The application of the Haddon matrix to public health readiness and response planning.

The application of the Haddon matrix to public health readiness and response planning.
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Haddon Matrix应用于公共卫生准备和响应计划。

DOI:
10.1289/ehp.7491
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发表时间:
2005-05
影响因子:
10.4
通讯作者:
Links, JM
Links, JM
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Barnett, DJ;Balicer, RD;Blodgett, D;Fews, AL;Parker, CL;Links, JM

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州和地方卫生部门在准备、识别和应对公众健康威胁方面继续面临前所未有的挑战。2001年9月11日的袭击和随后的2001年炭疽邮件突出了故意造成伤害和疾病所造成的公共卫生准备和应对障碍。与此同时,最近的自然灾害突出表明,需要有相当的公共卫生准备和反应能力。公共卫生准备和反应活动的概念可以类似地用于故意攻击、自然灾害和人为事故。与这一观点相一致的是,联邦政府采用了全灾害响应模式作为其基本范式。这种模式的采用有力地提高了效率和效力,因为它减少了创建一系列复杂的针对具体情况的准备和反应活动的需要。然而,在实践中,公共卫生准备工作需要更多的模型和工具,以提供一个框架,以便更好地了解应急准备和反应需求并确定优先次序,并促进解决办法;在地方卫生部门一级尤其如此。在这里,我们建议扩展Haddon矩阵的使用-一个在伤害预防和反应策略中使用了二十多年的概念模型-为此目的。
State and local health departments continue to face unprecedented challenges in preparing for, recognizing, and responding to threats to the public’s health. The attacks of 11 September 2001 and the ensuing anthrax mailings of 2001 highlighted the public health readiness and response hurdles posed by intentionally caused injury and illness. At the same time, recent natural disasters have highlighted the need for comparable public health readiness and response capabilities. Public health readiness and response activities can be conceptualized similarly for intentional attacks, natural disasters, and human-caused accidents. Consistent with this view, the federal government has adopted the all-hazards response model as its fundamental paradigm. Adoption of this paradigm provides powerful improvements in efficiency and efficacy, because it reduces the need to create a complex family of situation-specific preparedness and response activities. However, in practice, public health preparedness requires additional models and tools to provide a framework to better understand and prioritize emergency readiness and response needs, as well as to facilitate solutions; this is particularly true at the local health department level. Here, we propose to extend the use of the Haddon matrix—a conceptual model used for more than two decades in injury prevention and response strategies—for this purpose.
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发表时间: 2004-03-01
影响因子: 3.8
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