Enhancing the Legitimacy of Local Government Pandemic Influenza Planning through Transparency and Public Engagement

Enhancing the Legitimacy of Local Government Pandemic Influenza Planning through Transparency and Public Engagement
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DOI:
10.1111/j.1540-6210.2011.02336.x
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发表时间:
2011-03-01
影响因子:
8.3
通讯作者:
French, P. Edward
French, P. Edward
中科院分区:
管理学1区
文献类型:
--
作者:
French, P. Edward

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流感大流行中的道德问题往往要求地方政府官员做出前所未有的复杂决定。为了预测和减轻严重的健康危机,需要提前进行有效规划,并得到主要社区利益攸关方的大量投入。作者以美国卫生与公众服务部发布的指南为标准,对美国28个大城市的防疫计划进行了评估。分析表明,规划的合法性可以通过扩大透明度和公民参与、增加所有利益攸关方参与决策的机会、模拟社区范围的演习和演习以及让公众更多地获得全面的应急规划信息来增强。
Ethical issues in an influenza pandemic often require local government officials to make unprecedented, complex decisions. Effective planning with significant input from key community stakeholders is required well ahead of time in order to anticipate and mitigate a serious health crisis. The author evaluates the pandemic plans of 28 large cities across the United States using criteria derived from guidelines issued by the U.S. Department of Health and Human Services. The analysis reveals that planning legitimacy can be enhanced by wider transparency and civic engagement, greater opportunities for the inclusion of all stakeholders in decision making, mock community-wide exercises and drills, as well as more public access to comprehensive emergency planning information.