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城市重大公共卫生风险全过程防控体系构建

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在复杂多样的城市风险中,重大公共卫生风险是影响力与破坏力较为严重的一种,探索建立符合中国城市发展进程的城市重大公共卫生风险全过程防控体系迫在眉睫.遵循风险发生过程,以"全周期管理"理念为指引,结合 4R危机管理理论、风险管理理论和整体性治理理论,构建重大公共卫生风险全过程动态防控理论框架,同时立足于"以体系为核心"和"以风险为主线"的研究视角,深入分析"全过程动态"的核心意识,将风险防控过程划分为"全面风险评估预警—精准动态响应控制",进而探讨构建包含风险识别、风险评估、风险评价和决策支持的风险评估体系,以及包含应急响应和常态化控制的风险控制机制的实践路径,提升中国重大公共卫生风险治理水平.
The Construction of Major Public Health Risk Prevention and Control System in Urban Area Based on the Whole Process
Urbanization construction has always been one of the key development directions in China,and the process of urbanization faces many risks and challenges.In the context of complex and diverse urban risks,major public health risks are one of the most significant ones in terms of impact and destructive power.The outbreak of the COVID-19 at the beginning of 2020 has evolved from a public health event to a global economic and social crisis,reflecting that China has room for further improvement in the prevention and control system of major public health risks,and the modernization of urban governance has a long way to go.It is urgent to explore the establishment of a comprehensive prevention and control system for major public health risks in cities that is in line with the process of urban development in China.The general theoretical research on risk governance in the academic community is relatively rich.The research on the public health risk prevention and control system was mainly concentrated before 2010.After the outbreak of COVID-19,China's research on major public health risk governance was once again valued by the academic community.However,the existing research is generally decentralized and fragmentation,without forming systematic theories and views.Compared to previous studies,this article focuses on the development and evolution of major public health risks,integrates the concept of"full cycle management"and dynamic prevention and control,and takes the formation of comprehensive and full cycle closed-loop management as a breakthrough and innovation.It sorts out the theoretical framework of urban major public health risk assessment and decision-making mechanisms,breaks through the limitations of existing risk governance,and achieves full cycle coordination and full process integration,To ensure the lives,health,and social stability of the people,and provide directional inspiration for further improving the governance level of major public health risks in China.Based on the background of"risk society"and the principle of risk early warning,this paper follows the process of risk occurrence and puts forward the connotation of major urban public health risks in this paper on the basis of defining relevant concepts.Guided by the concept of"full cycle management",combined with the 4R crisis management theory,risk management theory,and holistic governance theory,the dynamic core awareness throughout the entire risk prevention and control process is integrated to construct a theoretical framework for the dynamic prevention and control of major public health risks throughout the entire process.Based on the actual situation of social gatherings,the structural and functional characteristics that should be possessed in the dynamic prevention and control of major public health event risks throughout the entire process are determined.From the perspectives of"considering system as the core"and"risk as the main line",this paper makes a unified top-level design plan,exploring the practical path of constructing a risk assessment system that includes risk identification,risk assessment,risk assessment,and decision support,as well as a risk control mechanism that includes emergency response and normalized control,and designs a major urban public health risk control mechanism,which transforms from traditional consequence emergency response to early risk regulation prevention and control capabilities,and thus forming a major public health risk prevention and control system of"comprehensive risk assessment,early warning,precise dynamic response control"throughout the entire process.In this paper,risk control is divided into two processes:emergency response and normalized control,that is,to design an emergency response mechanism of multi-department coordination and a normalized control mechanism of major urban public health risks,so as to solve the dilemma of emergency fragmentation and form a full-cycle closed-loop management.

major public health risksurban riskrisk assessment systemrisk control mechanismfull cycle management

周忠良、赵雅欣、沈迟、王智超

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西安交通大学 公共政策与管理学院,陕西 西安 710049

西安交通大学 医学部公共卫生学院,陕西 西安 710061

重大公共卫生风险 城市风险 风险评估体系 风险控制机制 全周期管理

国家社会科学基金重大项目

20&ZD121

2024

西安交通大学学报(社会科学版)
西安交通大学

西安交通大学学报(社会科学版)

CSTPCDCSSCICHSSCD北大核心
影响因子:0.871
ISSN:1008-245X
年,卷(期):2024.44(2)
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