YANG Manli 1 , ZHANG YUjing 2 , HU Ziteng 2 , LI An 2 , LI Huizhen 2 , WANG Ling 3 , YU Xuan 4 , CAO Wenjie 2 , CHEN Yaxin 2 , ZHANG Haili 2 , CHE Qianzi 2 , CHEN Yaolong 4,5 , LIANG Ning 2 , WANG Changqing 6
  • 1. Institute of Traditional Chinese Medicine Literature, Nanjing University of Chinese Medicine, Nanjing 210023, P. R. China;
  • 2. Institute of Basic Clinical Medicine of Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, P. R. China;
  • 3. School of Public Health, Lanzhou University, Lanzhou 730000, P. R. China;
  • 4. Evidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, P. R. China;
  • 5. WHO Collaborating Center for Guideline Implementation and Knowledge Translation, Lanzhou 730000, P. R. China;
  • 6. Nanjing Medical University, Nanjing 210029, P. R. China;
LIANG Ning, Email: liangning229@163.com; WANG Changqing, Email: cqwang@njmu.edu.cn
Major infectious disease outbreaks; Scoping review; Public health incidents; Governance framework; Governance elements
10.7507/1672-2531.202302093
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Objective  To summarize and analyze the characteristics, advantages and disadvantages of the current governance framework for public health emergencies in China. Methods  The CNKI, VIP, WanFang Data, CBM and PubMed databases were electronically searched to collect studies on the management of major infectious disease outbreaks in China from inception to April 15, 2023. The basic information and governance elements included in the study were extracted and analyzed. Results  A total of 30 studies were included, and the time of issuance was from 2020 to 2022. Most of the studies were on COVID-19, focusing on the governance framework of big data governance, holistic governance, and multi-agent collaborative governance. The governance elements were mainly concentrated in three aspects: governance subject, governance cycle and institutional guarantee. The governance entities were concentrated on multi-agent collaborative governance, with the governance cycle mainly focused on in process governance, and the basic guarantee is a multiple guarantee with information technology big data as the main body. Conclusion  The governance body of China's major infectious disease epidemic management framework has transitioned from a single entity to a multi entity collaborative governance. While increasing prewarning governance, attention should also be paid to governance during the post recovery period. In terms of system, comprehensive guarantees such as epidemic public opinion control system guarantees, privacy security guarantees, and psychological counseling guarantees should be added.

Citation： YANG Manli, ZHANG YUjing, HU Ziteng, LI An, LI Huizhen, WANG Ling, YU Xuan, CAO Wenjie, CHEN Yaxin, ZHANG Haili, CHE Qianzi, CHEN Yaolong, LIANG Ning, WANG Changqing. A governance framework for public health emergencies taking major infectious disease outbreaks as an example: a scoping review. Chinese Journal of Evidence-Based Medicine, 2023, 23(6): 684-690. doi: 10.7507/1672-2531.202302093 Copy

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