广西二级医院突发公共卫生事件的监测能力现状研究

Current situation of monitoring ability of public health events in grade 2 A hospitals of Guangxi Zhuang Autonomous Region

目的了解广西二级医院突发公共卫生事件的监测能力现状。方法应用量表法对广西136家二级医院进行调查，调查内容包括：二级医院突发公共卫生事件的发现和识别能力一般情况、二级医院监控指标、二级医院预警指标等三个方面28个评价指标。结果一共有126家二级医院按要求填写量表，占92．6％。调查反映出广西二级医院症候监测系统不完善，没有建立完善的监控指标和预警指标。结论，广西二级医院对突发公共卫生事件的监测能力有限，需要加强建设。

Objective To investigate the current situation of monitoring ability of emergent public health event in grade 2 A hospitals of Guangxi Zhuang Autonomous Region. Methods A questionnaire survey was conducted among 136 grade 2 A hospitals in Guangxi Zhuang Autonomous Region to investigate the ability to discover and identify the emergent public health events, relevant monitoring indexes, and relevant early-warning indexes. Results 126 grade 2 A hospitals responded with a respondence rate of 92.6%. Of the hospitals, 67.46%-73.01% had regularly trained their staff members on the discovery, identification, and report of emergent public health events, 70.63% set early warning baseline, 45.24% established monitoring systems specified for the symptoms of specific diseases, 49.20% conducted systematic analysis of the data from monitoring, and 36.51% shared the information obtained from analysis of unusual cases with the heahh institutions/hospitals of the region/cities/counties. Conclusion The symptom supervision system in the grade 2 A hospitals in Guangxi is not perfect and their monitoring ability of emergent public health events is very limited.