首页> 外文期刊>Journal of public health >Achieving public health legal preparedness: how dissonant views on public health law threaten emergency preparedness and response.
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Achieving public health legal preparedness: how dissonant views on public health law threaten emergency preparedness and response.

机译:实现公共卫生法律准备:对公共卫生法的不和谐看法如何威胁紧急情况的准备和响应。

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BACKGROUND: Effective management of modern public health emergencies requires the coordinated efforts of multiple agencies representing various disciplines. Organizational culture differences between public health (PH) and emergency management (EM) entities may hinder inter-agency collaboration. We examine how PH and EM differ in their approach to PH law and how such differences affect their collaboration towards PH preparedness. METHODS: We conducted 144 semi-structured interviews with local and state PH and EM officials between April 2008 and November 2009. Thematic qualitative analysis in ATLAS.ti was used to extract characteristics of each agency's approach to PH legal preparedness. RESULTS: Two conflicting approaches to the law emerge. The PH approach is characterized by perceived uncertainty regarding legal authority over preparedness planning tasks; expectation for guidance on interpretation of existing laws; and concern about individual and organizational liability. The EM approach reveals perception of broad legal authority; flexible interpretation of existing laws; and ethical concerns over infringement of individual freedoms and privacy. CONCLUSIONS: Distinct interpretations of preparedness law impede effective collaboration for PH preparedness. Clarification of legal authority mandates, designation within laws of scope of preparedness activities and guidance on interpretation of current federal and state laws are needed.
机译:背景:有效管理现代公共卫生紧急状况需要代表各个学科的多个机构的共同努力。公共卫生(PH)和应急管理(EM)实体之间的组织文化差异可能会阻碍机构间的协作。我们研究了PH和EM在其PH律法上的差异,以及这些差异如何影响他们对PH防备的合作。方法:我们在2008年4月至2009年11月之间对本地和州的PH和EM官员进行了144次半结构化访谈。ATLAS.ti中的主题定性分析用于提取每个机构对PH法律准备的方式的特征。结果:出现了两种相互矛盾的法律方法。 PH方法的特点是,对准备计划任务的法律权限存在不确定性;期望对解释现有法律提供指导;以及对个人和组织责任的担忧。新兴市场方法揭示了人们对广泛的法律权威的认识;灵活解释现有法律;侵犯个人自由和隐私的道德问题。结论:对准备法的不同理解阻碍了PH准备的有效合作。需要澄清法律授权,在准备活动范围内的法律范围内进行指定以及对当前联邦和州法律进行解释的指南。

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