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评估卫生系统应对 COVID-19 大流行的反应能力。

Assessing health systems' responsiveness in tackling COVID-19 pandemic.

机构信息

Professor, International Institute of Health Management Research, New Delhi, India.

Associate Professor, International Institute of Health Management Research, New Delhi, India.

出版信息

Indian J Public Health. 2020 Jun;64(Supplement):S211-S216. doi: 10.4103/ijph.IJPH_471_20.

Abstract

Health systems' responsiveness is the key to addressing infectious disease threats such as pandemics. The article outlines an assessment of health systems based on World Health Organization's building blocks for select countries. It also compares these with the findings from a more comprehensive analysis of Global Health Security (GHS) Index, which assesses the preparedness of the health system for such pandemics. The GHS report (2019) spelt out very objectively that none of the countries of the world was prepared to effectively handle such emergencies, should they arise. Observations emerging from different countries highlight these findings although some of them seem to be discordant. Overall, it appears that Asian countries could fight the battle better than most developed nations in the Europe and America during the current pandemic, despite having poor GHS scores. Experiences of these countries in facing similar crisis in the past probably sensitized their strained health systems for a greater good. There are several lessons to be learned from such countries.

摘要

卫生系统的反应能力是应对传染病威胁(如大流行)的关键。本文概述了根据世界卫生组织的构建模块对选定国家的卫生系统进行的评估。它还将这些评估结果与更全面的全球卫生安全(GHS)指数分析结果进行了比较,该分析评估了卫生系统应对此类大流行的准备情况。GHS 报告(2019 年)非常客观地指出,世界上没有一个国家能够有效地应对此类紧急情况。尽管各国的 GHS 得分都不高,但从不同国家得出的观察结果突出了这些发现,尽管其中一些似乎存在不一致。总体而言,在当前大流行期间,亚洲国家似乎比欧洲和美国的大多数发达国家更有能力应对这场战斗,尽管它们的 GHS 得分较低。这些国家在过去应对类似危机的经验可能使它们紧张的卫生系统更加完善,以实现更大的利益。可以从这些国家吸取一些经验教训。

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