| 严舒,陈娟,卢岩,欧阳昭连.职责视角下的突发公共卫生事件时期疫苗管理政策差异量化研究[J].中国药事,2024,38(2):130-142 |
| 职责视角下的突发公共卫生事件时期疫苗管理政策差异量化研究 |
| Quantitative Analysis on the Differences of Vaccine Administrative Policies During Public Health Emergencies from the Perspective of Responsibility |
| 投稿时间：2022-06-15 |
| DOI：10.16153/j.1002-7777.2024.02.002 |
| 中文关键词: 疫苗 管理职责 政策量化 突发公共卫生事件 共现聚类分析 |
| 英文关键词: vaccines administrative responsibility policy quantitative analysis public health emergency cooccurrence clustering analysis |
| 基金项目:中国医学科学院医学与健康科技创新工程（编号 2021-I2M-1-056）；北京协和医学院教育基金会支持 |
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| 中文摘要: |
| 目的：量化分析突发公共卫生事件时期针对暴发传染病的疫苗管理与常规疫苗管理在管理职责和职责主体方面存在的差异。方法：构建我国疫苗管理职责框架，从管理职责、职责主体和疫苗类型三个维度对我国中央层面的疫苗政策文本进行量化处理，使用统计分析、共现聚类和中心性测算的方法进行差异比较。结果：突发公共卫生事件传染病疫苗的接种、生产和研发方面的职责受到更多重视，落实接种政策与宣传科普工作使得更多政策实施主体承担了疫苗管理职责，疫苗的保障措施贯穿管理的各个阶段。卫生健康部门和药品监管部门是管理核心职责部门，科技部门、工业信息化部门具有较多协同合作职责，教育部门、发展改革部门承担较大联通协调职责。结论：突发公共卫生事件时期传染病疫苗管理职责更多，需要多部门高效合作，在疫苗的流通和信息管理方面予以更多重视，充分发挥疾控部门在基层人才队伍与信息监测方面的优势，科学落实国家防疫政策，引导非行政主体承担管理职责，并强化核心责任主体“枢纽”作用。 |
| 英文摘要: |
| Objective: To explore the difference between vaccine administration and conventional vaccine administration for infectious disease outbreaks during public health emergencies in terms of management responsibilities and responsibility subjects. Methods: China’s vaccine administrative responsibility framework was constructed, and central-level vaccine policy texts from three dimensions including administrative responsibilities, responsibility bodies and vaccine types were quantified. Statistical analysis, co-occurrence clustering and centrality measurements methods were used to compare the diff erences. Results: More attention has been paid to the responsibilities of vaccination, production and R&D of vaccines against infectious diseases in public health emergencies. More bodies have assumed responsibility for vaccine administration due to the increased vaccination policies, propaganda and training work. Vaccine safeguards run throughout all administration stages. The health department and the drug administration department are the core responsibility department of vaccine administration, and the S&T department, the industry and information technology department have more cooperative responsibilities, and the education department, the development and reform department are responsible more for coordination and communication. Conclusion: During the outbreak of a public health emergency, more administrative responsibilities and multi-sectoral comprehensive cooperation are required for infectious disease vaccines, and more attention should be paid to the distribution and information management of vaccines. In order to implement national epidemic prevention policies scientifi cally, we should fully play role of the disease control departments in grassroots talent teams and information monitoring. Meanwhile, we should guide non-administrative entities to assume vaccine management responsibilities, and strengthen the "pivot" role of core responsible bodies. |
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