世卫组织恢复的基本公共卫生职能应成为在波兰建设公共卫生能力和具有复原力的卫生系统的路线图

D. Cianciara
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引用次数: 0

摘要

引言和目的。2019冠状病毒病大流行是全球和波兰多个层面的公共卫生失败。本文的目的是讨论大流行前和目前波兰公共卫生能力建设的项目,重点是应急准备和反应,以及世卫组织更新的基本公共卫生职能清单。复习方法。评估依据的是波兰统计局、ISAP、波兰科学院、卫生部、国家公共卫生研究所、国家卫生研究所、最高审计署、部长理事会、政府立法中心、波兰共和国下议院和经合组织、泛美卫生组织、世卫组织网站上公布的关于执行公共卫生职能的法律法规和出版物。对知识状态的简要描述。根据世卫组织欧洲区域办事处的说法,根据基本公共卫生行动概念对波兰的公共卫生职能进行的诊断显示出缺陷。《公共卫生法》中没有列出EPHOs的功能。该法和国家卫生方案均未涉及防备和应对问题。目前关于公共卫生活动的文件和出版物没有提出预防流行病的措施。世卫组织更新的基本公共卫生职能包括管理突发公共卫生事件和基本公共卫生职能的新职能。总结。有必要考虑波兰公共卫生的职能、结构和组织。它应该涉及许多利益相关者。在公共卫生能力建设中,应考虑更新的基本卫生设施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Essential public health functions renewed by WHO should be a roadmap for building public health capacity and a resilient health system in Poland
Introduction and Objective. The COVID-19 pandemic is a public health failure at multiple levels worldwide and in Poland. The aim of the article is to discuss pre-pandemic and current ventures aimed at public health capacity building in Poland, in focus on emergency preparedness and response, and the list of essential public health functions (EPHFs) renewed by WHO. Review methods. The assessment was based on legal regulations and publications on the implementation of public health functions published on the websites of the Statistics Poland, ISAP, Polish Academy of Sciences, Ministry of Health, National Institute of Public Health-National Institute of Hygiene, Supreme Audit Office, Council of Ministers, Government Legislation Centre, Sejm of the Republic of Poland and the OECD, PAHO, WHO. Brief description of the state of knowledge. Diagnosis of the public health functioning in Poland based on the concept of essential public health operations (EPHOs) according to the WHO Regional Office for Europe showed shortcomings. The EPHOs functions were not mapped in the Public Health Act. Neither the Act nor the National Health Programmes covered the issues of preparedness and response. Current documents and publications on public health activities do not raise anti-epidemic measures. WHO’s renewed essential public health functions (EPHFs) include managing public health emergency and functions new to EPHOs. Summary. It is necessary to consider the functions, structure and organization of public health in Poland. It should involve many stakeholders. Renewed EPHFs should be considered in public health capacity building.
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