ABSTRACT
Objective: It analyzed the current situation and influencing factors of provincial essential public health service level index(PHI) in 2016. The ordinary least square(OLS) and the geographically weighted regression model(GWR) were constructed respectively. The advan-tages of GWR in the field of health economics were compared. Methods: Moran’s I was used to analyze spatial auto-correlation and hetero-geneity of PHI. OLS and GWR models were constructed to estimate the main influencing factors and their directions. Results: There were a positive spatial auto-correlation in provincial PHI and a weak agglomeration pattern in geographical distribution; the level of economic devel-opment and government funding, population size, population structure and population urbanization level were the main influencing factors of the PHI. There was spatial heterogeneity in provincial regression indexes estimated by GWR. Conclusion: When dealing with geographically related issues in the health economics, the GWR model was better than the OLS with a higher degree of goodness of fit.
ABSTRACT
OBJECTIVE@#To study the public health Emergency Operations Centers (EOCs)in the US, the European Union, the UK and Australia, and summarize the good practice for the improvement of National Health Emergency Response Command Center in Chinese National Health and Family Planning Commission.@*METHODS@#Literature review was conducted to explore the EOCs of selected countries.@*RESULTS@#The study focused on EOC function, organizational structure, human resources and information management. The selected EOCs had the basic EOC functions of coordinating and commanding as well as the public health related functions such as monitoring the situation, risk assessment, and epidemiological briefings. The organizational structures of the EOCs were standardized, scalable and flexible. Incident Command System was the widely applied organizational structure with a strong preference. The EOCs were managed by a unit of emergency management during routine time and surge staff were engaged upon emergencies. The selected EOCs had clear information management framework including information collection, assessment and dissemination.@*CONCLUSIONS@#The performance of National Health Emergency Response Command Center can be improved by learning from the good practice of the selected EOCs, including setting clear functions, standardizing the organizational structure, enhancing the human resource capacity and strengthening information management.
ABSTRACT
Objective: To study the public health Emergency Operations Centers (EOCs)in the US, the European Union, the UK and Australia, and summarize the good practice for the improvement of National Health Emergency Response Command Center in Chinese National Health and Family Planning Commission. Methods: Literature review was conducted to explore the EOCs of selected countries. Results: The study focused on EOC function, organizational structure, human resources and information management. The selected EOCs had the basic EOC functions of coordinating and commanding as well as the public health related functions such as monitoring the situation, risk assessment, and epidemiological briefings. The organizational structures of the EOCs were standardized, scalable and flexible. Incident Command System was the widely applied organizational structure with a strong preference. The EOCs were managed by a unit of emergency management during routine time and surge staff were engaged upon emergencies. The selected EOCs had clear information management framework including information collection, assessment and dissemination. Conclusions: The performance of National Health Emergency Response Command Center can be improved by learning from the good practice of the selected EOCs, including setting clear functions, standardizing the organizational structure, enhancing the human resource capacity and strengthening information management.