| Objective: To clarify the research status and trend of emergency management countermeasures of public health emergencies,sort out emergency management countermeasures for major public health emergencies,select and optimize emergency management countermeasures of major public health emergencies in Gansu Province,so as to provide reference for the emergency management of major public health emergencies in Gansu Province,and promote the emergency management level of public health emergencies in the region.Methods:(1)Bibliometrics analysis: Systematically search Chinese and English databases to include literature on emergency management countermeasures to public health emergencies,use BICOMS software to extract and sort the publication year,journal,author,institution,country or region and keywords of the included literatures and count the frequency,use UCINET and Net Draw software to conduct social network analysis on authors,institutions and countries/regions,and use VOSviewer software to conduct cluster analysis on keywords.(2)Qualitative systematic review: Systematically search Chinese and English databases to include study on emergency management countermeasures to major public health emergencies,the methodological quality evaluation of included studies using CASP list,and summarize the emergency management countermeasures to various types of events through the thematic synthesis method of qualitative systematic review to construct a list of emergency management countermeasure items.(3)Delphi: Based on the results of previous literature review and qualitative systematic review of the first two parts,the Delphi correspondence questionnaire was designed,and 15 experts in the field of emergency management of public health emergencies in Gansu Province were selected to conduct 2-3 rounds of importance evaluation of emergency management countermeasures,and the survey was concluded when opinions tended to be consistent.Based on the statistical analysis of the results of each round of correspondence consultation and the modification suggestions of each round of items,the emergency management countermeasures of major public health emergencies in Gansu Province were selected and optimized.Results:(1)Status of research on emergency management countermeasures to public health emergencies: A total of 501 relevant literatures(114 in English and 387 in Chinese)were included,the earliest was published in 1948,and the overall annual publication volume showed a phased growth trend.The included English literatures from 46 countries and were published in 88 English journals,with a total of 685 authors from 316 research institutions.Chinese literatures from 29 Chinese provincial-level administrative regions and 2 other countries and were published in 236 Chinese journals,with a total of 1182 authors from 449 research institutions.Keywords clustering in English literatures mainly focused on “epidemiological and statistical analysis of infectious diseases”,“emergency prevention and control of infectious diseases”,“public health responses”,etc.Keywords clustering in Chinese literatures mainly focused on “emergency management of emerging infectious diseases”,“emergency management of imported infectious diseases”,“emergency management of sudden infectious disease outbreaks infections in schools and nosocomial infection”,etc.(2)Qualitative systematic review of emergency management countermeasures to major public health emergencies: A total of 35 studies were included,of which 2 studies were rated as high quality,32 studies were rated as moderate quality,1 study was rated as low quality.The 35 studies involved a total of 42 major public health emergencies.Emergency management countermeasures to infectious disease events were summarized into 12 third-level Topics,44 analytical themes,and 96 descriptive themes.The emergency management countermeasures to food poisoning were summarized into3 third-level themes,6 analytical themes,and 7 descriptive themes.The emergency management countermeasures to disaster accident were summarized into 6 third-level themes,14 analytical themes,and 16 descriptive themes.(3)Selection and optimization of emergency management countermeasures for major public health emergencies in Gansu Province: Expert opinions tend to be consistent after two rounds of Delphi investigations.The effective recovery rate of both rounds of correspondence is 100%,and the authority coefficient is higher than 0.80.The difference in Kendall coordination coefficient of expert opinions for various event types was statistically significant(P<0.05).Finally,the emergency management countermeasures for major public health emergencies in Gansu Province were selected and optimized,including 2 primary items of emergency response measures and emergency management supply measures,and 11 secondary items,which are applicable to various types of major public health emergencies.For major public health emergencies of infectious disease,there are 6primary items,including on-the-spot investigation countermeasures in epidemic areas,countermeasures for controlling infectious sources,countermeasures for blocking transmission routes,countermeasures for protecting susceptible populations,countermeasures for emergency management support,and countermeasures for traffic control,and 27 secondary items.For major public health emergencies of poisoning,there are 5 primary items,including on-site investigation of poisoning,hazard control,emergency treatment of poisoning patients,potential victims and environmental protection,and emergency management support,and 18 secondary items.For natural disasters and accident disasters,there are 4 primary items,including disaster and disaster emergency rescue countermeasures,prevention countermeasures of infectious disease outbreaks,public health management countermeasures,and emergency management support countermeasures,and 21 secondary items.Conclusions: Based on literature review,systematic review and Delphi survey,the selection and optimization of emergency management countermeasures to major public health emergencies in Gansu Province are scientific,reliable and applicable.However,due to the limited number of studies included and the incomprehensive event types concerned by the research on emergency management countermeasures for public health emergencies,the selected emergency management countermeasures still have the limitations of incomplete event types and incomplete items,and the feasibility of countermeasures still needs to be verified by future practice and application. |
