上海市院前分类救护实施影响因素的调查研究

Research on the factors affecting the execution of category ambulance of pre-hospital emergency in Shanghai

目的:探讨上海市院前急救实施分类救护的影响因素。方法:对上海市院前急救系统437名院前急救从业人员进行问卷调查,从该类人员的角度探讨院前急救实施分类救护的影响因素。结果:九成以上的调查对象认为院前急救业务需要分类;但是54.69%的调查对象认为目前实施分类救护的条件还不够成熟,主要原因为目击者或患者本人呼救时无法准确地描述病情,致使调度员不易对病情准确判断、精确分类。结论:院前分类救护是合理配置急救资源的有效途径,但其有效实施仍需相关法律法规和政策予以保障,并需充分做好分类救护和急救知识的宣传与普及工作。

Objectives：To investigate the factors affecting the execution of category ambulance of Shanghai pre-hospital emergency. Methods：A total of 437 people engaged in pre-hospital emergency system in Shanghai were surveyed by questionnaire. Results：The survey showed that more than 90%of the subjects believed that the pre-hospital emergency services should be categorized. What’s more, 54.69%of the surveyed considered that it’s not a good time to execute category ambulance now, and the major reason was that many 120 callers couldn’t describe the status of the patient precisely, which may lead to the dispatcher couldn’t receive the accurate condition , neither to say classify ambulance correctly. Conclusions：Category ambulance of pre-hospital emergency is a good way to allocate pre-hospital emergency resources properly. And it still needs the supports of legislations and administrations, and geat efforts made for the education and disseminate, to implement the category ambulance effectively.