Analysis of results from the Joint External Evaluation: examining its strength and assessing for trends among participating countries.
Analysis of results from the Joint External Evaluation: examining its strength and assessing for trends among participating countries.
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DOI：
10.7189/jogh.08.020416
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发表时间：
2018-12
影响因子：
7.2
通讯作者：
Salminen MO
中科院分区：
文献类型：
--
作者：
Gupta V;Kraemer JD;Katz R;Jha AK;Kerry VB;Sane J;Ollgren J;Salminen MO
联合外部评估（JEE）是世界卫生组织（世卫组织）新程序的一部分，旨在帮助各国评估其预防、发现和应对《国际卫生条例》（IHR）规定的传染病暴发等公共卫生威胁的能力。各国在这些评价方面的进展情况并不为人所知，以前也没有对联合能效进程本身的业绩特点进行过任何评估。我们获得了55个国家19个备灾技术领域的48个指标的JEE数据。这些指标按1至5分制评分，4分表示表现出的能力。我们使用主成分分析创建了一个标准化的JEE指数得分，代表了各个指标的累积绩效。我们检查了所有指标的绩效状况，然后检查了该指数得分与选定的人口统计和健康变量之间的关系，以更好地了解绩效的潜在驱动因素。在我们的研究队列中，48项指标中有43项（89.6%）的中位表现低于4，表明各国未能达到这些指标的表现能力。最弱的两个指标与抗菌素耐药性（中位数评分= 1.0，四分位数间距= 1.0 - 2.0）和生物安全反应（中位数评分= 2.0，四分位数间距= 2.0 - 3.0）有关。JEE指数得分与健康结果的各种指标（预期寿命，五岁以下死亡率，传染病造成的残疾调整生命年数）以及社会和经济发展的标准衡量标准相关，这些标准衡量标准使公共卫生系统在总样本中发挥作用，但在分层分析中，这些关系在非洲区域要弱得多。我们发现各国和世卫组织各区域的JEE得分差异很大，许多国家仍没有为下一次具有大流行潜力的疾病爆发做好准备。JEE绩效与卫生结果和卫生系统绩效指标之间的密切相关性表明，JEE可能准确衡量国际卫生条例特定的公共卫生能力的强度。
The Joint External Evaluation (JEE) is part of the World Health Organization’s (WHO) new process to help countries assess their ability to prevent, detect and respond to public health threats such as infectious disease outbreaks, as specified by the International Health Regulations (IHR). How countries are faring on these evaluations is not well known and neither is there any previous assessment of the performance characteristics of the JEE process itself. We obtained JEE data for 48 indicators collectively across 19 technical areas of preparedness for 55 countries. The indicators are scored on a 1 to 5 scale with 4 indicating demonstrated capacity. We created a standardized JEE index score representing cumulative performance across indicators using principal components analysis. We examined the state of performance across all indicators and then examined the relationship between this index score and select demographic and health variables to better understand potential drivers of performance. Among our study cohort, the median performance on 43 of the 48 (89.6%) indicators was less than 4, suggesting that countries were failing to meet demonstrated capacity on these measures. The two weakest indicators were related to antimicrobial resistance (median score = 1.0, interquartile range = 1.0-2.0) and biosecurity response (median score = 2.0, interquartile range = 2.0-3.0). JEE index scores correlated with various metrics of health outcomes (life expectancy, under-five year mortality rate, disability-adjusted life years lost to communicable diseases) and with standard measures of social and economic development that enable public health system performance in the total sample, but in stratified analyses, these relationships were much weaker in the AFRO region. We find large variations in JEE scores among countries and WHO regions with many nations still unprepared for the next disease outbreak with pandemic potential The strong correlations between JEE performance and metrics of both health outcomes and health systems’ performance suggests that the JEE is likely accurately measuring the strength of IHR-specific, public health capabilities.
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影响因子：
9.7
作者：
Maciosek, Michael V.;Coffield, Ashley B.;Solberg, Leif I.
通讯作者：
Solberg, Leif I.
影响因子：
2
作者：
Kolenikov, Stanislav;Angeles, Gustavo
通讯作者：
Angeles, Gustavo
影响因子：
11.8
作者：
Bell, Elizabeth;Tappero, Jordan W.;Jafari, Hamid
通讯作者：
Jafari, Hamid
DOI：
10.1016/s0140-6736(15)60858-3
发表时间：
2015-05-09
期刊：
Lancet (London, England)
影响因子：
--
作者：
Heymann DL;Chen L;Takemi K;Fidler DP;Tappero JW;Thomas MJ;Kenyon TA;Frieden TR;Yach D;Nishtar S;Kalache A;Olliaro PL;Horby P;Torreele E;Gostin LO;Ndomondo-Sigonda M;Carpenter D;Rushton S;Lillywhite L;Devkota B;Koser K;Yates R;Dhillon RS;Rannan-Eliya RP
通讯作者：
Rannan-Eliya RP
影响因子：
168.9
作者：
Balabanova, Dina;Mills, Anne;McKee, Martin
通讯作者：
McKee, Martin