Understanding the policy dynamics of COVID-19 in the UK: Early findings from interviews with policy makers and health care professionals.
Understanding the policy dynamics of COVID-19 in the UK: Early findings from interviews with policy makers and health care professionals.
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DOI：
10.1016/j.socscimed.2020.113423
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发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Sheard S
中科院分区：
文献类型：
--
作者：
Atkinson P;Gobat N;Lant S;Mableson H;Pilbeam C;Solomon T;Tonkin-Crine S;Sheard S
英国政府对COVID-19的反应受到严厉批评。我们报告证人的看法是什么塑造了英国的政策，以及这些政策是如何被医护人员接受的。这种研究通常受到事后诸葛亮的影响。在这里，我们部署了一个新的前瞻性的方法来捕捉实时信息。我们是历史学家、社会科学家和生物医学研究人员，研究社会如何科普传染病。2020年2月，我们开始定期与政策界的知名人士和医疗保健专业人士进行半结构性的电话交谈，以了解他们在应对大流行中的作用和反应。我们报告称，目击者认为个人防护装备（PPE）库存太少，早期预警没有带来足够迅速的政策决策，而且缺乏透明度正在削弱公众的信任。重大成功包括研究动员。我们的证人的早期经历和反应表明了调查的重要问题，特别是对决策延迟的看法。警报发出后，英国的冠状病毒反应延迟。政治家们通过他们早期的“遵循科学”言论放弃了责任。科学建议的政策制定需要人谁桥梁两个世界。集中应对浪费了宝贵的地方公共卫生技能。大流行病的反应需要比传染病更快。
The UK government response to COVID-19 has been heavily criticised. We report witnesses’ perceptions of what has shaped UK policies and how these policies have been received by healthcare workers. Such studies are usually affected by hindsight. Here we deploy a novel prospective approach to capture real-time information. We are historians, social scientists and biomedical researchers who study how societies cope with infectious disease. In February 2020 we began regular semi-structured calls with prominent members of policy communities, and health care professionals, to elicit their roles in, and reactions to, the pandemic response. We report witnesses’ perceptions that personal protective equipment (PPE) stocks were too small, early warnings have not led to sufficiently rapid policy decisions, and a lack of transparency is sapping public trust. Significant successes include research mobilisation. The early experiences and reactions of our witnesses suggest important issues for investigation, notably a perception of delay in decision making. UK coronavirus response delayed after the alarm was raised. Politicians abdicated responsibility by their early ‘follow the science’ rhetoric. Science advice to policy making needs people who bridge the two worlds. Centralised responses wasted valuable local public health skills. Pandemic response needs to move faster than the infectious disease.
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