ , ZHONG ning ³ , GAN Jin ³ , ZHOU Rongle ³ , WANG Xin ³ , ZHENG Jing ⁴ , YI Lan ⁴ , ZENG Zheng ⁴ , SHUI Hong ⁴ , LIU Ting ⁴ , YI Gang ⁴

1. Chinese Evidence-Based Medicine Center; West China Hospital; Sichuan University; Chengdu 610041; China2. Chengdu Center for Disease Prevention and Control3. West China School of Medicine; Sichuan University4. Second Department of English; School of Foreign Languages; Sichuan University;

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Keywords：

SARS; Evidence-based science; Public health; Emergency response system

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Objective 　To provide evidence for the establishment and improvement of public health system in China by comparing national public health emergency system of some representative countries.
Methods 　The principle and method of evidence-based science were applied to search and evaluate data from the official websites of China, United States, United Kingdom, Australia and Singapore. The performance of each country’s public health emergency response system in SARS prevention and control, as well as their organization structure and mechanism were compared. The existing problems and corresponding countermeasures were then put forward.
Results 　Public health system showed the best performance was in US, UK and Australia. The responding mechanism of Singapore was highly admired by WHO. The organization structure of China was similar to that of developed countries, but its performance was far lagged behind because of insufficient financial support, poor management and inefficient operational mechanism.
Conclusions 　The public health emergency response system in China needs to be reformed by giving priority to mechanism reinforcement. Different models should be taken into account regarding different regional situations in China.

Citation： SUN Ding,LI Youping,FENG Xixi,HUANG Kaisen,ZHONG ning,GAN Jin,ZHOU Rongle,WANG Xin,ZHENG Jing,YI Lan,ZENG Zheng,SHUI Hong,LIU Ting,YI Gang. A Comparative Study on National Public Health Emergency Response Systems Regarding Their Performance in SARS Prevention and Control. Chinese Journal of Evidence-Based Medicine, 2004, 04(6): 402-409. doi: Copy

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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. 邓绍林,孙丁,李幼平,陶铁军,刘协和,孙学礼,田浩泼?周请华,刘鸣,赵连三,何庆,李静,刘春涛.从循证医学角度看成都市公共卫生体系建设[J].中国循证医学杂志,2004;4(3):187～193.
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. ［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,陆学艺,李培林,杨功焕.SARS流行与中国公共卫生系统[A]2004年:中国社会形势分析与预测·社会蓝皮书[M],北京:社会科学文献出版社.
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. Tad Fallows,刘安田,胡春磊.中国是否需要建立常设的公共危机管理机构[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,陶铁军,孙丁.从SARS防治看突发公共卫生事件的信息管制与成效[J].中国循证医学杂志,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. 黄杰夫.SARS过后看循证医学与医疗卫生改革[J].中国循证医学杂志,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. 黄建始.从美国没有SARS大流行看突发公共卫生事件应对体系[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.

Chinese Journal of Evidence-Based Medicine

A Comparative Study on National Public Health Emergency Response Systems Regarding Their Performance in SARS Prevention and Control

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