Zhang Shixiang, Feng Yingyin, Zhu Aiyong, Huang Xiaoyan, Huang Tianxiang
School of Nursing and Health Management, Shanghai University of Medicine and Health Science, Shanghai, China.
Graduate School, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Glob Health Med. 2025 Jun 30;7(3):189-198. doi: 10.35772/ghm.2025.01046.
This article proposes a framework for emergency resilience based on a review of the literature and theoretical analysis. On this basis, the Delphi method and the Analytic Hierarchy Process have been used to create an index of the emergency resilience of urban public health management. This index includes 6 primary indicators, 22 secondary indicators, and 93 tertiary indicators. An evaluation using the created index indicated that Shanghai's public health emergency management scored 82 out of 100, which is generally a good score. However, there are still problems such as the lack of specificity and implementability in emergency plans, the lack of diversification of reserves of emergency supplies, the low degree of sharing emergency information and cooperation, failure to capitalize on the advantages of traditional Chinese medicine, and the shortage of public health personnel in local communities. Overall, the index of the emergency resilience of urban public health management as was created from the perspective of preventing and controlling major infectious diseases is scientific and reliable, and it can effectively evaluate the current state of emergency management in urban public health.
本文在文献综述和理论分析的基础上，提出了一个应急韧性框架。在此基础上，运用德尔菲法和层次分析法构建了城市公共卫生管理应急韧性指标。该指标包括6个一级指标、22个二级指标和93个三级指标。使用所构建的指标进行评估表明，上海公共卫生应急管理在满分100分中得分为82分，总体成绩较好。然而，仍存在应急预案缺乏针对性和可操作性、应急物资储备缺乏多样性、应急信息共享与合作程度低、未发挥中医药优势以及基层社区公共卫生人员短缺等问题。总体而言，从防控重大传染病角度构建的城市公共卫生管理应急韧性指标科学可靠，能够有效评估城市公共卫生应急管理的现状。
