Q3 Medicine
Jared Wesley, Samuel Goertz
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引用次数: 0

摘要

公务员是帮助加拿大人应对公共卫生危机的核心力量。在 COVID-19 大流行之前、期间和之后,这些专业人员在实施广泛的政府干预措施方面发挥了至关重要的作用,有时还受到公众的高度关注。这些经历凸显了公共卫生官员在民主社会中保持的微妙平衡:既要向内阁提供专家建议以确定公共利益,又要执行决策以帮助维护公众健康。尽管自主决策的范围不尽相同,但卫生部门的首席医疗官帮助民选官员在追求公共目标的过程中权衡利弊,而不是对其发号施令,而是促成知情决策。近年来,有人呼吁公共卫生官员在发布指令时用自己的判断取代民选官员的判断。本文探讨了公共卫生官员作为公仆的角色,以及这些官员误解自己角色的危险性,这可能会损害政策决定的有效性和合法性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trust, technocracy, and the public servant's bargain: The evolving role of Canadian health leaders post-COVID.

Public servants are central in helping Canadians navigate public health crises. Before, during, and after the COVID-19 pandemic, these professionals have been essential to implementing widespread government interventions, sometimes amid significant public scrutiny. These experiences highlight the delicate balance public health officials maintain in a democracy: providing expert advice to cabinet to define the public good and implementing decisions to help preserve public health. Notwithstanding varying scopes for autonomous decision-making, chief medical officers of health aid elected officials in weighing tradeoffs in the pursuit of communal objectives, not by dictating them but by enabling informed decision-making. In recent years, there have been calls for public health officials to substitute their judgement for that of elected officials in issuing directives. This article explores the role of public health officials as public servants and the perils of these officials misunderstanding their roles which may undermine the effectiveness and legitimacy of policy decisions.

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来源期刊
Healthcare Management Forum
Healthcare Management Forum Medicine-Health Policy
CiteScore
3.60
自引率
0.00%
发文量
67
期刊介绍: Healthcare Management Forum is the official journal of the Canadian College of Health Service Executives. It is the only peer-reviewed journal that covers issues related to advances in health services management, theory and practice in a Canadian context. The quality of its contributors, the rigorous review process and the leading-edge topics make it truly unique!
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