广西边境地区县级医院突发公共卫生事件应急能力综合评价
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摘要
目的:建立县级医院突发公共卫生事件应对能力评价指标体系及综合评价模型,并据此进行实证评价。方法:通过文献研究和德尔菲专家咨询法,构建指标体系,据此设计问卷,对广西边境地区22所县级医院进行调查。采用因子分析法建立综合评价模型并进行实证评价。结果:评价指标体系包括应急指挥协调、应急预案、监测预警、信息报告与交流、应急人员、应急床位、相关物质储备等7个维度。调查问卷的各维度具有较好的内部一致性(克朗巴赫α系数为0. 9467)和较好的内容效度和结构效度。通过因子分析方法最终提取了4个公因子,建立应对突发公共卫生事件能力综合评估模型:F=0. 3013 F1+0. 2709 F2+0. 2142 F3+0. 2136 F4(F1为保障因子,F2为预警因子,F3为床位因子,F4为信息因子)。结论:县级医院应急能力评价指标体系具有合理性、科学性和较好的信度与效度,综合评价模型能较全面的评价县级医院应对突发公共卫生事件的能力。广西边境地区县级医院卫生应急能力需要进一步加强。
Objective To establish an evaluation index system and a comprehensive evaluation model for the public health emergency response capacity of county-level hospitals. Methods The evaluation index system was constructed through the literature research and the Delphi expert consultation method. According to the system,a questionnaire on response capacities of county-level hospital was designed. Questionnaire surveys were conducted among 22 county-level hospitals in the border areas of Guangxi. Comprehensive evaluation model was established by factor analysis method and empirical study was conducted. Results The evaluation index system to public health emergency response capacities of county-level hospitals includes 7 dimensions,emergency command and coordination,emergency plan,monitoring and early warning capabilities,information reporting and communication,emergency personnel,emergency bed,emergency related substances reserve. Each dimension has good internal consistency(Krone Bach's alpha coefficient was 0. 9467),and the questionnaire had preferably content validity and construct validity. By using factor analysis method,four common factors were extracted,and comprehensive evaluation model was established for the county-level hospitals to deal with public health emergencies: F = 0. 3013 F1+ 0. 2709 F2+ 0. 2142 F3+ 0. 2136 F4(F1 as the guarantee factor,F2 as the early warning factor,F3 as the factor of bed,F4 as the factor of information). Conclusions The evaluation index system of the emergency response capability to county-level hospitals is reasonable,scientific,and has good reliability and validity. The model can comprehensively evaluate the capabilities of county-level hospital to deal with public health emergencies.The public health emergency response capacities of county-level hospitals in Guangxi border areas needs to be strengthen.
Objective To establish an evaluation index system and a comprehensive evaluation model for the public health emergency response capacity of county-level hospitals. Methods The evaluation index system was constructed through the literature research and the Delphi expert consultation method. According to the system,a questionnaire on response capacities of county-level hospital was designed. Questionnaire surveys were conducted among 22 county-level hospitals in the border areas of Guangxi. Comprehensive evaluation model was established by factor analysis method and empirical study was conducted. Results The evaluation index system to public health emergency response capacities of county-level hospitals includes 7 dimensions,emergency command and coordination,emergency plan,monitoring and early warning capabilities,information reporting and communication,emergency personnel,emergency bed,emergency related substances reserve. Each dimension has good internal consistency(Krone Bach's alpha coefficient was 0. 9467),and the questionnaire had preferably content validity and construct validity. By using factor analysis method,four common factors were extracted,and comprehensive evaluation model was established for the county-level hospitals to deal with public health emergencies: F = 0. 3013 F1+ 0. 2709 F2+ 0. 2142 F3+ 0. 2136 F4(F1 as the guarantee factor,F2 as the early warning factor,F3 as the factor of bed,F4 as the factor of information). Conclusions The evaluation index system of the emergency response capability to county-level hospitals is reasonable,scientific,and has good reliability and validity. The model can comprehensively evaluate the capabilities of county-level hospital to deal with public health emergencies.The public health emergency response capacities of county-level hospitals in Guangxi border areas needs to be strengthen.
引文
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[12]王丽芝.广州市突发公共卫生事件应急医疗物资储备机制探讨[J].中国卫生事业管理,2010,27(3):177,182
[13]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):55-58.
[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].复旦大学博士学位论文,2009.
[15]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.
[2]张慧,黄建始,段杰.医院突发公共卫生事件应对能力综合评价体系[J].中国公共卫生,2007,23(12):1505-1508
[3]孟雪晖,崔仕臣,陈其伟,等.广西县级医院突发公共卫生事件应对能力评价指标体系构建[J].中国医院,2015,19(11):27-29.
[4]陈峰.医用多元统计分析方法[M].北京:中国统计出版社,2006:65-82.
[5]张文彤,董伟. SPSS统计分析高级教程[M].北京:高等教育出版社,2004:363-365.
[6]倪红梅,郭盈盈,方盛泉,等.大学生健康状态评估表信度和效度检验[J].中国卫生统计,2015,32(1):91-94
[7]刘静,李琳琳,尹磊,等.基层部队卫勤机构突发公共卫生事件应对能力的综合评价研究[J].中国卫生事业管理,2014,31(6):439-441.
[8]朱德香,陈思东.医院突发公共卫生事件应对能力综合评价研究[J].公共卫生与预防医学,2009,(2):27-30.
[9]张慧.北京市二级以上医院突发公共卫生事件[D].中国协和医科大学博士学位论文,2003.
[10] Loutfy MR,Wallington T,Rutledge T,et al. Hospital Preparedness and SARS. Emerg Infect Dis,2004,10:771-776.
[11]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.
[12]王丽芝.广州市突发公共卫生事件应急医疗物资储备机制探讨[J].中国卫生事业管理,2010,27(3):177,182
[13]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):55-58.
[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].复旦大学博士学位论文,2009.
[15]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.