作　　者： (陈小燕）; ;

机构地区： 广州医科大学

出　　处： 《中国公共卫生管理》 2021年第4期452-456,共5页

摘　　要： 公共场所配置自动体外除颤器(automatic external defibrillator,AED)是社会急救体系中的一项公共卫生项目,构建"政府负责、社会协同、公众参与、技术支撑"的社会急救多元主体协同机制是提高公众健康保障水平的有效途径。以广州市为例,采用协同理论为框架分析2017—2020年公共场所心脏骤停急救典型案例,比较不同地方政府在配置AED中的政府责任履行情况和社会参与情况发现,配套政策不到位、财政投入不足、社会其他主体参与不足是AED配置进展缓慢的主要原因。应完善社会急救中公共场所配置AED的政策法规,加大专项财政投入力度,推进社会多元主体协同参与,建立大数据信息交互与共享平台。 The automatic external defibrillator(AED)in public places is a public health project in the social emergency system.Constructing a multi-subject coordination mechanism for social first aid with"government responsibility,social coordination,public participation,and technical support"is an effective way to improve the level of public health protection.Through taking Guangzhou as an example,the typical cases of emergency cardiac arrest in public places from 2017 to 2020 is analyzed by adopting collaborative governance theory,the performances of government responsibilities and social participation in the deployment of AEDs by different local governments are compared.It is found that supporting policies are not in place,financial investment is insufficient,and other social actors insufficient participation are the main reasons for the slow progress in AED deployment.It is necessary to improve the AED policies and regulations in public places in social first aid,increase special financial investment,promote the collaborative participation of multiple social subjects,and establish a big data information exchange and sharing platform.

关 键 词： 自动体外除颤器 协同治理 政府责任 社会参与

领　　域： [医药卫生—卫生事业管理] [医药卫生—公共卫生与预防医学]