岱山县疾控应急队伍现况调查

Current investigatron on the disease control and emergency response teams of Daishan County

目的提高岱山县疾控应急队伍对突发公共卫生事件处置能力。方法采用现况调查方法,调查2008年与2016年岱山县疾控应急队伍,分为县级、基层医疗单位,搜集所有疾控人员相关信息,进行汇总和对比分析。结果2016年县级疾控应急队伍平均年龄为37.83岁,小于2008年42.66岁,年龄结构发生了明显变化(t=2.29,P<0.05)。基层医疗单位疾控应急人员2016年平均年龄为42.70岁,与2008年比较,年龄结构几乎没有变化(t=0.12,P>0.05)。县级疾控应急队伍学历较高,专业对口性较强。职称分布呈现高级、初级两头多,中级职称中间少现象;基层医疗单位疾控应急队伍年龄老化、学历低、无职称人员多,公共卫生执业资质人员少,2016年与2008年比较情况基本一致。县级疾控应急队伍平均每年轮训3次,定期开展单位业务学习,有7名应急队员参加了省市流行病学现场培训班。基层医疗单位疾控应急队伍3年累计集中轮训5次。2013-2015年全县应急演练3次,达到每年2人次应急演练要求。结论县级疾控应急队伍编制缺少,基层医疗单位疾控应急队伍力量薄弱。

Objective To improve the ability of public health emergency disposal of the disease control and emergency response（ DCER） team of Daishan county. Methods Using prevalence study method,the surveys were made for the DCER teams of 2008 and 2016 and the relevant information were collected from all the DCER staff of county and grass-roots level,then a summary and comparison analysis was conducted. Results The average age of the county level DCER staff of 2016 was 37. 83,while it was 42. 66 in 2008,the age structure had changed significantly（ t = 2. 29,P 〈 0. 05）. On the grass-roots level,the average age of 2016 was 42. 70,it made no difference compare with that in 2008（ t = 0. 12,P 〉 0. 05）. The county level DCER staff had higher education background and counterpart profession. There were more primary and senior titles than the intermediate among the county level DCER staff. The DCER staff of grassroots medical units were older and had lower education background,many of them had no professional qualification and title. The situation of 2016 had almost not been changed compared compaired with 2008. The county level DCER team had an average of 3 trainings and had regular professional learnings,7 of them had the experience of learning scene classes of the whole province or city. The grass-roots level DCER team had an average of 5 trainings in 3 years. During 2013 and 2015,the total county emergency drill was 3 times,reaching 2 times a year. Conclusion The staffing member number of DCER teams is lack in county level,and the strength is weak in grass-roots level.