School of Public Affairs, Arizona State University, Phoenix, Arizona.
Department of Public Administration, Hanyang University, Seoul, Republic of Korea.
Disaster Med Public Health Prep. 2021 Aug;15(4):409-415. doi: 10.1017/dmp.2020.32. Epub 2020 Apr 13.
This study examined the way organizations were involved in the response to the Middle East Respiratory Syndrome Coronavirus (MERS-CoV, MERS) outbreak that occurred in Korea in 2015.
We collected organizational network data through a content analysis of online news articles and the government's white paper. Social network analysis was used to analyze the key organizations and their connections in crucial response tasks.
Three national health authorities (Central MERS Management Headquarters [CMMH], Korea Centers for Disease Control [KCDC], Ministry of Health and Welfare [MOHW]) led the response. CMMH, which did not appear in the government's response plans, played a significant role in all 3 networks. KCDC also was involved in all 3 networks, but was most prominent in the laboratory testing network. MOHW appeared only in the patient management network. Each health authority coordinated and collaborated with distinctive types of organizations in the networks, but unclear lines of responsibilities also were found.
The study demonstrated that the roles and responsibilities of health authorities at the national level were fragmented and lacked clarity. Public health emergency preparedness must consider carefully the way to establish collaborative response systems.
本研究考察了组织在应对 2015 年韩国中东呼吸综合征冠状病毒（MERS-CoV，MERS）疫情中的参与方式。
我们通过对在线新闻文章和政府白皮书的内容分析收集组织网络数据。采用社会网络分析方法分析关键组织及其在关键应对任务中的联系。
三个国家卫生当局（中央 MERS 管理总部[CMMH]、韩国疾病控制与预防中心[KCDC]、卫生福利部[MOHW]）领导了应对工作。CMMH 并未出现在政府的应对计划中，但在所有 3 个网络中都发挥了重要作用。KCDC 也参与了所有 3 个网络，但在实验室检测网络中最为突出。MOHW 仅出现在患者管理网络中。每个卫生当局都在网络中协调和合作具有独特类型的组织，但也存在职责不明确的情况。
本研究表明，国家一级卫生当局的角色和责任存在分散且不明确的情况。公共卫生应急准备必须认真考虑建立协同应对系统的方式。
