观点:从 COVID-19 大流行中吸取的关于人口韧性的经验教训。

Perspective: lessons learned from the COVID-19 pandemic concerning the resilience of the population.

机构信息

Department of Emergency and Disaster Management, School of Public Health, Sackler Faculty of Medicine and ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel.

ResWell Research Collaboration, Tel Aviv University, Tel Aviv, Israel.

出版信息

Isr J Health Policy Res. 2023 May 2;12(1):19. doi: 10.1186/s13584-023-00557-w.

Abstract

BACKGROUND

A vital stakeholder in the successful management of the COVID-19 pandemic is the public. The degree of involvement of the population in managing the pandemic, and the leadership perception of the public, had a direct impact on the resilience of the population and level of adherence to the issued protective measures.

MAIN BODY

Resilience refers to the ability to 'bounce back' or 'bounce forward' following adversity. Resilience facilitates community engagement which is a crucial component of combating the COVID-19 pandemic. The article highlights six insights recognized in studies conducted in Israel during and following the pandemic concerning the resilience of the country's population. (1) Contrary to varied adversities in which the community serves as an important support system to the individuals, this type of support was substantially impaired during the COVID-19 pandemic, due to the need to maintain isolation, social distancing, and lockdowns. (2) Policy-making during the pandemic should be based on evidence-based data, rather than on assumptions made by decision-makers. This gap led the authorities during the pandemic to adopt measures that were ineffective, such as risk communication based on 'scare tactics' concerning the virus, when the highest risk perceived by the public was political instability. (3) Societal resilience is associated with the public's behavior, such as with vaccine hesitancy and uptake. (4) Factors that affect the levels of resilience include, among others, self-efficacy (impacts individual resilience); social, institutional, and economic aspects as well as well-being (impact community resilience); and hope and trust in the leadership (impact societal resilience). (5) The public should be perceived as an asset in managing the pandemic, thus becoming a vital part of the 'solution'. This will lead to a better understanding of the needs and expectations of the population and an applicable 'tailoring' of the messages that address the public. (6) The gap between science and policymaking must be bridged, to achieve optimal management of the pandemic.

CONCLUSIONS

Improving preparedness for future pandemics should be based on a holistic view of all stakeholders, including the public as a valued partner, connectivity between policymakers and scientists, and strengthening the public's resilience, by enhancing trust in authorities.

摘要

背景

在成功管理 COVID-19 大流行中,公众是一个至关重要的利益相关者。民众参与管理大流行的程度以及领导层对公众的看法,直接影响到民众的弹性和对发布的保护措施的遵守程度。

主体

弹性是指在逆境后“反弹”或“前进”的能力。弹性促进了社区参与,这是抗击 COVID-19 大流行的关键组成部分。本文强调了在以色列大流行期间和之后的研究中认识到的六个关于该国人口弹性的见解。(1)与各种逆境不同,在这些逆境中,社区是个人的重要支持系统,但在 COVID-19 大流行期间,由于需要保持隔离、社交距离和封锁,这种支持系统受到了严重损害。(2)大流行期间的决策应该基于基于证据的数据,而不是决策者的假设。这一差距导致当局在大流行期间采取了无效的措施,例如基于对病毒的“恐吓策略”进行风险沟通,而公众认为最高风险是政治不稳定。(3)社会弹性与公众的行为有关,例如疫苗犹豫和接种。(4)影响弹性水平的因素包括自我效能感(影响个人弹性)、社会、制度和经济方面以及幸福感(影响社区弹性)以及对领导层的希望和信任(影响社会弹性)。(5)应将公众视为管理大流行的资产,从而成为“解决方案”的重要组成部分。这将导致更好地了解公众的需求和期望,并为解决公众问题的信息进行适当的“定制”。(6)必须弥合科学与决策之间的差距,以实现大流行的最佳管理。

结论

为未来的大流行做好准备,应该基于所有利益相关者的整体观点,包括将公众视为有价值的合作伙伴、政策制定者和科学家之间的联系以及通过增强对当局的信任来增强公众的弹性。

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