中国三级公立医院在应对突发公共卫生事件中的关键问题研究

Key issues in the response of tertiary public hospitals to public health emergencies in China

【目的】对三级医院应对突发公共卫生事件中存在的问题进行梳理,并明确关键问题。【方法】构建文献评阅指标体系,运用层析分析法等方法明确关键问题。【结果】经过系统文献评阅,梳理三级医院在应对突发公共卫生事件中存在的问题共20类,结合需要优先解决的问题,最终明确关键问题3类。【结论】三级医院在应对突发公共卫生事件过程中存在的关键问题集中在医务人员应急能力素质、应急人员数量、培训演练规范性和针对性等方面。三级医院应在应急体系构建中重点关注以上问题,提高应急处置能力。

[Objective]To identify and clarify the key issues faced by tertiary hospitals in responding to public health emergencies.[Methods]A literature review index system was constructed,and key issues were identified using hierarchical analysis.[Results]After a systematic literature review,20 types of problems faced by tertiary hospitals in responding to public health emergencies were identified.Three key issues were ultimately identified by prioritizing the issues that needed to be addressed.[Conclusion]The key issues of tertiary hospitals in responding to public health emergencies are concentrated in the areas of emergency response capabilities and competencies of medical staff,the number of emergency response personnel,and the standardization and specificity of training and drills.Tertiary hospitals should focus on these issues in developing public health emergency response systems to improve the effectiveness of their emergency response.