Obstruction and Optimization of Governance Capability for Rural Public Health Emergencies from the Perspective of 4R Crisis Man-agement Theory
Under the governance of public health emergencies,taking 4R crisis management as the perspective of dynamic governance process,combined with rural field research and interviews,we directly face the shortcomings exposed in the grass-roots health emergency gov-ernance practice:weak crisis reduction capacity,weak risk awareness,and deviation of emergency plans from the actual situation;limited crisis preparedness,imbalance between supply and demand of emergency manpower and materials,and inefficient distribution of emergency materi-als;limited crisis response capacity,delayed response of the emergency department,and insufficient refinement of emergency management;Crisis recovery capacity is belittling,insufficient big-picture view of recovery after the incident,and lack of systematic summarisation and com-munication of experience.Proposed optimization suggestions for the governance capacity of rural grassroots governments in sudden public health emergencies:update the concept,strengthen the risk awareness and crisis learning ability of grass-roots officials and citizens;sink resources,optimise the resource guarantee system for rural areas to cope with public health emergencies;optimise the system,build a public crisis man-agement pattern in which diversified main bodies participate together;innovate the mechanism,and improve the emergency disposal mechanism of"up and down linkage,horizontal synergy"emergency response mechanism.
Public health emergencyEmergency management capacity4R Crisis Management TheoryGrass-roots governance