Public Health and Health Policy
Public Health and Health Policy. 2026; 1: (1) ; 10.12208/j.phhp.20260004 .
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中国医学科学院北京协和医学院医学信息研究所 北京
*通讯作者: 邱五七,单位:中国医学科学院北京协和医学院医学信息研究所 北京; ;
风险沟通是传染病防控体系的核心要素,也是医疗机构落实防控要求、防范院内感染、应对突发公共卫生事件的关键支撑。本文系统分析风险沟通在医疗机构传染病防控中筑牢院内感染防控底线、构建和谐医患信任关系、赋能临床精准决策、优化医疗资源配置、提升应急处置能力的多重核心价值;深入剖析当前中国医疗机构传染病防控风险沟通中存在的内部沟通机制不畅、全员风险沟通能力与意识不足、跨机构信息共享壁垒突出、对外沟通与舆情应对失范等现实困境;并针对性提出了强化全岗位能力建设、健全院内全链条风险沟通机制、构建跨主体协同沟通体系、规范对外风险沟通与舆情管理等优化实施策略,以期为我国医疗机构科学高效开展传染病防控风险沟通工作、提升突发公共卫生事件应急处置能力提供参考与指引。
Risk communication is a core element of the infectious disease prevention and control system, and a key support for healthcare institutions to implement prevention and control requirements, prevent nosocomial infections, and respond to public health emergencies. This paper systematically elaborates the multiple core values of risk communication in infectious disease prevention and control in healthcare institutions, including building the bottom line of nosocomial infection prevention and control, fostering a harmonious doctor-patient trust relationship, empowering precise clinical decision-making, optimizing the allocation of medical resources, and improving emergency response capabilities. It further deeply analyzes the practical dilemmas of risk communication for infectious disease prevention and control in China's healthcare institutions, such as the imperfect internal communication mechanism, insufficient risk communication awareness and capacity among all staff, prominent barriers to inter-agency information sharing, and inappropriate external communication and public opinion response. On this basis, targeted optimization and implementation strategies are proposed, including strengthening capacity building for all posts, improving the whole-chain internal risk communication mechanism, constructing a cross-stakeholder collaborative communication system, and standardizing external risk communication and public opinion management. This study aims to provide reference and guidance for China's healthcare institutions to carry out scientific and efficient risk communication in infectious disease prevention and control and enhance the emergency response capacity for public health emergencies.
[1] 刘逸天,谈在祥,孙志明,等.疫情防控政策优化背景下医疗机构的挑战及应对[J].卫生经济研究,2023,40(01):22-25.
[2] 邱五七.公共卫生应急管理风险沟通的思考[J].中国公共卫生管理,2018,34(01):59-61.
[3] Qiu W , Chu C .Clarification of the Concept of Risk Communication and its Role in Public Health Crisis Management in China[J].Disaster Medicine and Public Health Preparedness, 2019, 13(5-6):1-3.
[4] 国家疾病预防控制局官网.国家疾控局关于印发传染病疫情风险评估管理办法(试行)的通知[EB/OL].(2023-08-31)[2026.3.18]https://www.ndcpa.gov.cn/jbkzzx/c100081/common/content/content_1715172781702115328.html
[5] 李男君.关于对医疗机构风险管理工作的思考[J].中国卫生标准管理, 2014 ,5 (07) : 122-123
[6] Heath R L , Gay C D .Risk Communication[J].Management Communication Quarterly An International Journal, 1997, 10(3):342-372.
[7] 马昱,钱玲,佟丽,等.风险沟通在我国应对甲型H1N1流感中的运用[J].中国健康教育, 2010(1):4.
[8] 姚春凤,谭兆营,沈雅.探讨设计突发事件公共卫生风险沟通的框架体系及其核心要素诠释[J].中国健康教育, 2017, 33(9):5.
[9] Capurro G , Thampi N .Rethinking risk communication in the hospital: infection prevention, risk perceptions, and lived experience[J].Journal of Communication in Healthcare, 2022, 15(4):300-308.
[10] 何建青. 信息呈现方式对医患关系的影响——基于描述和经验决策的差距[J]. 医学与哲学,2022,43(20):46-49.
[11] Yong L M O , Xin X , Wee J M L ,et al.Perception survey of crisis and emergency risk communication in an acute hospital in the management of COVID-19 pandemic in Singapore[J]. BMC Public Health, 2020, 20(1):1919.
[12] 张远妮. 公共政策视角下医疗服务价格改革政策效果及风险评估研究--基于广东省的实证分析[D]. 广东:南方医科大学,2019.
[13] Goldberg S R , Ko L K , Hsu L ,et al.Patient Perspectives on Personalized Risk Communication Using Polygenic Risk Scores to Inform Colorectal Cancer Screening Decisions[J]. AJPM Focus, 2025, 4(1):100308.
[14] 张静,孙庆洲,吴宝.医患风险沟通:角色与信息匹配的视角[J].心理科学进展, 2023, 31(1):99-107.
[15] 陈盈,唐佳迎,郭芝廷,等. ICU患者家属风险沟通和治疗决策有效性综合评估量表的汉化及信效度检验[J]. 中华急危重症护理杂志,2025,6(8):975-981.
[16] 胥梓薇.突发重大传染病事件医院抗逆力评价体系构建研究[D].中国人民解放军海军军医大学,2024.
[17] 庞建欣,王永晨.基于全科医生胜任力的医患沟通能力培训现状及对策研究[J].中国全科医学,2020,23(16):2057-2061.
[18] 秦怡,黄元英,何中臣,等.基于案例梳理的基层医疗卫生机构重大传染性疾病防控:经验、问题与对策[J].中国全科医学,2021,24(01):11-16.
[19] 黄汇慧,朴颖实,常春. 基于风险沟通理论的医院舆情事件应对方式评价[J]. 医学与社会,2016,29(4):62-66.
[20] 杨敬林,汪铁铮,姚蕊,等. 基于灾害脆弱性分析的医院舆情治理体系建设探索[J]. 中国医院管理,2024,44(11):88-90.
[21] 韦苏晴,孔凡磊,王若薇,等.突发性公共卫生事件的风险沟通与信息公开研究——以新型冠状病毒肺炎疫情防控为例[J].中国农村卫生事业管理,2021,41(07):515-519.
[22] 金粲,王建明.新冠疫情下的风险沟通现状及信息需求[J].江苏预防医学,2023,34(01):112-114.