2013年全国卫生部门卫生应急能力评估

Assessment of the national health emergency preparedness and response capacity,2013

目的通过对全国卫生系统省市县各级卫生应急能力现状进行调查分析,了解我国卫生应急能力建设现状,并为将来卫生应急能力建设的工作重点提出科学建议。方法采用横断面调查的方法,利用自填问卷方式对省市县各级卫生行政机构、疾控机构、医疗机构、监督机构在8个方面能力进行问卷调查,并对调查结果进行分析。结果全国省市县各级评估结果总分的平均分分别为823.1分,790.3分,760.9分。省市县各级在8个能力方面得分较高的为应急队伍、应急处置、监测预警,而得分比例相对较低的能力为宣教科研、培训演练、善后评估。结论全国省市县各级卫生部门在应急队伍、应急处置、监测预警等方面具备了较好的能力,但市级和县级总体卫生应急能力水平仍有待提高,特别是在卫生应急专门部门的设置、卫生应急日常工作经费安排、卫生应急指挥决策系统建设、应急物资储备、风险评估、突发事件处置事后评估等方面,仍有较大提升的空间。

Objective To assess the emergency preparedness and response capacity of national health system, and to provide scientific recommendations for emergency response capacity improvement. Methods A national cross-sectional survey was conducted for all the provincial, municipal, and county level health sectors, based on a self-administered questionnaire reflecting the eight aspects of capacities. Results The average scores of assessment for provincial, municipal and country level health sectors were 823.1, 790.3 and 760.9, respectively. In terms of the eight emergency capacities, the scores of response team, emergency response, surveillance and alert were higher, while the scores of education and research, training and exercise, post event evaluation were lower for all levels of health sectors. Conclusions The capacities of response team, emergency response, surveillance and alert are relatively higher for all three level health sectors. But the overall capacity of emergency department establishment, budget for emergency related work, emergency command system establishment, stockpile, risk assessment, and post event evaluation still need to be improved.