SARS crisis in public health policy comparison and reflection.docx
SARScrisisinpublichealthpolicycomparisonandreflectionSAKScrisisinpublichealthpolicycomparisonandreflectionPeekintotheSRSdisruptedthelivesofsomanysteps,thecountryspolitical,economicandsociallifehadalotofimpact.Inadditiontothecommunitytreatedthepatient,diseasemonitoring,drugresearch,publicityandotheraspectsofpreventionandtreatmentintotheutmostsurprise,asregardsthemechanismofchangeandreconstructionarealsoquickaction.Theestablishmentofpublichealthemergencyresponsemechanism,andthusthecontextoftheSARSepidemic,werequicklyputontheagenda,butalsotheoutbreakhasbeenprovidingthecentralgovernmenthasrepeatedlystressedthefocusofthework.Infact,inthe2Othcentury,theearly50s,thenewChinesegovernmenthasestablishedforthepeopleacrossthecountry,focusingonpreventionandintegratedChineseandWesternmedicine,masspreventionandpublichea11hpolicy.Asthepoliciesareeffective,theGovernmentattachesimportance,coupledwithmassmasspreventioncampaignscarriedoutinashorttimeontheeffectivecontainmentofthehazardspeopleshealthamajorimprovedthehealthstatusoftheChinesepeople.July1958,MaoZedonginJiangxiYujiangheardthenewsoftheeradicationofschistosomiasis,excited,FcnbijishuSendGOdofPlague:Cowboydowanttoaskthegodofplague,thesamejoysandsorrowsbydisappearingwave:byaskingplagueJunWheretoGo,paperboatsMingZhuZhao-dayburn.IndianNobellaureateineconomicsAmartya.Sen(Amartya.Sen)said:Evenundertheconditionsoflowerincomelevels,oneforallcitizenstoprovidemedicalcareandeducationinthecountry,infactcanbethelifeofallthepeopleandqualityoflifetoachieveaveryoutstandingachievement.Inover50years,Chinaspercapitalifeexpectancyfrom36yearsto70yearsofage,shouldberegardedasChinaspublichealthpolicyagreatsuccess.Amartya.SenalsobelievesthatChinasreformandopeningupmorethan20yearsachievedgreatsuccess,thankstothenewChinesegovernmentpolicyofthepreviouslandreform,universalprimaryeducationandtheprovisionofprimaryhealthcare.Thepost-independenceIndia,severalaspectssuchasChinaarenotWel1.Hefearsthatmarket-orientedreformandopeningupcouldweakentheChineseintheseareashasbeenachieveddominance.IsexactlythefactthatintheplannedeconomicsystemoftheChinesepeoplemakegreatcontributionstothehealthofthepublichealthsystem,inthenewhistoricalperiod,failedtoadvancewiththetimes,thepaceofreformlaggingsigniFicantlybehind.PeekintotheSARS,toChinaspublichealthpolicyandhealthcaresystemposesaseverechailenge.TheSARScrisisrequiresustore-examineouroriginalpublichealthpolicies,drawingontheperformanceofthoseinthefieldofpub)ichealthinthecountrysoutstandingsuccessstories.FranceasabigcountryinEuropewiththeEuropeanUnion,likeothermembersoftheimplementationofuniversalhealthinsurance,immunizationcoveragerateof100%.Patientspayonlyformedicalexpensesforminorillnessesof15%andtheremaining85%ofthecommitmentbythesocialinsurancesector,thecostsofseriousillnessarepaidentirelybytheinsurancesector.FrenchMinistryofHealthresponsibleforhealthlegislation,policyformulation,managementofmajorinfectiousdiseases,hospitalandmedicine,management,andtheentirepublichealthsysteminlinewiththefunctionsofdispersed,separatedfrompoliticalaffairs,regulations,soundprinciplesofsupervisingtheoperation.Francespublichealthfunctionsaresplitamongdifferentdepartments,butaperfectsystemofhealthlegislation,andwillnotbeadministeredbytoomany,fragmentedsituation,theMinistryofHeallhtosupervise,theroleofcoordinationandcooperation.TheMinistryofHealthin22majordistrictadministrationsentastructure,butisonlyresponsibleforsupervisionandlawenforcementandadministrativefunctions,diseaseprevention,healthscreening,healtheducationworkbytheoperationalagencies(hospitals,universities,communitygroups,etc.)totakeup.Tolearnfromthelessonsofbloodcontamination,theFrenchsetupanindependentoversightofpublichealthhospital,coordinationandimplementationofFrancespublichealthoversightfunctions,thehealthofcitizensofvariousfactorsandepidemicdiseases(suchassexuallytransmitteddiseases,AIDS,madcowdisease,1.egionella,etc.)monitoring,investigationandriskassessment,andtimelyinformthepublicthroughthemediatostirupattention,whiledevelopingandimplementingpreventionandcontrolmeasures,alllevelsofgovernmentcannotinterferewiththeworkofhospitalsupervision,butonlywiththeirwork.HealthSupervisionInstituteconsistsoffivedepartments:infectiousdiseases,environmentalandoccupationalhazards,publichealthinformation,chronicdiseaseprevention,internationalandEuropeanaffairs,themostimportantinfectiousdiseasepreventionandcontroldepartmentisthedepartmentwhichismainlyresponsibleforfiveareasofwork:1,AIDS,sexuallytransmitteddiseases,hepatitis;2,immune-relateddiseases;3,intestinalinfectiousdiseases,foodpoisoning,andzoonoticdiseases;4,air-bornediseases(legionnairesdisease,pneumonia,etc.):5,hospitalinfectionsanddrug-resistantstraindetection.Accordingtoinfectiousdiseasepreventionlaw,theFrenchpublicandprivatehospitalscanbeadmittedwithinfectiousdiseases,inadditiontotheprovisionsofreadycontrolwork,mustbepromptlyreportedtolocalhealthbureauepidemic,andreportedtotheNationalHealthSupervisoryService.Infectiousdiseaseoutbreakwasfoundapersonwhohasnotbee