八城市区县疾病预防控制中心卫生应急队伍建设现状分析

Analysis on current situation about health emergency team construction of CDC at county level in eight cities

目的了解区县疾病预防控制中心(centers for disease control and prevention,CDC)卫生应急队伍的建设现状,为加强我国基层卫生应急队伍建设提供依据。方法按照分层整群随机抽样的方法,选取8个城市所属区县CDC,应用问卷调查的方法,了解卫生应急队伍建设情况。结果调查区县均建立卫生应急队伍,平均每支队伍人数中位数为20(10,24)人,最多的49人,最少的4人;47.1%的区县主要以抽调骨干的形式组建卫生应急队伍;74.7%的区县建立了应急队伍管理办法,54.0%的区县制定了队伍建设方案,组建原则按照事件划分、职能划分以及抽调骨干分别占26.4%、23.0%、47.1%;74.7%的区县设立卫生应急办公室,其中以办公室挂靠形式设立的占76.9%;56.1%的区县建立了培训考核评估制度。结论各地基层卫生应急队伍在组建方式、管理制度、队员数量、培训演练管理等方面存在较大差异,应制定应急队伍建设与管理的一般原则,同时结合本地特点,开展基层卫生应急队伍建设。

Objective To evaluate the current state of county CDC＇ s health emergency response teams, and to give some evidence on strengthening the construction of health emergency system at basic level. Methods County-level CDCs of eight cities were selected for investigation by stratified-cluster random sampling method, and the collected data of the health emergency teams was analyzed. Results All of the county CDCs had established health emergency teams, the median of each team was 20 （ 10,24 ） , the maximum was 49, the minimum was 4 ; the percent of the team＇ s main construc- tion principle, that choosing the backbone was 47.1% ; 74. 7% of the units established emergency management system, 54. 0% established team construction plan, the percent of the team＇ s construction principle, including the event＇ s classifi- cation, the function and choosing the backbone, which were 26.4% , 23.0% and 47.1% ; 74. 7% of the units set up health emergency office, and there is 76. 9% in affiliated form; 56. 1% of the units set up the training evaluation system. Conclusions There are many differences in health emergency system at basic level, such as the way of team building, the management system, the quantity, training and exercise. We should formulate the general principle of construction and management in emergency team. Each district should follow general principle, combining With local characteristics, to carry out local health emergency team construction.