我国突发公共卫生事件监测预警现状的横断面研究

A Cross-Sectional study on current situation of monitoring and early warning for public health emergency in China

目的:了解我国突发公共卫生事件监测预警工作开展现状,分析监测预警系统存在的问题,以完善我国监测预警体系。方法:采用横断面问卷调查的方法,对全国31个省(市、自治区)中承担突发公共卫生事件应急处置职责的各级工作人员进行调查,共计调查省、市、县三级应急人员5 646人。结果:目前我国突发公共卫生事件监测体系初步建立,信息来源较为丰富,但东、中、西部地区之间以及省、市、县之间开展的监测内容存在一定差异;预警工作在全国虽已得到一定开展,但是开展比例不高,且在省、市、县间存在差异。结论与建议:健全常规和强化监测体系,提高主动监测能力;制定和完善操作性强的监测预警制度,固化监测预警运行机制;加大监测预警投入,确保人财物等应急资源保障水平;突出重点,分类管理,全面提高监测预警认知与工作水平。

gencies in China Objectives： To know the current status of the monitoring and early warning to public health emer- and find out the existing problems, so can provide the measures for improving China＇ s monitoring and warning system. Methods： By Cross-Sectional survey and the investigation is taken among 31 provinces＇ （munic- ipalities and autonomous regions） personnel involved in handling public health emergencies. Totally 5646 persons in- cluding such three levels as the provincial, municipal and county level were investigated. Results： At present, we have established the monitoring systems of Public health emergencies and the sources of surveillance information is a- bundant, but there are certain difference about monitoring contents among the eastern, central and western regions as well as province, city and county; Early warning must have been carried out in the country, which has a low ratio, and there also exist differences among province, city and county. Conclusions and recommendations ： 1 ） Improve reg- ular and strong monitoring system to enhance the active surveillance capacity, 2 ） Develop and improve workable moni-toring and early warning system, and standardized early warning and ensure the emergency resources operational mechanisms, of personnel and funds, c） Increase investment in and 3 ） Lay stress on the develop classification management to enhance the ability of monitoring and early warning.