民意调查:公众支持大幅增加美国公共卫生项目的支出，但对该系统目前的运作方式表示严重关切
在此期间，公众对卫生保健工作者的信任高于对公共卫生机构的信任，包括CDC、FDA和NIH。
In addition, a similar share of the public (72%) believes the activities of public health agencies in the United States are extremely or very important to the health of the United States.
This poll, The Public’s Perspective on the United States Public Health System, was conducted February 11 to March 15, 2021, among a nationally representative, probability-based sample of 1,305 adults ages 18 or older. The margin of error at the 95% confidence interval is +/- 3.6 percentage points.
When it comes to trust, the public trusts health care workers more than U.S. public health institutions and agencies for recommendations made to improve health (see Table 1). This includes high public trust (percent saying “a great deal” or “quite a lot”) in nurses (71%), health care workers you know (70%), and doctors (67%) for recommendations they make to improve health. The public has lower levels of trust in the Centers for Disease Control and Prevention (CDC) (52%), state (41%) and local (41%) health departments, the National Institutes of Health (NIH) (37%), and the Food and Drug Administration (FDA) (37%).
At the same, only about one-third of adults (34%) adults gave positive ratings of the nation’s system for protecting the public from health threats and preventing illness, down from 43% in 2009. By contrast, public confidence in the nation’s medical system has increased during the Covid-19 pandemic, with about half of adults (51%) giving it a positive rating in 2020 compared with pre-pandemic measures in both 2009 (36%) and 2019 (36%).
“We appear to be entering a new era for public health, with widespread recognition of the critical importance of public health agencies and broad public support for substantially more funding. But success here requires increasing public trust in public health institutions and the perceived performance of these agencies,” said Robert J. Blendon, co-director of the survey and Richard L. Menschel Professor of Public Health and professor of Health Policy and political analysis emeritus at Harvard T.H. Chan School of Public Health.
“Our nation’s public health system entered the pandemic underfunded and understaffed—problems that have persisted for generations—and the consequences of this underinvestment over the past year have been devastating,” said Richard E. Besser, president and CEO of the Robert Wood Johnson Foundation and former acting director of the CDC. “It is heartening that strong majorities of the American public support more substantial public health funding, which will put us in a better position to prepare for and respond to future health emergencies. Public health must also use this moment to commit to addressing the systemic challenges to improved health and well-being—including structural racism and discrimination—that continue to consign too many people of color in this country to shorter, sicker lives.”
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新泽西州普林斯顿大学——根据罗伯特·伍德·约翰逊基金会/哈佛大学陈曾熙公共卫生学院的一项民意调查，在Covid-19大流行期间，绝大多数公众(71%)赞成大幅增加联邦政府在改善国家公共卫生项目方面的支出。参见图1）.
此外，同样比例的公众(72%)认为，美国公共卫生机构的活动对美国人的健康极为重要或非常重要。
这项名为“公众对美国公共卫生系统的看法”的民意调查于2021年2月11日至3月15日在全国代表性的、基于概率的1,305名18岁或以上成年人样本中进行。95%置信区间的误差幅度为+/- 3.6个百分点。
在信任方面，公众更信任医护人员，而不是美国公共卫生机构和机构提出的改善健康的建议。见表1）.这包括公众对护士(71%)、你认识的卫生保健工作者(70%)和医生(67%)提出的改善健康建议的高度信任(百分比说“很多”或“相当多”)。公众对疾病控制和预防中心(CDC)(52%)、州(41%)和地方(41%)卫生部门、美国国立卫生研究院(NIH)(37%)和食品和药物管理局(FDA)(37%)的信任度较低。
与此同时，只有大约三分之一(34%)的成年人对国家保护公众免受健康威胁和预防疾病的系统给予积极评价，低于2009年的43%。相比之下，在2019冠状病毒病大流行期间，公众对国家医疗体系的信心有所增加，与2009年(36%)和2019年(36%)的大流行前相比，约有一半(51%)的成年人在2020年给予了积极的评价。
“我们似乎正在进入一个公共卫生的新时代，公众普遍认识到公共卫生机构的至关重要性，并广泛支持大幅增加资金。但要想在这方面取得成功，需要提高公众对公共卫生机构的信任，以及对这些机构表现的认知，”该调查的联合主任、哈佛大学陈曾氏公共卫生学院公共卫生政策和政治分析名誉教授、理查德·l·门舍尔公共卫生教授罗伯特·j·布伦登(Robert J. Blendon)说。
罗伯特·伍德·约翰逊基金会总裁兼首席执行官、疾病预防控制中心前代理主任理查德·e·贝瑟说:“我们国家的公共卫生系统在大流行期间资金不足、人手不足——这个问题已经持续了几代人——过去一年这种投资不足的后果是毁灭性的。”“令人鼓舞的是，绝大多数美国公众支持更多的公共卫生资金，这将使我们处于更好的位置，以准备和应对未来的卫生紧急情况。公共卫生也必须利用这一时刻致力于解决改善健康和福祉的系统性挑战，包括结构性种族主义和歧视，这些挑战继续使这个国家太多有色人种的生命更短、更虚弱。”
For more than 45 years the Robert Wood Johnson Foundation has worked to improve health and health care. We are working alongside others to build a national Culture of Health that provides everyone in America a fair and just opportunity for health and wellbeing. For more information, visit www.ottomotal.com. Follow the Foundation on Twitter at www.ottomotal.com/twitter or on Facebook at www.ottomotal.com/facebook.
" data-isabstract="false" class="cmp-text">关于罗伯特伍德约翰逊基金会
45年来，罗伯特·伍德·约翰逊基金会一直致力于改善健康和医疗保健。我们正在与其他国家一道努力，建立一种全国性的健康文化，为每个美国人提供公平和公正的健康和福祉机会。欲了解更多信息，请访问www.ottomotal.com．在Twitter上关注基金会www.ottomotal.com/twitter或者在Facebook上www.ottomotal.com/facebook．