RAND Corporation, Santa Monica, CA 90407-2138, USA.
Disaster Med Public Health Prep. 2010 Dec;4(4):285-90. doi: 10.1001/dmp.2010.39.
The paucity of evidence and wide variation among communities creates challenges for developing congressionally mandated national performance standards for public health preparedness. Using countermeasure dispensing as an example, we present an approach for developing standards that balances national uniformity and local flexibility, consistent with the quality of evidence available.
We used multiple methods, including a survey of community practices, mathematical modeling, and expert panel discussion.
The article presents recommended dispensing standards, along with a general framework that can be used to analyze tradeoffs involved in developing other preparedness standards.
Standards can be developed using existing evidence, but would be helped immensely by a stronger evidence base.
由于证据不足且社区间差异较大，为制定国会授权的公共卫生应急准备的国家绩效标准带来了挑战。以对策配给为例，我们提出了一种方法来制定标准，该方法在平衡国家统一性和地方灵活性的同时，与现有证据质量保持一致。
我们使用了多种方法，包括社区实践调查、数学建模和专家小组讨论。
本文提出了推荐的配给标准，并提供了一个通用框架，可用于分析制定其他应急准备标准所涉及的权衡。
可以使用现有证据制定标准，但如果有更强大的证据基础，将会有很大帮助。
