Myers Nathan
J Health Hum Serv Adm. 2016 Winter;39(3):313-56.
In the last five years, the American public health emergency preparedness and response system has been tested by two significant threats, H1N1 and Ebola. While neither proved as dangerous as initially feared, these viruses highlighted on-going issues with collaborations in the field of public health and health care. Strengths were identified within the network, but also challenges that must be resolved before the U.S. faces a major pandemic. Employing interview data from public health emergency response practitioners and documentary evidence from the H1N1 and Ebola responses, this qualitative analysis uses the grounded theory approach to identify key areas for collaborative improvement. The grounded theory developed calls for a stronger policy framework at the federal level to facilitate more collaboration between U.S. agencies and facilitate more collaboration at the state and local level.
在过去五年中，美国公共卫生应急准备与响应系统受到了两种重大威胁——甲型H1N1流感和埃博拉病毒的考验。虽然事实证明这两种病毒都没有最初担心的那么危险，但它们凸显了公共卫生和医疗保健领域合作中持续存在的问题。该网络既有优势，也存在在美国面临重大疫情之前必须解决的挑战。本定性分析利用公共卫生应急响应从业者的访谈数据以及甲型H1N1流感和埃博拉应对工作的文献证据，采用扎根理论方法来确定合作改进的关键领域。所形成的扎根理论要求在联邦层面建立更强有力的政策框架，以促进美国各机构之间以及州和地方层面的更多合作。
