突发公共卫生事件应急反应基础建设及其应急管理

我国正进入公共卫生危机高发期,加强公共卫生应急管理研究是当务之急。介绍了突发公共卫生事件应急反应系统建设研究中初步结果,包括突发事件主动监测、医疗物质储备、流行病学专家以及应急管理机制等。主动监测是早期发现和预警突发公共卫生事件的有效监测机制,包括医院病例监测、症状监测、药品和其他医用商品销售监测,中小学生缺课监测,动物死亡监测等。目前我国主动监测尚在研究中,储备是应急反应的必要基础,包括应急药品和物质储备、现场流行病学工作者和公共卫生实验室储备。应急反应系统组织结构和应急管理形式应在科学基础上,在法制保护下系统建立,并与国际接轨。此外,就公共卫生危机准备和处理提出了具体建议。     

北京市城镇医药卫生体制改革研究报告

现行医药卫生体制存在卫生资源不合理,医疗费用增长过快,公立医疗机构缺乏活力,卫生资源利用效率不高,药品监管工作亟待加强等问题,针对以上问题,本提出了我市城镇医药卫生体制改革的主要内容与原则建议。     

The Evolution of the Theoretical Foundations of Punctuated Equilibrium Theory in Public Policy

Punctuated equilibrium theory in public policy replicated from biological punctuated equilibrium theory has concluded that public policies alternate between stasis and punctuation. However, recent research on Pacific Northwest forest policy, U.S. state tobacco policy, and U.S federal auto efficiency policy have found no punctuations despite an attempt to do so. What is the efficacy of using biological punctuated equilibrium theory to also explain punctuated equilibrium in public policy? Significant differences exist between biological and public policy punctuated equilibrium theory including time frames for change, what constitutes outside disturbances of equilibrium, venues of punctuated equilibrium, levels of analysis for change, and patterns of change. Most policy research on punctuation has focused on the “tone” of media coverage related to change. Some recent studies concluding no punctuation occurred have focused on government action or inaction. Proving strong inference in scientific research requires a clear and viable syllogism linked to appropriate methodology. Both of these crucial elements are now in question in punctuated equilibrium research in public policy.     

人民警察心理健康研究的新视角——心理弹性

心理弹性是个体在面临严重压力或逆境时,其心理功能没有受到损伤性影响,相反表现出良好发展的现象。人民警察因其职业特点,经常面临压力或逆境,对其进行心理弹性研究有重要意义。文章探讨了心理弹性对人民警察心理健康的必要性和影响行为的机制,并提出了人民警察心理弹性的培养措施。     

谈特警的心理健康

特警由于长期处于高风险、高压力、高应激的状态,其心理健康更容易受到较大的伤害。特警心理素质是特警所有素质技能的基础,是特警完成各项重要任务的基本保障。因此,特警心理健康直接关系到特警战斗力的最大发挥。但是目前还没有一个完整的训练理论体系,心理训练发展明显滞后。所以,特警心理健康训练学科发展迫在眉睫。文章结合特警工作的实际情况,对特警心理训练现状、特警心理训练的意义、影响特警心理的因素和对策作了探析。     

The persuasive role of the past: Policy feedback and citizens' acceptance of information communication technologies during the COVID-19 pandemic in China

How can the enforcement of policies in the past influence a society's future adoption of information communication technologies (ICTs)? In this paper, we tackle this question by exploring how past e-governance policies influence citizens' willingness to use the health QR code, which is a COVID-19 tracing app widely used in China's pandemic control. Past policies regarding smart-city development in China involve two aspects: the construction of electronic infrastructure and the applications of specific technologies. Empirical analysis based on a nationwide dataset in China suggests that past policies exhibit persuasive effects and influence citizens' acceptance of the health QR code. Specifically, e-governance applications in cities significantly enhance citizens' acceptance through the demonstration of their usefulness. However, the construction of e-governance infrastructure per se does not have the same impact on citizens' acceptance. By connecting citizens' acceptance of new technology with past e-governance policies, the study illustrates a nuanced policy feedback mechanism through which past policies can substantially reshape public opinion by policy outcomes.     

国际法中健康权的产生、内涵及实施机制

健康权作为二战后兴起的一项重要人权,其发展路径具有从国际法向国内法扩展的特点。"人身的固有尊严"是健康权的正当性基础所在,也决定着健康权的基本内涵。《经济、社会和文化权利国际公约》第12条第1款规定的健康权既是自由权,也是社会权,既指获得卫生保健的权利,也包括获得构成健康基础条件的权利;第12条第2款规定只是列举了公约起草者认为特别重要的四项义务,而非缔约国的全部义务。缔约国义务的性质和范围必须结合公约第2条规定的一般义务条款加以判定。健康权的实施机制包括缔约国报告机制、书面申诉机制,以及调查报告机制三种,不同机制对缔约国的约束力不同,综合运用多种机制确保健康权的有效实施是今后的发展趋势。     

Maximizing order or harm? Arrests among a social network of people who inject drugs in a large urban city

Encountering the criminal justice system at the first point of entry---an arrest---is associated with heightened HIV and Hepatitis risk behavior among people who inject drugs (PWIDS). Intervening structurally through the criminal justice system impacts public health; therefore, determining arrest patterns is an important tool for risk reduction. Among a sample of 740 PWIDs, and their social network members recruited from predominantly African-American neighborhoods in Baltimore City, a third were recently arrested in the previous six months, and of those, the arrests were disproportionately African-American persons and characterized as nonviolent, i.e., drug possession/attempt to purchase (38%) and loitering (29%). Poisson regression models were built adjusted for age, sex, race, education level, homelessness, and monthly income after exploring bivariable characteristics of arrests using chi-squared tests. Active drug use was associated with a recent arrest (adjusted prevalence ratio: aPR 2.38 95% CI 1.6, 3.6), in addition to participants who recently reported attending a syringe exchange program (aPR 1.45 95% CI 1.1, 2.0). Our findings are suggestive of recent media coverage and burgeoning research revealing the prioritization of policing resources toward both communities of color and neighborhoods of intensified drug trafficking. Further research is warranted to contextualize the operationalization of criminal justice resources and the impact on community health.