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预防新冠病毒聚集性传播:将马斯洛需求层次理论融入风险链

Preventing the Growing Transmission of COVID Clusters: An Integration of the Maslow's Hierarchy of Needs in the Risk Chain.

作者信息

Li Huijie, Xue Jia, Xu Tianjiao, Wang Long, Zhang Liwei

机构信息

School of Public Administration, Jilin University, Changchun, People's Republic of China.

School of Political Science and Law, Northeast Normal University, Changchun, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2021 Dec 20;14:5059-5069. doi: 10.2147/RMHP.S336680. eCollection 2021.

Abstract

PURPOSE

China's success in containing the coronavirus is an ongoing process of identifying loopholes and refining the management in the COVID-19 risk chain. This article discusses the role of personal needs in epidemic control and linked psychological needs with management measures to propose intervention advice on curbing viral transmission in a systematic way.

METHODS

Based on case studies, we showed the integration of the Maslow's Hierarchy of Needs in the COVID-19 risk chain. The analysis combined the micro-view from individual needs and macro influences from governmental measures. The proposed chain of vulnerabilities could help identify critical links of COVID-19 crisis management in case that cascading effects such as super-spread can be intercepted in time.

RESULTS

The article mainly focused on curbing the viral transmission timely whenever cluster of cases resurge. Considering the triggered activities from personal needs may facilitate the spread, minimizing the impact scale while managing the crisis could start with protecting vulnerable population, well governing potential hotspots, and necessary restrictions on group activities. Besides, "individual" protections combined with "institutional" solutions are strongly advocated. The worst scenario would be the governance link slackened or made mistakes, together with delayed identification, plus unprotected way of living and gathering. In order to cut the transmission in time, besides virus-blocking strategies and vaccination approach, screening measures in combination with the satisfaction of personal needs would help identify confirmed cases earlier. Publicizing the model citizen of being responsible could show needs' satisfaction can live with the virus elimination. At the emergency response stage, it is also crucial to secure fewer loopholes in the health system and strengthen the self-protection barrier by all means.

CONCLUSION

China's experience offers a reference for the balance between the resurgence of clustered cases and sustained recovery. As long as the global pandemic continues, its impact on personal activities will not stop, and vice versa. The chain of vulnerabilities integrating psychological needs into the COVID-19 risk management can provide clear clues for cutting further transmission in an efficient and more socially acceptable way.

摘要

目的

中国在遏制新冠病毒方面的成功是一个不断发现漏洞并完善新冠疫情风险链管理的过程。本文探讨了个人需求在疫情防控中的作用,并将心理需求与管理措施相联系,以系统地提出遏制病毒传播的干预建议。

方法

基于案例研究,我们展示了马斯洛需求层次理论在新冠疫情风险链中的整合。该分析结合了个人需求的微观视角和政府措施的宏观影响。所提出的脆弱性链条有助于识别新冠危机管理的关键环节,以便能及时拦截诸如超级传播等级联效应。

结果

本文主要关注在病例集群再次出现时及时遏制病毒传播。鉴于个人需求引发的活动可能会促进传播,在管理危机时将影响规模最小化可从保护弱势群体、妥善管理潜在热点地区以及对群体活动进行必要限制入手。此外,强烈倡导“个人”防护与“制度”解决方案相结合。最糟糕的情况是治理环节松懈或出错,加上识别延迟,以及无保护的生活和聚集方式。为了及时切断传播,除了病毒阻断策略和疫苗接种方法外,筛查措施与个人需求的满足相结合将有助于更早发现确诊病例。宣传有责任感的模范公民可以表明需求的满足与病毒消除是可以并存的。在应急响应阶段,确保卫生系统漏洞更少并全力加强自我保护屏障也至关重要。

结论

中国的经验为平衡病例集群的再次出现与持续复苏提供了参考。只要全球大流行持续,其对个人活动的影响就不会停止,反之亦然。将心理需求纳入新冠风险管理的脆弱性链条可为以高效且更符合社会接受度的方式切断进一步传播提供清晰线索。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fea/8709548/754f0fda163a/RMHP-14-5059-g0001.jpg

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