河南省二级及以上医院公共卫生预警与救治能力现状调查

Medical treating and curing ability of paroxysm of public health accident in second-class hospitals and above in Henan province

目的:了解河南省二级及以上医院的公共卫生医疗救治能力。方法:应用现况研究方法,按地理位置随机抽取河南省10个样本地市后,再对所抽地市的全部二级及以上医院共194家使用自行设计的调查问卷进行信访式调查。结果:调查医院的公共卫生医疗救治预案制定率为96.9%(188/194),88.1%(171/194)的医院有专职人员负责传染病和公共卫生事件报告工作。院均拥有救护车3.8辆,应急时床位可扩容率为25.0%。不同行政级别综合医院的霍乱弧菌、戊型肝炎病毒、伤寒和副伤寒杆菌、大肠埃希菌检测能力比较,差异均有统计学意义(χ2=17.701、13.782、12.104、7.805,P均<0.05)。54.1%(105/194)的医院不具备中毒检测能力。95.9%(186/194)的医院成立了应对突发公共卫生事件医疗救治专家组。结论:河南省二级及以上医院具备基本的公共卫生预警和救治能力,但仍需加强非传染病公共卫生事件的相关工作。

Aim：To master the medical service treatment ability for public health in second-class hospitals and above in Henan province. Methods：Prevalence study was applied in this research. After randomly selecting 10 cities as a sample by geographical location,a petition-investigation was carried out in a total of 194 hospitals which were at least ranked two in the selected cities by self-designed questionnaire. Results：The rate of working out a plan for medical service treatment for public health in the selected hospitals was 96. 9%（ 188 /194）. There were 88. 1%（ 171 /194） of the hospitals that had the full-time staff responsible for the reporting of infectious diseases and public health events. The hospitals had an average of3. 8 ambulances. When emergency the rate of amplifying beds was 25. 0%. The differences of detection capability of vibrio cholerae,hepatitis E virus,typhoid,paratyphoid bacillus,and Escherichia coli in different hospitals were statistically significant（ χ2= 17. 701,13. 782,12. 104,7. 805,P 0. 05）. There were 54. 1%（ 105 /194） of the hospitals that had not the poisoning detection ability,and 95. 9%（ 186 /194） of the hospitals established the group of medical experts responding to the public emergency. Conclusion：The second-class hospitals and above in Henan province have the basic capacity of public health warning and treatment. However,it still need to strengthen the related health work of non-communicable diseases of public events.