某市区县级疾病预防控制机构应急能力评价的实证研究

Empirical study on emergency response capacity of county-level CDCs

目的通过对区县级疾控机构应急能力现状的诊断,探讨制约疾控系统应急能力的"木桶短板",为建设和提高区县疾控机构的应急能力提供实证依据。方法依据已构建的应急能力评价条目,按五等级评分法对各机构应急能力维度现场考核,应用模糊综合评判法分析评价应急能力。结果机构应急能力整体水平偏低,平均57.35分,仅有4家机构评价为"良好",分数集中在(62.94～66.40)分之间,但仍趋向于"中等"等级,应急储备(25.62分)、报告(56.05分)、协调(40.30分)和实验室检验能力(53.97分)成为制约疾控应急能力的瓶颈因素。结论区县级疾控机构总体应急能力水平不足,各机构、各应急维度之间能力建设不均衡,亟需优先提高关键能力短板建设。

Objective Through diagnosis on emergency response capacity（ERC）of county-level CDCs,this study aimed to explore the constraints of ERC and to provide empirical basis for building and improving the ERC.Methods The present evaluation item was adapted with 5-point Likert scale to measure each dimension of ERCs,and fuzzy comprehensive evaluation method was applied to evaluate the ERCs.Results The overall average score was 57.35.Only 4 CDCs barely reached good level but still remained at lower level close to medium one.The elements of emergency storage（26.62）,report（56.05）,coordination（40.30）and laboratory testing capacity（53.97）turned to be the bottleneck for emergency capacity of CDCs.Conclusions The whole ERC of county-level CDCs is inadequate,and there is imbalance among CDCs and indicator dimensions as well.It is urgent to strengthen the bottlenecks construction of ERCs.