Evidence and effectiveness in decisionmaking for quarantine.
Evidence and effectiveness in decisionmaking for quarantine.
复制标题
DOI：
10.2105/ajph.2005.077305
复制
发表时间：
2007-04-01
影响因子：
12.7
通讯作者：
Upshur, Ross E G
中科院分区：
文献类型：
--
作者：
Bensimon, Cecile M;Upshur, Ross E G
当公共卫生决策者在最近的严重急性呼吸系统综合症（萨斯）流行期间转向检疫时，人们对为实现公共卫生目标而采取的限制性措施的合法性和可接受性提出了难题。SARS还揭示了科学的不确定性如何渗透到公共卫生决策中，使我们思考干预措施有效性的充分证据与其在公共卫生行动中的作用之间的关系。在这篇文章中，我们批判性地研究了证据和有效性在检疫决策中的作用。我们的论点是，公共卫生干预措施的有效性不应完全用（绝对和客观的）科学术语来定义，而应在公共卫生决策中以关系和规范的方式加以概念化。
When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an intervention and its role in the justification of public health action. In this article, we critically examine the role of evidence and effectiveness in decision-making for quarantine. It is our contention that the effectiveness of a public health intervention should not be defined exclusively in (absolute and objective) scientific terms but rather conceptualized relationally and normatively in public health decisionmaking.