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本文引用的文献

1
Key experiences of community engagement and social mobilization in the Ebola response.埃博拉应对中社区参与和社会动员的关键经验。
Glob Health Promot. 2016 Mar;23(1):79-82. doi: 10.1177/1757975915606674. Epub 2015 Oct 29.
2
What is a resilient health system? Lessons from Ebola.什么是有韧性的卫生系统？从埃博拉疫情中吸取的教训。
Lancet. 2015 May 9;385(9980):1910-2. doi: 10.1016/S0140-6736(15)60755-3.
3
A plan for community event-based surveillance to reduce Ebola transmission - Sierra Leone, 2014-2015.基于社区活动的埃博拉传播减少计划 - 塞拉利昂，2014-2015 年。
MMWR Morb Mortal Wkly Rep. 2015 Jan 30;64(3):70-3.
4
Health-system resilience: reflections on the Ebola crisis in western Africa.卫生系统的韧性：对西非埃博拉危机的思考
Bull World Health Organ. 2014 Dec 1;92(12):850. doi: 10.2471/BLT.14.149278.
5
Infectious disease: tough choices to reduce Ebola transmission.传染病：减少埃博拉病毒传播的艰难抉择。
Nature. 2014 Nov 13;515(7526):192-4. doi: 10.1038/515192a.
6
Explorations on people centredness in health systems.卫生系统中以人为主的探索。
Health Policy Plan. 2014 Sep;29 Suppl 2(Suppl 2):ii1-5. doi: 10.1093/heapol/czu082.
7
Resilience to disasters: a paradigm shift from vulnerability to strength.灾害恢复力：从脆弱性到力量的范式转变。
Afr Health Sci. 2008 Dec;8 Suppl 1(Suppl 1):S1-4.
8
Trust and the development of health care as a social institution.信任与作为社会制度的医疗保健的发展。
Soc Sci Med. 2003 Apr;56(7):1453-68. doi: 10.1016/s0277-9536(02)00142-9.

以人为本的卫生系统：在埃博拉危机后构建更具韧性的卫生系统。

People-centred health systems: building more resilient health systems in the wake of the Ebola crisis.

作者信息

Martineau Fred P

机构信息

Department of Global Health and Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK

出版信息

Int Health. 2016 Sep;8(5):307-9. doi: 10.1093/inthealth/ihw029. Epub 2016 Sep 12.

DOI:10.1093/inthealth/ihw029
PMID:27620922
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5039820/
Abstract

The 2014-2016 West African Ebola outbreak demonstrated the extent to which local social and political dynamics shape health system responses to crises such as epidemics. Many post-Ebola health system strengthening programmes are framed around a notion of health system 'resilience' that focuses on global rather than local priorities and fails to account for key local social dynamics that shape crisis responses. Post-crisis health system strengthening efforts require a shift towards a more 'people-centred' understanding of resilience that attends to the people, relationships and local contexts that constitute health systems and the practices that produce crisis responses.

摘要

2014 - 2016年西非埃博拉疫情表明，当地社会和政治动态在很大程度上塑造了卫生系统对诸如流行病等危机的应对。许多埃博拉疫情后的卫生系统强化项目都是围绕卫生系统“复原力”的概念制定的，该概念侧重于全球而非当地优先事项，没有考虑到塑造危机应对的关键当地社会动态。危机后加强卫生系统的努力需要转向对复原力更“以人为本”的理解，关注构成卫生系统的人员、关系和当地情况以及产生危机应对措施的实践。