广西边境地区县级医院突发公共卫生事件应急能力调查
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摘要
目的了解广西边境地区县级医院突发公共卫生事件应急能力现状,分析存在的问题。方法采用普查方法对广西边境地区县级医院进行问卷调查,分析医院应急预案、应急指挥协调、监测预警、实验室病原检测能力、信息报告交流、应急人员、应急床位、相关物质的储备等状况。结果广西边境地区被调查的22家县级医院均没有设立独立的卫生应急部门,均挂靠在医务科或急诊科等业务科室;22所县综合医院不同程度地建立了各类卫生应急预案;监测预警能力较低;22所医院病原检测能力不同;信息报告交流和应急培训能力有待加强;应急床位和应急人力不足;应急物资储备缺乏。结论广西边境地区县级医院突发公共卫生事件应急能力需要进一步加强和完善。
Objective To understand the current situation of public health emergency response in county hospitals in border areas of Guangxi and analyze the existing problems. Methods Questionnaire survey was conducted among 22 county hospitals in border areas of Guangxi,the situation about emergency regulation and coordination,emergency plans,monitoring and warning system,information system,emergency personnel and other related procedures were collected and analyzed. Results All of 22 investigated the county hospitals in the border areas of Guangxi had no independent health emergency departments,all of which were affiliated with medical or emergency departments. The general hospitals in the 22 county had set up various health emergency plans in different degrees. The ability of monitoring and warning system of public health emergencies was insufficient. The pathogens detection abilities were different in the 22 hospitals. All these hospitals needed to improve the capacity of information reporting,communication and emergency training. Health emergency manpower and emergency beds were inadequate. Emergency medical supplies for emergency public housing was in shortage. Conclusion The emergency response capacity of county level hospitals in border areas of Guangxi needs to be deeper strengthened and improvement.
Objective To understand the current situation of public health emergency response in county hospitals in border areas of Guangxi and analyze the existing problems. Methods Questionnaire survey was conducted among 22 county hospitals in border areas of Guangxi,the situation about emergency regulation and coordination,emergency plans,monitoring and warning system,information system,emergency personnel and other related procedures were collected and analyzed. Results All of 22 investigated the county hospitals in the border areas of Guangxi had no independent health emergency departments,all of which were affiliated with medical or emergency departments. The general hospitals in the 22 county had set up various health emergency plans in different degrees. The ability of monitoring and warning system of public health emergencies was insufficient. The pathogens detection abilities were different in the 22 hospitals. All these hospitals needed to improve the capacity of information reporting,communication and emergency training. Health emergency manpower and emergency beds were inadequate. Emergency medical supplies for emergency public housing was in shortage. Conclusion The emergency response capacity of county level hospitals in border areas of Guangxi needs to be deeper strengthened and improvement.
引文
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[3]康晓梅,向孟,顾民,等.医疗机构卫生应急管理体系的建设与体会[J].江苏卫生事业管理,2015,26(5):148-150.
[4]肖夏,徐王权,陈任,等.合肥市医疗机构突发公共卫生事件应急能力现状调查[J].中国公共卫生管理,2014,30(2):224-225
[5]郝晓宁,刘建春,薄涛,等.我国突发公共卫生事件监测预警现状的横断面研究[J].中国卫生政策研究,2013,6(12):53-57.
[6]陈茂余,杨玉芳,黄展,等.江门市医疗机构突发公共卫生事件应急能力调查报告[J].医学动物防制,2014,30(7):751-754,757.
[7]李克莉,冯子健,金连梅,等.中国突发公共卫生事件实验室检测现状的研究[J].现代预防医学,2008,35(4):601-603,611.
[8]王丽芝,陈熔宁,郭庆吉,等.社区卫生服务机构突发公共卫生事件医疗应急能力现状研究[J].中国全科医学,2015,18(19):2257-2260.
[9]郝艳华,吴群红,李斌,等.医疗机构突发公共卫生事件监测能力现状分析及改善对策[J].中国卫生事业管理,2008,25(1):55-59.
[10]樊丽平,赵庆华,肖明朝,等.重庆市二级以上医院突发公共卫生事件应对能力现状调查与分析[J].重庆医科大学学报,2012,37(6):553-556.
[11]于晓楠,汤显,杨芸.虹口区二级及以上医疗机构突发公共卫生事件应急能力现状[J].中国公共卫生管理,2012,28(5):585-587.
[12]张慧.北京市二级以上医院突发公共卫生事件应对能力评价研究[D].中国协和医科大学北京协和医学院中国医学科学院清华大学医学部,2006.
[13]陈虹.军队数字化医院突发公共卫生事件应对能力现状评价研究[D].第三军医大学,2011.
[14]赵琦.基层突发公共卫生事件应急体系应对能力评估工具的开发、应用与评估模型的探索性研究[D].复旦大学,2009.
[15]孙健.南宁市县级医院卫生应急能力评价[J].中国公共卫生管理,2017,33(2):202-204.