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韩国现场流行病学培训项目16年的经验及其相关挑战。

Experience of 16 years and its associated challenges in the Field Epidemiology Training Program in Korea.

作者信息

Lee Moo-Sik, Kim Eun-Young, Lee Sang-Won

机构信息

Department of Preventive Medicine, Konyang University College of Medicine, Daejeon, Korea.

Division of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Cheongju, Korea.

出版信息

Epidemiol Health. 2017 Dec 25;39:e2017058. doi: 10.4178/epih.e2017058. eCollection 2017.

Abstract

OBJECTIVES

The field epidemiologist system of South Korea, which employs public health doctors who are relatively more readily available, was created in 1999 to ensure a ready supply of experts for epidemiological investigations and enable an effective response for new and reemerging infectious diseases. However, the 2015 outbreak of Middle East Respiratory Syndrome revealed limitations in the existing systems of management of field epidemiologists and communicable diseases.

METHODS

The present study aims to evaluate data on current states, administrative reports, and other literature on the field epidemiologist system that has been in place in South Korea for 16 years since 1999 and to suggest appropriate future improvements in this system.

RESULTS

By suggesting methods to evaluate the field epidemiologist system and training programs and by suggesting ways for the Korea Centers for Disease Control and Prevention to conduct evaluations on its own, the present study provides supporting evidence for improvement of systems for training of experts in epidemiological investigations. Moreover, based on the findings, this study also suggests methods to systematically train experts in communicable diseases management and a sustainable system to establish the basis of and develop strategies for a systematic and phased management of field epidemiologist training programs.

CONCLUSIONS

The present study suggests the possibility of establishing dedicated training facilities, revising the guidelines on training and improvement of the competency of public health experts, while not limiting the scope of application to communicable diseases.

摘要

目的

韩国的现场流行病学专家系统于1999年建立,该系统聘用相对更容易获得的公共卫生医生,以确保有充足的专家进行流行病学调查,并能够对新出现和重新出现的传染病做出有效应对。然而,2015年中东呼吸综合征的爆发揭示了现场流行病学专家和传染病现有管理系统的局限性。

方法

本研究旨在评估自1999年以来在韩国已实施16年的现场流行病学专家系统的现状数据、行政报告及其他文献,并为该系统未来的适当改进提出建议。

结果

通过提出评估现场流行病学专家系统和培训项目的方法,以及韩国疾病控制与预防中心自行进行评估的方式,本研究为改进流行病学调查专家培训系统提供了支持性证据。此外,基于研究结果,本研究还提出了系统培训传染病管理专家的方法,以及建立一个可持续系统的方法,以为现场流行病学专家培训项目的系统和分阶段管理奠定基础并制定策略。

结论

本研究提出了建立专门培训设施、修订公共卫生专家培训和能力提升指南的可能性,同时不限制应用范围仅针对传染病。

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