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后 COVID-19 时代公共卫生服务的预期未来:观点。

The Anticipated Future of Public Health Services Post COVID-19: Viewpoint.

机构信息

The Eastern Mediterranean Public Health Network, Amman, Jordan.

National Institute of Health, Islamabad, Pakistan.

出版信息

JMIR Public Health Surveill. 2021 Jun 18;7(6):e26267. doi: 10.2196/26267.

Abstract

In March 2020, the World Health Organization declared COVID-19 as a global pandemic. The COVID-19 pandemic has affected various public health functions and essential services in different ways and magnitudes. Although all countries have witnessed the effect of COVID-19, the impact differed based on many factors including the integrity and resiliency of the countries' health systems. This paper presents opinions and expectations of the authors about the anticipated changes in the future of public health at the global, regional, and national levels. The viewpoint is based on the current efforts and challenges that various stakeholders have carried out to control COVID-19 and the contribution from the literature on the future of public health. Numerous agencies and actors are involved in the fight against COVID-19 with variations in their effectiveness. The public health services showed weaknesses in most of the countries, in addition to the lack of adequate curative medicine settings. The pandemic highlighted the need for better governance and stronger and more resilient health systems and capacities. The COVID-19 experience has also emphasized the importance of coordination and collaboration among the countries and stakeholders. The COVID-19 pandemic might lead to a wide discussion to improve international and national approaches to prepare for and respond to similar events in terms of preparedness and response mechanisms and tools. Public health will not be the same as before COVID-19. New health priorities, approaches, and new agendas will be on the table of the global platforms and initiatives. More investment in research and technology to meet the demand for new vaccines and medicines, innovative methods like distance learning and working, more respect and remuneration to health professionals, and normalization of the public health and social measures that were induced during the COVID-19 pandemic are expected to be seen in future.

摘要

2020 年 3 月,世界卫生组织宣布 COVID-19 为全球大流行。COVID-19 大流行以不同的方式和程度影响了各种公共卫生功能和基本服务。尽管所有国家都受到了 COVID-19 的影响,但影响因各国卫生系统的完整性和弹性等诸多因素而有所不同。本文介绍了作者对全球、区域和国家各级公共卫生未来预期变化的看法和期望。这一观点是基于各利益攸关方为控制 COVID-19 所做的努力和面临的挑战,以及关于公共卫生未来的文献贡献。许多机构和行为体参与了抗击 COVID-19 的行动,其有效性存在差异。除了缺乏足够的治疗药物环境外,大多数国家的公共卫生服务都表现出了弱点。大流行凸显了需要更好的治理,以及更强大和更有弹性的卫生系统和能力。COVID-19 的经验还强调了各国和利益攸关方之间协调与合作的重要性。COVID-19 大流行可能会引发广泛的讨论,以改善国际和国家一级的做法,以便在防范和应对类似事件方面,在备灾和应对机制及工具方面做好准备。COVID-19 之前的公共卫生状况不会再与以前一样。新的卫生优先事项、方法和新议程将摆在全球平台和倡议的桌面上。预计将增加对研究和技术的投资,以满足对新疫苗和药物的需求,采用远程学习和工作等创新方法,更加尊重和补偿卫生专业人员,并使在 COVID-19 大流行期间引入的公共卫生和社会措施正常化。

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