基于汶川地震评估军队地震灾害应急医学救援组织体制

Evaluation of military organization system for emergency medical relief based on Wenchuan earthquake

目的评估我军参与汶川地震灾害应急医学救援中组织体制的得分及等级。方法利用已构建的军队地震灾害应急医学救援组织体制对汶川地震救援行动进行打分,以专家主观打分方式为主。结果本研究一级指标中平均得分最高分为防疫防护保障67.3分,乘权重后最高分为防疫防护保障20.2分;二级指标为组织协同71.0分,乘权重后最高分为分级救治39.2分;三级指标为内部协同74.0分,乘权重后最高分为部队卫勤机构、医院机动卫勤分队47.6分。24项三级指标中有6项等级为a(25.0%),10项等级为b(41.7%),8项等级为c(33.7%)。结论汶川地震中防疫防护保障和分级救治执行较为出色,未来改革重点是组织指挥手段、医学救治范围和自我医疗保障等方面。

Objective To evaluate score and grade of emergency medical relief organization system of the army participated in Wenchuan earthquake. Methods The established military organization system for emergency medical relief was used to grade Wenchuan earthquake relief operations, and subjective scoring from experts was the main way. Results In this study, the average score of epidemic prevention and protection was 67.3 points which was the highest in those of the first level index, and the highest was epidemic prevention and protection with 20.2 points after multiplied by weight; The average score of organization coordination was 71.0 points which was the highest in those of the second level index, and the highest was echelon treatment with 39.2 points after multiplied by weight; The average score of internal coordination was 74.0 points which was the highest in those of three-level index, and the highest was military medical institutions and hospital mobile medical teams with 47.6 points after multiplied by weight. 6 index（25.0%） was ranged as a in the total of 24 three-level index, 10 index（41.7%） was b and the other 8 index（33.7%） was c. Conclusions The implementation of epidemic prevention and protection and echelon treatment were excellent in Wenchuan earthquake, the focus of future reform is organization command ways, medical treatment scope and medical self-security, etc.