Exploring the influencing factors affecting the operational effectiveness of public health emergency response mechanism: a DEMATEL-ISM-MICMAC mixed methods study.

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

BMC Public Health Pub Date : 2025-06-04 DOI:10.1186/s12889-025-23268-0

Qunkai Wang, Nan Meng, Yunxia Ma, Yanping Wang, Kexin Wang, Ruiqian Zhuge, Yuxuan Wang, Peng Wang, Huan Liu, Qunhong Wu

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引用次数: 0

Abstract

Objectives: This study aims to explore key factors and identify root factors influencing the Public Health Emergency Response Mechanism (PHERM) to ensure timely and effective responses to emerging infectious disease crises and enhance the efficiency of emergency operations.

Methods: We employed a mixed-method approach using DEMATEL-ISM-MICMAC to analyse the interrelationships among factors affecting PHERM. The DEMATEL method established the hierarchical structure of the factors, ISM determined the relational paths, and MICMAC further characterized the attributes of the factors.

Results: The analysis revealed that PHERM's influencing factors are organized into four levels, with the conscientiousness of emergency leadership action (X15) identified as the most profound and influential factor, exhibiting a strong causality with a high driving force. The decision-making and command feedback capability (X8) emerged as a significant outcome factor in the transition layer, highly influenced by other factors and with the highest node degree.

Conclusions: The proactive emergency response awareness and actions of leaders is crucial for the mechanism's smooth and efficient operation. It is essential to prioritise ideological education and simulation training to instill such awareness. Moreover, proactive preparation for factors associated with decision-making and command capabilities is necessary to mitigate potential hesitation and panic during actual epidemic prevention, thereby enhancing the operational effectiveness of PHERM.

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影响突发公共卫生事件应急机制运行有效性的影响因素探讨：DEMATEL-ISM-MICMAC混合方法研究

目的：探讨影响突发公共卫生事件应急机制（PHERM）的关键因素和根本因素，确保及时有效应对突发传染病危机，提高应急行动效率。方法：采用DEMATEL-ISM-MICMAC混合分析方法，分析影响体外循环因子之间的相互关系。DEMATEL法建立了因子的层次结构，ISM法确定了因子的关系路径，MICMAC法进一步表征了因子的属性。结果：分析发现，突发事件应急管理的影响因素可分为四个层次，其中，突发事件应急领导行动责任心（X15）是影响最深刻的因素，因果关系强，驱动力高。决策与指挥反馈能力（X8）作为过渡层的重要结果因素，受其他因素影响较大，节点度最高。结论：领导人员积极主动的应急意识和行动对应急机制的顺利高效运行至关重要。要加强思想教育和模拟训练。此外，有必要对决策和指挥能力相关因素进行积极准备，以减轻实际防疫过程中可能出现的犹豫和恐慌，从而提高防疫管理的运作效率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

4.40%

发文量

2108

审稿时长

1 months

期刊介绍： BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.