Abstract

The COVID-19 pandemic highlighted the urgent need to strengthen public health systems. In response, the United Nations Disaster Risk Reduction (UNDRR) Public Health System Resilience Scorecard (Scorecard) was applied in workshops across multiple countries. The aim of our research was to explore the workshop findings to develop priority strategies for strengthening public health system resilience. We conducted a workshop from 14 to 16 March 2023, at the UNDRR Global Education and Training Institute in Incheon, Republic of Korea. A sequential modified Delphi method was utilized to develop a set of prioritized resilience strategies. These were drawn from 70 strategies identified from 13 distinct workshops in eight countries. After two surveys, 23 strategies were finalized. Ten received ratings of “High” or “Very High” from 89% of participants. These related to the inclusion of public health risks in emergency plans, integrating multidisciplinary teams into public health, enabling local transport mechanisms, and improving the ability to manage an influx of patients. The Scorecard provides an adaptable framework to identify and prioritize strategies for strengthening public health system resilience. By leveraging this methodology, our study demonstrated how resilience strategies could inform disaster risk reduction funding, policies, and actions.

中文翻译：

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优先考虑在多个社区和国家建立公共卫生系统抗灾能力的战略

摘要

COVID-19 大流行凸显了加强公共卫生系统的迫切需要。为此，联合国减少灾害风险（UNDRR）公共卫生系统复原力记分卡（记分卡）在多个国家的研讨会中得到应用。我们研究的目的是探索研讨会的结果，以制定加强公共卫生系统复原力的优先战略。我们于 2023 年 3 月 14 日至 16 日在韩国仁川的 UNDRR 全球教育和培训学院举办了一次研讨会。采用顺序改进的德尔菲法来开发一套优先的弹性策略。这些策略取自 8 个国家 13 个不同研讨会确定的 70 项策略。经过两次调查，最终确定了 23 项策略。89% 的参与者对 10 人给予“高”或“非常高”评级。这些涉及将公共卫生风险纳入应急计划、将多学科团队纳入公共卫生、启用当地运输机制以及提高管理大量患者涌入的能力。记分卡提供了一个适应性强的框架，用于确定加强公共卫生系统复原力的战略并确定其优先顺序。通过利用这种方法，我们的研究展示了复原力战略如何为减少灾害风险的资金、政策和行动提供信息。