广州市医务人员对公共卫生应急体系建设需求定性调查分析

Investigation on demand for public health emergency system of health workers in Guangzhou

目的了解广州市医务人员对公共卫生应急体系的建设需求,旨为政府相关部门的决策提供科学依据。方法采用小组专题访谈方法,对24家不同级别、类别和性质医疗机构的领导层和主要业务科室工作人员共220名医务人员召开24次专题组讨论;对记录的文字资料进行逻辑分类和分析。结果83.7%医务人员因对SARS有所了解、个人防护措施得到了加强,不害怕SARS重来,11.2%医务人员主要担心SARS防控设施不符合规范或SARS影响经济收入;绝大部分医疗机构及医务人员(72.5%)对政府应对突发公共卫生事件有信心;公共卫生应急体系尚存在资金不足、信息流不畅通等方面不足,并提出加大防病经费投入、加强信息沟通及人才培养等需求。结论应用专题访谈定性方法具有深入收集资料、观点及意见的优势。公共卫生应急体系建设应着重在专项经费投入、防疫网底巩固、信息整合及多方联合演练等方面加强整体配置和高效管理。

Objective To understand the demand for public health emergency system of health workers,so as to provide evidence for the government. Methods Using focus group discussion, to discuss with 220 health workers for the improvement of the public health emergency system. Results Data showed that 83.7% health workers were not afraid of the re-occurrence of SARS outbreak, and 72.5% were confident that the government was powerful enough to deal with such emergency. The problems were ： public health emergency system was lacking fund, information system was not effective enough, and also in need of experienced professionals. Conclusion Focus group discussion is effective to analyze viewpoint. The improvement of effective public health emergency system focuses on fund, information, and traing etc.