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多准则框架下的大流行病应对措施

A Multi-Criteria Framework for Pandemic Response Measures.

机构信息

International Institute for Applied Systems Analysis, IIASA, Laxenburg, Austria.

Department of Computer and Systems Sciences, Stockholm University, Kista, Sweden.

出版信息

Front Public Health. 2021 Apr 20;9:583706. doi: 10.3389/fpubh.2021.583706. eCollection 2021.

Abstract

In managing the COVID-19 pandemic, several compelling narratives seem to have played a significant role in the decision-making processes regarding which risk mitigation and management measures to implement. Many countries were to a large extent unprepared for such a situation, even though predictions about a significant probability for a pandemic to occur existed, and national governments of several countries often acted in an uncoordinated manner, which resulted in many inconsistencies in the disaster risk reduction processes. Limited evidence has also made room for strategic narratives meant to persuade the public of the chosen set of actions, even though the degree of uncertainty regarding the outcomes of these was high, further complicating the situation. In this article, we assume a normative standpoint regarding rhapsodic decision making and suggest an integrated framework for a more elaborated decision analysis under the ambiguity of how to contain the virus spread from a policy point of view, while considering epidemiologic estimations and socioeconomic factors in a multi-stakeholder-multi-criteria context based on a co-creative work process for eliciting attitudes, perceptions, as well as preferences amongst relevant stakeholder groups. The framework, applied in our paper on Romania for demonstrative purposes, is used for evaluating mitigation measures for catastrophic events such as the COVID-19 situation, to mobilize better response strategies for future scenarios related to pandemics and other hazardous events, as well as to structure the production and analysis of narratives on the current pandemic effects.

摘要

在应对 COVID-19 大流行期间,有几个引人注目的叙事似乎在决策过程中发挥了重要作用,这些决策涉及要实施哪些风险缓解和管理措施。许多国家在很大程度上对此毫无准备,尽管存在大流行发生的可能性很大的预测,但几个国家的国家政府往往行动不协调,这导致减少灾害风险的过程存在许多不一致之处。由于对这些结果的不确定性程度很高,因此也为旨在说服公众采取既定行动方案的战略叙事留出了空间,这进一步使情况复杂化。在本文中,我们从规范性立场出发,假设了一个关于狂想曲决策的立场,并提出了一个综合框架,以便在如何从政策角度遏制病毒传播的模糊性下进行更详细的决策分析,同时在多利益相关者多标准背景下考虑流行病学估计和社会经济因素基于一个共同创造的工作流程,以引出相关利益相关者群体的态度、看法和偏好。该框架应用于我们关于罗马尼亚的论文中,用于评估灾难性事件(如 COVID-19 情况)的缓解措施,以便为未来与大流行和其他危险事件相关的情景调动更好的应对策略,并为当前大流行影响的叙事的制作和分析提供结构。

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