北京市通州区医疗机构卫生应急队员突发公共卫生事件应急能力影响因素分析

Research on the influencing factors of emergency response capability for public health emergency of health emergency personnel in medical institutions in Tongzhou District of Beijing City

目的了解北京市通州区医疗机构卫生应急队员应急能力现状及影响因素,为卫生应急人才队伍建设提供依据。方法2022年8—11月通过对北京市通州区医疗机构卫生应急队员进行问卷调查,所得数据采用多元线性回归进行分析。结果北京市通州区医疗机构186名卫生应急队员应急能力总分为(45.48±11.69)分,得分率为75.80%,应急能力处于中等水平。工作投入、组织支持及前期是否参加过卫生应急培训和演练3项均是卫生应急队员应急能力的主要影响因素。来自二级及以上医疗机构的卫生应急队员应急知识储备问卷总成绩比来自社区卫生服务中心的卫生应急队员得分高,成绩差异有统计学意义(t=2.795,P<0.01);各医疗机构均在基础知识方面成绩最弱,在其他(水污染、食物中毒等)应急事件方面成绩最强;新发传染病和传统传染病两方面,二级及以上医疗机构知识储备更好,差异均有统计学意义(t=4.004、2.254,均P<0.05)。结论建议加强各个医疗机构应急队员基础知识方面的培训,加强社区卫生服务中心应急队员传染病方面的培训;重视应急队员福利待遇提升,解决应急队员后顾之忧,提升工作投入度。

Objective To understand the current situation and influencing factors of emergency response capabilities of health emergency personnel in medical institutions in Tongzhou District of Beijing,and provide a basis for the construction of health emergency talent teams.Methods From August to November 2022,a questionnaire survey was conducted on the health emergency team members of medical institutions in Tongzhou District of Beijing,and the data obtained were analyzed using multiple linear regression.Results The total score of emergency capability for 186 health emergency team members from medical institutions in Tongzhou District,Beijing was(45.48±11.69)points,with a scoring rate of 75.80%,indicating a moderate level of emergency response ability.Work engagement,organizational support,and whether having participated in health emergency related training and drills in the early stage were the main influencing factors on emergency response capability of health emergency team members.The total score of the emergency knowledge reserve questionnaire for health emergency team members from secondary and above medical institutions was higher than that of health emergency team members from community health service centers,and the difference was statistically significant(t=2.795,P<0.01).All medical institutions had the weakest performance in basic knowledge,but the strongest performance in other emergency events such as water pollution and food poisoning.In terms of newly emerging infectious diseases and traditional infectious diseases,secondary and above medical institutions had better knowledge reserves,and the difference was statistically significant(t=4.004,2.254,both P<0.05).Conclusion It is recommended to strengthen the training of basic knowledge for emergency team members in various medical institutions,and to strengthen the training of infectious diseases for emergency team members in community health service centers.Pay attention to the improvement of welfare benefits for emergency team members,solve their worries,and enhance their work engagement.