Kayman Harvey, Logar Tea
1University of California School of Public Health,Richmond,California.
2University of California San Francisco.
Disaster Med Public Health Prep. 2016 Feb;10(1):165-73. doi: 10.1017/dmp.2015.149. Epub 2015 Nov 18.
Three sets of issues tend to be overlooked in public health emergency preparedness and response, which can be addressed with new training protocols. The first issue is procedural and concerns the often intuitive (as opposed to deliberative) nature of effective crisis decision-making. The second issue is substantive and pertains to the incorporation and prioritization of ethical, political, and logistical concerns in public health emergency guidelines. The third issue is affective and concerns human feelings and human frailty, which can derail the most well designed and best practiced procedural and substantive approaches to emergency response. This article offers an outline for a decision-making framework for public health emergencies that addresses and incorporates these issues within relevant guidelines and training.
在公共卫生应急准备和应对中，有三组问题往往被忽视，可通过新的培训方案加以解决。第一个问题是程序性的，涉及有效危机决策通常直观（而非深思熟虑）的性质。第二个问题是实质性的，关乎公共卫生应急指南中伦理、政治和后勤问题的纳入及优先次序。第三个问题是情感性的，涉及人类情感和人性弱点，这可能使最精心设计和实践最佳的应急响应程序和实质性方法脱轨。本文提供了一个公共卫生应急决策框架的大纲，该框架在相关指南和培训中处理并纳入了这些问题。
