从SARS防治看突发公共卫生事件的信息管制与成效

SARS何林1,3李幼平2,4,*徐娟3唐光敏3陶铁军3孙丁31.(610041);2.;3.;4.SARS,2003SARS,MedlineCBMdiscCochrane;WHOCDC;();11,,11955(46.7%);MedlineCBMdisc;71.8%65%SARSSARS,,SARS;;;R05;R4A16722531(2004)02012207InformationManagementofPublicHealthEmergenciesinSARSCrisisHELin1,3,LIYouping2,4,*,XUJuan3,TANGGuangmin3,TAOTiejun3,SUNDing3.1.Books&InformationCenterofWestChinaHospitalofSichuanUniversity,Chengdu610041,China;2.ChineseCochraneCenter,WestChinaHospitalofSichuanUniversity;3.WestChinaSchoolofClinicalMedicine,SichuanUniversity;4.TheKeyLabofTransplantengineeringandtransplantationimmunologyofMOHAbstractObjectiveToinvestigatetheaccuratenessandrapidityofinformationonSARS,andtoprovideevidencefordecisionmakingintheconstructionofthepublichealthinformationsystemofChina,includinginformationcollection,identificationandrelease.MethodsSARSrelatedinformationwassystematicallycollected,from!databasesincludingMedline,CBMdiscandCochraneLibrary;∀officialwebsitesincludingWHO,MOHandCDC;#nongovernmentalwebsitesincludingSina,Sohu,Yahoo;∃elevenChineseJournalsand%grayliteratures,Theseevidenceweregradedbasedontheirscientificsense,andwereanalyzedaccordingtotheirrapidityofrelease.ResultsAtotalof11955piecesofrelatedinformationwerecollected.Nongovernmentalwebsitesweretheagentsthatreleasedthelargestnumberofinformation(46.7%).Regardingthescientificsenseofevidence,handsearchedjournalwasatthetopoftheevidencepyramid,andfollowedbyMedline,grayliterature,CBMdisc,officialandnongovernmentalwebsites.Regardingtherapidity,officialwebsiteachievedthemostrapidinformationrelease,whichwasfollowedbynongovernmentalwebsite,journal,anddatabase.71.8percentofinformationfromofficialwebsiteswasinChinese,while65percentwasfromdatabase.ConclusionTheSARSinformationfromChinahascontributedenormouslytotheglobalinformationrelease.Althoughtheamountandrapidityoftheinformationweresatisfied,managementanddeepprocessingofinformationshouldbeimproved.KeywordSARS;Informationanalysis;Evidencebasedmedicine;Publichealthemergencies:20040206:20040209:,:2003DGQ3B167TheprojectwassupportedbytheMininstryofScienceandTechnology.No.2003DGQ3B167:,,(1973),,*(Correspondingauthor)&122&ChineseJEvidenceBasedMedicine,2004,Vol.4(2),,,SARS,,SARS,SARS[1],,SARS:,,,,,SARS,SARS,SARS,,11.1!:MedlineCBMdiscCochraneLibrary(CL);∀:WHO(MOH)CDC;#:(Sina)(Sohu)()(Yahoo);∃:SARS∋(∋(∋(∋(∋(∋(∋(∋(∋(∋(∋(;%:1.2[2],SARS,,1.2.1检索式及检索策略11.2.2网站检索)∗)SARS∗)+SARS∗1.2.3纳入范围!Medline(2003.01~2003.12)CBMdisc(2003.01~2003.12)CochraneLibrary(CL,20034);∀:200311~20031231;#:200311~20031231;∃:200331~20031231;%:200311~20031231SARS4SARS381.2.4质量评级与控制63,,:A;BRCT/CCT;C;D;E;F22.1,1MedlineCochraneLibrary&CBMdiscTable1Medline,CochraneLibrary&CBMdiscsearchstrategiesMedline&CochraneLibraryCBMdisc#1SARS#1SARS#2Severeacuterespiratorysyndrome#2.Atypicalpneumonia#3severeNEARacuteNEARrepiratoryNEARsyndrome#3.severeacuterespiratorysyndrome#4#1OR#2OR#3#4.severeacuteinfectiouspneumonia#5ards#5.infectiousatypicalpneumonia#6acuterespiratorydistresssyndrome#6.acuteinfectiousviralpneumonia#7respiratorydistresssyndrome#7#1OR#2OR#3OR#4OR#5OR#6#8#5OR#6OR#7#8.respiratorydistresssyndrome#9#4NOT#8#9#7NOT#8&123&200442CDCWHO(CDCWHO,WHO)SARS[3]301SARS[4]&&SARS[5]ProceedingsofInternationalScienceSymposiumonSARS[6])SARS∗,SinaSohu:2(,%)Table2Primaryselectionofliteraturesfromvarietyofresources(piece,%)InformationresourceThenumberofarticlesRCT/CCTGuidelinesmulticenterstudyEBMEBMresearchChineseliteraturesEnglishliteraturesCL0000000Medline924(7.7)7222292723+43HK+7*CBMdisc1716(14.4)21170917160Handsearchjournals261(2.2)9801225833Greyliteratures381(3.2)18013833027+24*GovernmentWebsites3082(25.8)048022213869NongovernmentWebsites5591(46.7)020055910Total11955(100.0)55(0.5)97(0.8)3(0.04)63(0.5)10200(85.3)1696(14.2)*;HK(200415)*TheEnglishliteraturesofauthorsfrommainlandinChina;HK:ThepieceofliteratureofauthorsfromHongkong.(BeforeMay1st,2004),4(46.7%)(25.8%)CBMdisc(14.4%)Medline(7.7%)CL,RCT/CCTEBM2%85.3%Medline10.71%4.65%,SARS(63%21%)72.5%,2.22.2.1时效性20031~12,3-120035~6,SARS91.5%(55.7%,35.8%),Medline6.3%2.1%7~8,SARS53.6%,Medline6.31%0.02%22.12%20.2%11~12(25%),CBMdisc0.02%41.7%36.4%41.9%,(Sina),3~4,Medline2,:Medline3~48.9%,5~831%,9~1020%CBMdisc,7~8&124&ChineseJEvidenceBasedMedicine,2004,Vol.4(2)1,9~1026.4%,11~1273.5%Medline,5~6,11~12Medline,CBMdisc,,7~8,,3~6,5~6,9,,,1~22.2.2官方网站时效性比较20033(2003.1~2003.12)(,%)Table3Thetimeofpublicationofliteraturesfromvarietyofresourcesin2003(piece,%)InformationresourceJanFebMarApMayJunJulAugSepOctNovDecTotalMedline082(8.9)291(31.5)288(31.2)186(20.1)77(8.3)924(100)CBM0001(0.1)454(26.4)1261(73.5)1716(100)Handsearchjournals06(2.4)98(37.5)52(19.9)40(15.3)65(24.9)261(100)Greyliteratures07(1.8)1(0.3)262(68.8)97(25.4)14(3.7)381(100)Governmentwebsites4(0.2)672(21.8)1653(53.6)223(7.2)192(6.2)338(11.0)3082(100)Nongovernmentwebsites0295(5.3)2569(45.9)473(8.5)987(17.7)1267(22.6)5591(100)Total4(0.03)1062(8.9)4612(34.8)1299(10.9)1956(16.4)3022(25.3)11955(100)SARS44:471.8%(2213/3082),SARS63%3SARS-33:SARS,SARSWHO,,CDCSARS,WHO,CDC42003SARS-(,%)Table4Thenumberofgovernment-releasedinformationa