Objective: To investigate the situation of the current work of and the related factors of the county public health emergencies risk communication, so as to offers scientific basis for making the public risk communication strategy, plan and guide at the county level. Methods: Adopt the qualitative research method in two counties, conduct depth interview for government spokesman, the focus group discussion of medical and health institutions and relevant administrative agency personnel, and the general public. Results: Although county public emergency responses have the basic knowledge and consciousness of risk communication, there are rarely risk communications content and items in the emergency response plan of the county government, let alone department's responsibility. The coordination mechanism of risk communication is ineffective, not make good use of media resource. In addition to the mass media, the people would believe the oral notice from government and village officers and cadres. Conclusion: There are lacks of substantive provisions and coordinate system of the county-level public emergency risk communication work plan. To deal with serious emergency incident, it is necessary for them to conduct the systematic training and exercises on risk communication. Common people expect the diversity of channels of risk communication, especially having the higher trust for interpersonal communication.%目的:了解我国县域开展突发公共卫生事件大众风险沟通的工作现状及相关因素,为制定县级大众风险沟通策略、计划和指南提供科学依据.方法:采用质化研究方法,在辽宁省海城市和安徽省寿县,深度访谈政府发言人,焦点小组座谈医疗卫生机构和有关行政机构人员,以及普通群众.结果:政府部门的应急预案中涉及风险沟通的内容很少,部门职责不明,协调机制不灵,媒体资源调动不充分.除了大众媒介外,基层百姓更相信政府干部的层层通知.结论:县域突发公共事件应对中初步具备了风险沟通的基本常识与意识,但在预案中缺少有关实质性规定,在实战中缺乏有效协调机制.要应对大的突发事件,亟需系统的风险沟通培训与演练.群众期待多元化的风险沟通渠道,对人际传播的信赖度较高.
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