Correia Tiago
Global Health and Tropical Medicine, Associate Laboratory in Translation and Innovation Towards Global Health, Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, Lisboa, Portugal.
WHO Collaborating Center for Health Workforce Policies and Planning, Instituto de Higiene e Medicina Tropical, IHMT, Universidade Nova de Lisboa, UNL, Lisbon, Portugal.
Risk Manag Healthc Policy. 2024 Aug 1;17:1903-1908. doi: 10.2147/RMHP.S471250. eCollection 2024.
To argue for trust-building as a key solution for responding to public health crises in the face of political ambiguity in international health governance.
This perspective piece reviews fundamental concepts and discusses future directions using secondary data from open-access sources.
The promise of learning from Covid-19 and previous public health crises, along with the growing recognition of a 'Health For All Policies' approach, clash with siloed preparations, management, and recovery plans for future emergency crises. Trust is proposed as a possible solution to overcome these limitations. It acts as a binding force that unites individuals within the community, fostering a sense of belonging and participation. Trust-building is viewed as a "People-Centered" approach in Crisis Response, aimed at creating active and resilient communities to foster preparation and readiness, respond to emergent risks, facilitate recovery, and mitigate risks. A remaining question is how to measure and identify the dimensions and determinants of trust in specific circumstances. Some ideas are systematized to highlight the pathway to build trust in public health approaches, including transparency, education, robust and equitable health systems, strengthened social capital, stakeholders' engagement, and health workforce training.
Trust in public health approaches can be fostered through consistent delivery of quality care, a clear, shared vision, and values underpinned by ethical standards. It requires a commitment to stakeholder well-being, including staff, and the integration of reliability, integrity, and transparency into policies, strategies, and practices. Exemplary leadership, openness in resource utilization, addressing waste or corruption, and effective communication of these principles are essential.
主张建立信任是应对国际卫生治理中政治模糊性下公共卫生危机的关键解决方案。
这篇观点文章回顾了基本概念，并使用来自开放获取资源的二手数据讨论了未来方向。
从新冠疫情和以往公共卫生危机中吸取经验的前景，以及对“全民健康政策”方法的日益认可，与未来紧急危机的孤立准备、管理和恢复计划相冲突。信任被提议作为克服这些局限性的一种可能解决方案。它作为一种凝聚力，将社区内的个人团结起来，培养归属感和参与感。建立信任被视为危机应对中一种“以人为本”的方法，旨在创建积极且有韧性的社区，以促进准备和防范、应对突发风险、推动恢复并降低风险。一个遗留问题是如何在特定情况下衡量和确定信任的维度及决定因素。一些想法被系统化，以突出在公共卫生方法中建立信任的途径，包括透明度、教育、强大且公平的卫生系统、强化的社会资本、利益相关者的参与以及卫生人力培训。
通过持续提供高质量护理、清晰且共享的愿景以及以道德标准为支撑的价值观，可以促进对公共卫生方法的信任。这需要致力于包括工作人员在内的利益相关者的福祉，并将可靠性、诚信和透明度融入政策、战略及实践中。模范领导力、资源利用的开放性、解决浪费或腐败问题以及有效传达这些原则至关重要。
