Objective To identify priority intervention fields and strategies for public health security in China and to provide references for formulating health security strategy and improving the public health safety system in China.
Methods Literature analysis, expert consultation and subject panel discussion were employed to design an expert consultation questionnaire. Data collection was conducted with field investigation. A database was built with Epi Data 3.1; the collected data were analyzed with SPSS 20.0 and public health safety strategies were screened using factor analysis method.
Results An expert consultation questionnaire with 8 strategic target dimensions and 64 original strategic factors were designed. Then, 207 experts were surveyed with the questionnaire and valid responses were acquired from 194 (93.72%) of the experts. Factor analysis resulted in a Kaiser-Meyer-Olkin (KMO) statistic value of 0.953, the variance contribution rate of 8 initial eigenvalues of greater than 1, and the cumulative variance contribution rate of 76.56. After deleting 25 reverse correlation factors confirmed by factor analysis, 39 intervention strategies, 9 priority strategies and 4 priority strategic objectives were selected.
Conclusion With the urgent needs and the globalization of health security, strengthening global health security, medical and public health interventions, and systematic monitoring and formulating China's public health security strategy are the priority strategic objectives of public health security nowadays in China.
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