观点:从2019冠状病毒病大流行中吸取的关于人口复原力的教训。

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES Israel Journal of Health Policy Research Pub Date : 2023-05-02 DOI:10.1186/s13584-023-00557-w
Bruria Adini, Shaul Kimhi
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引用次数: 1

摘要

背景:公众是成功管理COVID-19大流行的重要利益攸关方。民众参与管理大流行病的程度,以及领导人对公众的看法,对民众的复原力和遵守已颁布的保护措施的程度有直接影响。正文:弹性是指在逆境中“反弹”或“反弹”的能力。韧性促进社区参与,这是抗击COVID-19大流行的关键组成部分。这篇文章强调了在大流行期间和之后在以色列进行的有关该国人口复原力的研究中所确认的六项见解。(1)在各种逆境中,社区都是个人的重要支持系统,但在2019冠状病毒病大流行期间,由于需要保持隔离、保持社交距离和封锁,这种支持严重受损。(2)大流行期间的决策应基于循证数据,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,例如在公众认为的最大风险是政治不稳定的情况下,基于“恐吓战术”的风险通报。(3)社会恢复力与公众行为有关,如疫苗犹豫和接种。(4)影响心理弹性水平的因素包括自我效能感(影响个体心理弹性);社会、制度和经济方面以及福祉(影响社区复原力);以及对领导层的希望和信任(影响社会恢复力)。(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。这将有助于更好地了解人口的需要和期望,并对面向公众的信息进行适用的“量身定制”。(6)必须弥合科学与决策之间的差距,以实现对大流行的最佳管理。结论:加强对未来大流行的防范应基于对所有利益攸关方的整体看法,包括作为重要伙伴的公众、决策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抵御能力。
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Perspective: lessons learned from the COVID-19 pandemic concerning the resilience of the population.

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.

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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
期刊最新文献
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