社区卫生服务机构突发公共卫生事件医疗应急能力现状研究

Emergency Response Capability to Public Health Events Among Community Health Service Settings

目的探讨社区卫生服务机构突发公共卫生事件医疗应急能力现状。方法本研究以广州市为例,采用文献研究法和专家咨询法,构建社区卫生服务机构卫生应急能力评估指标体系;采用自填式问卷随机调查方法,于2014年3—5月对广州市荔湾区、海珠区、天河区、白云区和越秀区5个具有代表性地区的53家社区卫生服务机构开展调查。结果设立预防保健科、应急指挥部门、应急处理预案的社区卫生服务机构分别为96.2%(51/53)、100.0%(53/53)、98.1%(52/53);60%以上的社区卫生服务机构对应急药品有储备;仅有35.8%(19/53)的社区卫生服务机构开展了康复培训,5.7%(3/53)在应急人员不足时使用志愿者,41.5%(22/53)实验设备得不到充分使用,26.4%(14/53)建立了应急资金管理制度。结论社区卫生服务机构在信息监测预警系统、应急预案建立、应急药品储备能力等"硬件实力"上具有良好的应急能力,而在康复治疗能力、应急人员机动能力、实验室设备、应急资金等"软件实力"上仍有较大上升空间。

Objective To study the emergency response capability to public health events among community health service settings in Guangzhou. Methods Guangzhou was taken as an example in this study. Literature review and expert consultation were conducted,and an evaluation index system of emergency response capability was established. Random self-administrated questionnaire survey was carried out in 53 community health service settings in five representative districts（ Liwan,Haizhu,Tianhe,Baiyun and Yuexiu） in Guangzhou from March to May in 2014. Results The establishment rate of prevention and healthcare department, emergency commanding department, emergency response plans among the 53 community health service settings were 96. 2%（ 51 /53）, 100. 0%（ 53 /53） and 98. 1%（ 52 /53） respectively. More than 60% of the community health service settings have store of medicines for emergency. Only 35. 8%（ 19 /53） of the community health service settings had carried out rehabilitation training,5. 7%（ 3 /53） had recruited volunteers when emergency personnel were in short,41. 5%（ 22 /53） couldn＇ t make full use of their experiment equipments, and 26. 4%（ 14 /53） had established the management system of emergency fund. Conclusion Community health service settings have well emergency response capability in the aspects of monitoring and warning system,emergency plan system,emergency medicine reserves,while the ＂ software capability＂ in the aspects of rehabilitation and treatment,emergency personnel mobility,laboratory equipments and emergency fund needs further improvement.