将信任纳入大流行病防备和应对工作的实用议程。

IF 8.4 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Bulletin of the World Health Organization Pub Date : 2024-06-01 Epub Date: 2024-04-30 DOI:10.2471/BLT.23.289979
Thomas J Bollyky, Michael Bang Petersen
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引用次数: 0

摘要

尽管人们普遍认识到信任在大流行病中的重要性,但关于如何将信任纳入下一次健康危机的准备工作中,却鲜有具体建议。其中一个原因是,人们理所当然地认为建立信任是缓慢和具有挑战性的。虽然对公共机构和相互之间的信任对防范大流行病至关重要,但各国应为灌输或恢复信任的努力可能失败做好准备。将信任纳入大流行病防备工作意味着承认两极分化、党派纷争和错误信息可能持续存在,并以社区目前的面貌而不是我们所希望的面貌与社区接触。本文提出了一个切实可行的政策议程,将不信任作为一个风险因素纳入大流行病防备和应对规划中。我们提出了两套以证据为基础的策略:(i) 确保社区中已有的信任在危机期间得以维持的策略,例如通过健康干预和诚实透明的感性沟通来减轻大流行疲劳;(ii) 在人们不信任政府和邻居的社区中促进合作的策略,这些不信任有时是出于合理的历史原因。在存在不信任的地方,大流行病的防备和应对工作必须减少对强制手段的依赖,而更多地依靠因地制宜的政策以及与社区机构和领导人建立伙伴关系,以帮助人们克服在配合公共卫生指导时遇到的困难。在国家和地方两级定期监测人与人之间以及政府与政府之间的信任,是实现这种针对具体情况的大流行病防备和应对规划的一种方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A practical agenda for incorporating trust into pandemic preparedness and response.

Despite widespread acknowledgement that trust is important in a pandemic, few concrete proposals exist on how to incorporate trust into preparing for the next health crisis. One reason is that building trust is rightly perceived as slow and challenging. Although trust in public institutions and one another is essential in preparing for a pandemic, countries should plan for the possibility that efforts to instil or restore trust may fail. Incorporating trust into pandemic preparedness means acknowledging that polarization, partisanship and misinformation may persist and engaging with communities as they currently are, not as we would wish them to be. This paper presents a practical policy agenda for incorporating mistrust as a risk factor in pandemic preparedness and response planning. We propose two sets of evidence-based strategies: (i) strategies for ensuring the trust that already exists in a community is sustained during a crisis, such as mitigating pandemic fatigue by health interventions and honest and transparent sense-making communication; and (ii) strategies for promoting cooperation in communities where people mistrust their governments and neighbours, sometimes for legitimate, historical reasons. Where there is mistrust, pandemic preparedness and responses must rely less on coercion and more on tailoring local policies and building partnerships with community institutions and leaders to help people overcome difficulties they encounter in cooperating with public health guidance. The regular monitoring of interpersonal and government trust at national and local levels is a way of enabling this context-specific pandemic preparedness and response planning.

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来源期刊
Bulletin of the World Health Organization
Bulletin of the World Health Organization 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.50
自引率
0.90%
发文量
317
审稿时长
3 months
期刊介绍: The Bulletin of the World Health Organization Journal Overview: Leading public health journal Peer-reviewed monthly journal Special focus on developing countries Global scope and authority Top public and environmental health journal Impact factor of 6.818 (2018), according to Web of Science ranking Audience: Essential reading for public health decision-makers and researchers Provides blend of research, well-informed opinion, and news
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