北京市院外急救分中心建设现状及对策分析

Current conditions of emergency sub-centers in Beijing and relevant suggestions

目的通过了解北京市院外急救分中心建设配置情况，分析评估北京市院外急救分中心现状，为提升全市院外医疗急救服务能力和管理水平提出对策和建议。方法采用文献研究与政策分析、现场考察、问卷调查、个人深入访谈和专题研讨会等方法，对本市21家院外急救分中心现状进行了调查，分析研究我市院外急救分中心现况、面临的挑战与存在的问题。结果北京市急救分中心体系建设不合理，科室设置参差不齐、救护车配置和物资储备城六区和郊区差异较大，高学历和技术职称的管理人员较少，尚缺乏明确的建设标准等。结论北京市应该明确急救分中心的基本职能，结合工作实际和未来发展需要，尽快建立切实可行的建设标准，充分发挥管理和保障职能，满足社会日益增长的院外急救服务需求。

Objective In order to understand the current conditions of the 21 emergency sub-centers in Beijing, 5 sub-centers directly under the Beijing Emergency Center （120）, 15 district emergency centers directly under the district health and family planning eommisions, and the Beijing Red Cross Emergency Rescue Center （999） so as to improve their work.Methods The authors conducted a comprehensive investigation of their basic situation, organization, functions, basic settings, personal construction, etc. by means of questionnaire survey and telephone interview. Results The results showed that all of them were involved in pre-hospital care. 57.1% of them had their own indepent rooms in hospital, only one sub-center had its own Independent property right house. Most of them had both dministrative function and medical service management function. There were relevant departments, including financial department,. However, most of them lacked specialised departments engaged in health education and training. There were 440 ambulances altogether, 79.5% being in the 6 urban areas. Most sub-centers got their daily emergency supplies reserve from their respective sponsoring units. Only 10.1% of the professionals were with senior professional titles. In the authors＂ opinion, the distribution of emergency care sub-centers is not scientific. Conclusion Based on the data thus collected, the authors suggest that the basic functions of the emergency subeenter should include management of daly pre-hospital emergency care, first aid training and health education for the public, health and emergency management, and health insurance for large scale activities. Such departments： general office, department of pre-hospital care management, department of health education and training of first aid knowledge and technology, and department of pre-hospital emergency medical service ensuance, are to be established. Room condition should be standadized. Attention must be paid to the rational allocation of number of ambulance, and team building of professionals by introducing more high-level talents.Standardization of management system is necessary.