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Tytuł:
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Community Resilience Governance on Public Health Crisis in China.
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Autorzy:
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Wang C; School of Public Policy & Management (School of Emergency Management), China University of Mining and Technology, Xuzhou 221116, China.
Dong X; School of Public Policy & Management (School of Emergency Management), China University of Mining and Technology, Xuzhou 221116, China.
Zhang Y; School of Public Policy & Management (School of Emergency Management), China University of Mining and Technology, Xuzhou 221116, China.
Luo Y; School of Public Policy & Management (School of Emergency Management), China University of Mining and Technology, Xuzhou 221116, China.
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Źródło:
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International journal of environmental research and public health [Int J Environ Res Public Health] 2021 Feb 22; Vol. 18 (4). Date of Electronic Publication: 2021 Feb 22.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: Basel : MDPI, c2004-
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MeSH Terms:
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Disaster Planning*
Health Policy*
Public Health*
COVID-19 ; China ; Cities ; Community Health Planning ; Government ; Humans ; Pandemics ; Surveys and Questionnaires
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References:
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Am J Community Psychol. 2008 Mar;41(1-2):127-50. (PMID: 18157631)
Int J Environ Res Public Health. 2020 Jun 17;17(12):. (PMID: 32560353)
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Grant Information:
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no. 20FGLB018 the National Social Science Fund of China; no. 20&ZD139 the National Social Science Fund of China; no. 19GLD019 Social Science Fund of Jiangsu
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Contributed Indexing:
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Keywords: COVID-19; community resilience governance; public health crisis; ritual system
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Entry Date(s):
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Date Created: 20210306 Date Completed: 20210312 Latest Revision: 20210312
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Update Code:
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20240104
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PubMed Central ID:
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PMC7926474
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DOI:
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10.3390/ijerph18042123
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PMID:
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33671618
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The COVID-19 pandemic has immensely affected economic and social order in not only China but the entire world, seriously threatening peoples' lives and property. In China's fight against COVID-19, the community is at the front line of joint prevention and control of the disease, yet it faces the problem of insufficient resilience. We explored the manifestations and formation mechanism of the problem of insufficient resilience in community public health crisis governance, based on the complex adaptive system theory, which emphasizes interaction among subjects and between subjects and the environment to improve the adaptability to the environment. Questionnaires and in-depth interviews were conducted in 28 counties (districts) of 14 cities of 7 provinces in China; 2345 questionnaires and 71 interview data were collected, and we conducted descriptive statistical analysis on questionnaire data. It is found that some communities faced insufficient resilience problems such as "simply isolating households and communities", "blindly setting limits", "layer-by-layer law", and "rejecting and repelling all individuals from or even related to Hubei". These problems are due to the fact that the community have a non-interactive relationship, which is a one-dimensional linear governance model to some extent. The legal content of the building of a "comprehensive disaster-reduction demonstration community" implemented by the Chinese government is compelled to stay at the level of system design to some extent, with its existence playing an ornamental role but lacking a substantial one. In this regard, this study suggests that a resilient governance model of community pluralistic cooperation be established based on the theoretical framework of complex adaptive system. This model is designed to increase the resilience of community public health crisis governance. The authoritative role of central and local policies is expected to be truly developed and played in dealing with the grassroots community public health crisis.
