Chandra Anita, Acosta Joie, Howard Stefanie, Uscher-Pines Lori, Williams Malcolm, Yeung Douglas, Garnett Jeffrey, Meredith Lisa S
Rand Health Q. 2011 Mar 1;1(1):6. eCollection 2011 Spring.
Community resilience, or the sustained ability of a community to withstand and recover from adversity, has become a key policy issue at federal, state, and local levels, including in the National Health Security Strategy. Because resources are limited in the wake of an emergency, it is increasingly recognized that resilience is critical to a community's ability to reduce long recovery periods after an emergency. This article shares details of a report that provides a roadmap for federal, state, and local leaders who are developing plans to enhance community resilience for health security threats and describes options for building community resilience in key areas. Based on findings from a literature review and a series of community and regional focus groups, the authors provide a definition of community resilience in the context of national health security and a set of eight levers and five core components for building resilience. They then describe suggested activities that communities are pursuing and may want to strengthen for community resilience, and they identify challenges to implementation.
社区恢复力,即社区承受逆境并从中恢复的持续能力,已成为联邦、州和地方各级的关键政策问题,包括在《国家卫生安全战略》中。由于紧急情况发生后资源有限,人们越来越认识到恢复力对于社区减少紧急情况后的长期恢复时间的能力至关重要。本文分享了一份报告的详细内容,该报告为正在制定增强社区应对卫生安全威胁恢复力计划的联邦、州和地方领导人提供了路线图,并描述了在关键领域建立社区恢复力的选项。基于文献综述以及一系列社区和区域焦点小组的研究结果,作者给出了国家卫生安全背景下社区恢复力的定义,以及一套用于构建恢复力的八个杠杆和五个核心要素。然后,他们描述了社区正在开展以及可能希望加强以提高社区恢复力的建议活动,并确定了实施过程中的挑战。